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From Publishers Weekly

This memoir is a journey into a complex world readers will find fascinating and at times repugnant. After being denied a visa to remain in the U.S., British-born Ahmed, a Muslim woman of Pakistani origin, takes advantage of an opportunity, before 9/11, to practice medicine in Saudi Arabia. She discovers her new environment is defined by schizophrenic contrasts that create an absurd clamorous clash of modern and medieval.... It never became less arresting to behold. Ahmed's introduction to her new environment is shocking. Her first patient is an elderly Bedouin woman. Though naked on the operating table, she still is required by custom to have her face concealed with a veil under which numerous hoses snake their way to hissing machines. Everyday life is laced with bizarre situations created by the rabid puritanical orthodoxy that among other requirements forbids women to wear seat belts because it results in their breasts being more defined, and oppresses Saudi men as much as women by its archaic rules. At times the narrative is burdened with Ahmed's descriptions of the physical characteristics of individuals and the luxurious adornments of their homes but this minor flaw is easily overlooked in exchange for the intimate introduction to a world most readers will never know. (Sept.)
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From

Denied visa renewal in America, British-born Pakistani physician Ahmed, 31, leaves New York for a job in Riyadh, Saudi Arabia, where she celebrates her Muslim faith on an exciting Hajj pilgrimage to Mecca even as she encounters rabid oppression from the state-sanctioned religious extremist police. She is licensed to operate ICU machines in the emergency ward, but as a woman, she is forbidden to drive, and she must veil every inch of herself. Her witty insider-outsider commentary as a Muslim and feminist, both reverent and highly critical, provides rare insight into the upper-class Saudi scene today, including the roles of women and men in romance, weddings, parenting, divorce, work, and friendship. After 9/11, she is shocked at the widespread anti-Americanism. The details of consumerism, complete with Western brand names, get a bit tiresome, but they are central  to this honest memoir about connections and conflicts, and especially the clamorous clash of “modern and medieval, . . . Cadillac and camel.” --Hazel Rochman