I'm not going to lie, it took me a while to read, and I thought of bailing. But I'm glad I didn't.
The beginning was hard, because I didn't see the links with the different characters, but eventually everything links together.
I liked learning about Kerala, about the politics, about the progress in medicine along the pages. Some parts of this family saga are more interesting than others, but so is life. A solid 3/5 for me.