Though most of the action takes place "off stage," Vine's characterizations are fully drawn and Martin's quest is intriguing,making the reader feel like part of the action, even the action of 100 years ago. Students of genealogy will be fascinated as Martin follows a genealogical paper trail through many generations of Nanthers and the Hendersons, his forbears on his mother's side of the family.

The serious, intellectual tone and Vine's careful attention to detail, particularly as it reveals the psychology and motivation of her characters, elevate this a serious novel and give the reader much to contemplate. Ironically, Henry's personality is so carefully delineated that many readers may figure out, on the basis of Vine's information, Henry's secret history, well before the conclusion.

With its insights into the Victorian period, the clear discussions of genetics, the contemporary insights into British reforms of the House of Lords, the personal and medical mysteries at the heart of the story, and the urgency of Henry's and Martin's quests, Vine's novel is an unusual and fascinating entertainment. Mary Whipple

My partner and I picked this up whilst travelling. We'd been through many books whilst on the road but by the end of this both of us were left wanting. It takes what could be quite a fascinating concept (one of your ancestors commits a terrible genetic experiment on your blood line) and draws it out longer than War of the Roses.

The story itself skips back and forth between the reign of Queen Victoria and the modern day. It is redeemed by the modern day plot in which the main character's wife keeps having miscarriages (again, something to do with genetics) and it all gets a bit hairy. But you find yourself happily skipping over the main plot to find out what happens in the sub plot because it's the only interesting thing going on.

Good concept, bad execution is all I can offer. But you learn a lot about the House of Lords.

More on the line of Vine's A Chimney Sweeper's Boy, this book is not a thriller but does test the psyche of its main character, Martin Nanther, as he takes on the task of writing his great grandfather's biography. I always wonder what compels an author to write under a pseudonym as Ruth Rendall does when she writes as Barbara Vine. A Chimney Sweeper's Boy and The Blood Doctor, both written under the Vine name, are perfect examples of why an author would do this. They are both such a departure from the books written under Rendall's real name. While both are dark and mysterious at times, Vines's books take on a different edge as they weave in and out of the lives of her characters and almost no one escapes scrutiny. This book is such an amazing achievement....so amazing that I couldn't stop thinking about it every time I was forced to put it down to get on with my daily life.

As I mentioned already, Martin Nanther, frustrated author, decides to write about his great grandfather's life. The research involved is so very interesting because Henry Nanther lived in the nineteenth century, was a physician to Queen Victoria and also specialized in hemophilia (a disease very familiar to Queen Victoria and her royal family)....thus the title of the book. When Martin discovers hemophilia in some of Henry's own descendants, the plot thickens and Martin is determined to find its roots as he interviews every distant cousin he can find. This research is also aided by letters written by Henry's children as well as Henry's own journal entries.

At the same time he is doing all this research, Martin is waging war with his own inner demons as his wife of four years is obsessed with having a child...a child that Martin is not looking forward to having. As she continually miscarries, Martin is at a loss to show the empathy he should be feeling but just can't muster. As if this isn't enough stress for one individual, Martin is about to be stripped of his hereditary peerage, and the income that goes along with it, as the House of Lords is being reformed. This is a peerage he inherited from none other than his great grandfather Henry. I found this part of the book so very fascinating as I know so little about the workings of the English government.

So between his great grandfather's obsession with blood, Queen Victoria's hemophiliac royal family, the work involved in researching a biography, a wife who miscarries for no apparent reason and learning about the inner workings of the House of Lords, this book was more than I ever anticipated. You know that feeling when you're not expecting a "great" book and you get one. It's not Rendall and her psychological thrillers....it's Vine at her best writing "A Novel."