I received an ARC of this book from NetGalley in exchange for my unbiased opinion. 
 Ivan Isaenko is an approximately 17-year-old boy who has lived his whole life in the Mazyr Hospital for Gravely Ill Children in Belarus. He was born with only one arm, three fingers, and no legs, and he doesn't know who his parents are or even his birthday. Most children there are either too ill or have mental problems and cannot interact with him, so almost all of Ivan's social interaction comes with his nurses. To pass the time, Ivan spends a lot of time faking a comatose state so that the nurses will speak freely around him, and he can gather information and turning everything he can into a game. When Polina arrives at the hospital, Ivan truly cares about someone for the first time in his life. Unfortunately, Polina is there because she is dying of cancer, which is not going to change no matter how hard Ivan wishes for her to live. 
 This book had a dark humor I really enjoyed. A book set in a hospital of dying children could have become depressing, but the author did a great job of injecting levity into it. I would recommend this story to everyone; it was very well written.