From the celebrated New Yorker cartoonist and acclaimed author of Cancer Vixen, a brilliant, funny, and wildly imaginative first novel: the story of an influential gossip columnist brought face-to-face with her higher self - and a challenge to change her life for the better. Glamorous, superconnected Ann Tenna has ascended to the zenith of the New York media scene, attended by groups of grovelers all too willing to be trampled on by her six-inch Giuseppe Zanottis if it means better seats at the table. But as high as her success has taken her, Ann has actually fallen far from her true self. It takes a near-fatal freak accident on her birthday - April Fool's Day - and an intervention from her cosmic double in a realm beyond our own to make Ann realize the full cost of the humanity she has lost.