This is a pretty concise and apt synopsis of Last Days, by Brian Evenson, a book I'm in the midst of reading now. What can I say? It's got an interesting plot, and some pretty humorous passages. It's also got a premise involving a religious order that believes lopping off body parts is the way to get closer to God, and it does its best to live up to that premise. I can see why a larger publisher might not find this a good investment.