Consuela (which authentically should be Consuelo), the Mexican American protagonist who in the real world is overweight and insecure, finds herself in a parallel world (the Flow) where she discovers her strengths in helping people about to die. With creativity, Metcalf’s book contains a bizarre, action-filled plot in the high fantasy genre involving other teens that have the same altruistic purpose,  yet the author incorporates a definite emphasis on disturbingly dark, strange, and grotesque elements including several murders. While the author selects a Mexican cultural icon – the skeleton – as Consuela’s Flow identity, and includes quotations from literary giant Octavio Paz to introduce each chapter, Consuela’s cultural authenticity as a Latina remains completely undeveloped and elicits little sympathy from the reader. Not recommended.