broken socio-economic order, governments have been reduced to a single function: extending the lives of their citizens with anti-retroviral treatment (ART) drugs. Meanwhile, rumors have coalesced into a widespread belief in the existence of a cure for HIV that is also exchanged through bodily fluids. Sex, casual, friendly or indifferent in all its forms offers a possible cure. Consequently, genders, sexuality and relationships have been altered drastically. Elliott lies in the hospice among the dying, his only remaining purpose: to serve as a subject for sociological and psychological research, research that is conducted via a nano-tech device to which the patient is wired. The device, called a Spade has a twofold purpose: to read and manifest Elliott's thoughts along with bits of cultural detritus into his room, and to produce a tranquilizing effect on the patient."Tyler Hayden has written a world that is as thrilling as it is nightmarish, a dystopia where almost everyone is suffering from the same terminal illness that may or may not have a cure, where government is everywhere and nowhere. His language is meditative, sensual, and always engrossing—the work absolutely original and alarmingly prescient. OHMHOLE troubles at the same time that it illuminates. Tyler Hayden is a wonderful new talent."—Suzette Mayr

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