Following the astonishing success of his first novel, One Flew Over the Cuckoo's Nest, Ken Kesey wrote what Charles Bowden calls "one of the few essential books written by an American in the last half century." This wild-spirited tale tells of a bitter strike that rages through a small lumber town along the Oregon coast. Bucking that strike out of sheer cussedness are the Stampers. Out of the Stamper family's rivalries and betrayals Ken Kesey has crafted a novel with the mythic impact of Greek tragedy.

    His fleeting fame as the drummer for a one-hit wonder rock band is nearly a decade behind him. His ex-wife is about to marry a terrific guy. And his Princeton-bound teenage daughter Casey has just confided in him that she’s pregnant—because Silver is the one she cares least about letting down.So when Silver learns that he requires emergency life-saving heart surgery, he makes the radical decision to refuse the operation, choosing instead to spend what time he has left to repair his relationship with Casey, become a better man, and live in the moment—even if that moment isn’t going to last very long. As his exasperated family looks on, Silver grapples with the ultimate question of whether or not his own life is worth saving.

    But now things are splintering apart, for one reason, it seems: Edie's enormous girth. She's obsessed with food--thinking about it, eating it--and if she doesn't stop, she won't have much longer to live. When Richard abandons his wife, it is up to the next generation to take control. Robin, their schoolteacher daughter, is determined that her father pay for leaving Edie. Benny, an easy-going, pot-smoking family man, just wants to smooth things over. And Rachelle-- a whippet thin perfectionist-- is intent on saving her mother-in-law's life, but this task proves even bigger than planning her twin children's spectacular b'nai mitzvah party. Through it all, they wonder: do Edie's devastating choices rest on her shoulders alone, or are others at fault, too?With pitch-perfect prose, huge compassion, and sly humor, Jami Attenberg has given us an epic story of marriage, family, and obsession. The Middlesteins explores the hopes and heartbreaks of new and old love, the yearnings of Midwestern America, and our devastating, fascinating preoccupation with food.