Chris Adrian is a fellow in pediatric hematology-oncology. He is also a recent graduate of the Harvard Divinity School. So he’s well-versed in tragic loss and grief, as well as the more abstract issues of immortality and the meaning of life. In his newest novel, The Great Night, he mixes all of these ingredients together and bakes them in an oven fueled by Shakespeare’s A Midsummer Night’s Dream. The result is an exquisitely heart-breaking novel, sprinkled with dark comedy, whimsy and sex.

In the early 1970s, when the tide of summer residents would go out in September, there were always young people who didn’t want to leave the Vineyard — and they didn’t have to, because there was no particular place they planned to go. Land was still relatively affordable, or their families had land, and they built themselves homes back in the woods, had kids, a few animals and a garden, and patched together a living with the usual Vineyard hodgepodge of work or self-employment.