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Summary
Chapter Summaries & Analyses
Key Figures
Themes
Symbols & Motifs
Important Quotes
Essay Topics
Tools
After a year of maintenance chemotherapy, Suleika goes to an appointment believing it will be her last, only to learn that she needs nine more months of treatment. The nurse apologizes that she wasn’t made aware of this. There is no question that she will do more chemotherapy because she wants to survive, but she also wants the treatments to be over. When she gets home, she tells Will. He holds her and comforts her, but she isn’t sure what he is thinking.
A week later, Will tells her that he needs a longer break to focus on himself, and he is going to California for a few months to visit his parents and his friends. He says, “Couples take space all the time. [...] I think this could be really good for us” (172). Suleika is shocked and angry. She resents him for not seeing how much she needs him as her caregiver. She asks him if he is leaving because of the chemotherapy; he says no, and she presses to know why he is leaving. He says, “Between your cancer treatment and your career, you take up a lot of space in this relationship” (173). This is the first time she has heard Will articulate his experience in this way. She resents that he can and does leave. Suleika receives support from many people while Will is away, but she still resents him for leaving even as she misses him. The illness had brought them closer together, but now it has pushed them to opposite sides of the country.
Johnny invites Suleika and Melissa to join him for dinner and a Broadway play. Johnny hasn’t been able to find a donor match for a cord blood transplant because he is of mixed race. He’s had many infections that continue to derail his plan for a transplant, but on their night out, Johnny is in high spirits, overjoyed to spend time with Melissa. Soon Johnny plans to leave for Houston to start a clinical trial. A few weeks later his mother calls Suleika and tells her between sobs that Johnny has died.
Will comes back from California for Christmas. Suleika and Oscar are both excited to see him, and they decide to go to Saratoga to spend time together. They talk about how their relationship needs to change. They attend a New Year's Eve party, and their friends comment on how happy they look together. At the party, she finds out that Will has written to her friends and asked for their help so that she would have people to call when he was busy at work. They plan to attend couple’s therapy and decide they want to move into a small house in upstate New York.
Will and Suleika search for a therapist, but they can’t find a good fit. Their attempts leave them feeling more lost than before. They have the same fights every night in which Suleika asks Will: “Why are you so distant,” and he responds, “I need a break” (184). They no longer have sex, and they spend more time looking at their phones. Suleika notes they’re drifting apart but hopes that since Will’s been there for three years he’ll continue to be there. Most of their family members don’t know they’re having problems.
The doctors tell Melissa that her cancer is terminal and there is nothing they can do. Suleika tries to cheer her up. They go out for a night of fun: to a motorcycle and tattoo festival, and afterward, they dance on the tables at a burlesque show. They end the night on Coney Island and then get stopped by the police when they jump the turnstiles at the Metro. The cops let them off when Melissa pulls her wig off, and Suleika reflects that when you’re dying, “YOLO—you only live once—takes on a new meaning” (187). Suleika goes in for her second to last chemotherapy treatment. Melissa is in the hospital, too, and only allows Suleika, Max, and a few other close friends to visit her. As death grows more imminent, Melissa declares that she still has so much to do. Suleika and Melissa plan to return to India together even though they both know it will never happen: “There was no way Melissa could board a flight to anywhere” (188).
Melissa moves to a hospital in Massachusetts so she can be closer to her family’s home in New Hampshire. Suleika doesn’t get to see her before she leaves and never sees her again. Suleika says, “Death never comes at a good time, but getting a death sentence when you’re young is a breach of contract with the natural order of things” (189).
Suleika finishes her last chemotherapy appointment, and friends and family congratulate her on the accomplishment, but the next month she is hospitalized four times for an intestinal infection. The night before the first hospitalization, Melissa dies. Her friend Erika marries the chef, but instead of being in the wedding, Suleika is in the hospital. After the third hospitalization, Will talks about a more drastic change in their relationship. He wants to move out and get his own place.
Even though Suleika admits that she’s been expecting to hear this for a long time, she finds herself reeling from the news (192). She thought their love would last. She gives him an ultimatum. Either he stays and they work it out, or he moves out, and they split up. “I can’t keep doing this,” she tells Will (192). Will finds an apartment and plans to move. Suleika goes into the hospital for the fourth time, and he moves out the day she gets out of the hospital.
She goes home to an empty apartment and smokes a cigarette, the “hospital bracelet still wrapped around [her] wrist” (193). She explains that to rid her body of cancer, it had to be burned and cut out. Suleika has her life, but survival has come at a cost: “Melissa is gone. Will is gone. My cancer is gone” (193-94). All she could do was close the blinds and get into bed that day.
Will and Suleika continue to see each other, and she hopes they can still be together. Jaouad writes, “But our togetherness, what was left of it, felt hollow” (195). She still isn’t sure why they separated. She realizes that if she wants to survive, she needs to fight for herself and her new place in the world, not for their failing relationship.
After learning Suleika needs more chemotherapy, Will responds by comforting her and saying the “right words,” but Suleika feels uncertain about what he is feeling. When Will leaves for California, Suleika reflects that her choice to prioritize her writing and career while doing chemotherapy hurt her relationship with Will. Will, her family, and her doctors have been supportive, but those choices have taken a toll on her body and relationships. The same determination that helps her endure chemotherapy pushes her to write. Writing and her physical survival aren’t possible without Will’s support, but they have come at the cost of him having time to pursue his dreams. Jaouad writes, “To be a patient is to relinquish control—to your medical team and their decisions, to your body and its unscheduled breakdowns. Caregivers, by proxy, suffer a similar fate” (175). The difference between the caregiver and the patient is that he can leave, and she is humiliated by needing constant help. This moment solidifies for Suleika how alone she is in her illness and how the illness pushed Will to California.
While Will is gone, Suleika gets support from the cancer crew. They continue to connect through their illnesses and a “heightened sense of [their] mortality” (176). They’ve become family to one another. Johnny’s death reminds them that death is never far away. Suleika and Melissa’s last good night together epitomizes their land-stand resistance to mortality and reminds Suleika that you must live life to the fullest because you never know when your last moments will come. Suleika’s last moments with Melissa are spent dreaming about the future, even as they both know death is near. She learned to live in the present with Melissa, and now she is also learning how to be present with her as she dies. Jaouad says that she and Melissa are too young to die and will never be ready no matter how much they pack into their days.
When Will gets back to New York, they take a trip to Saratoga for New Year’s Eve. They dream of moving out of the city and finding a place in upstate New York. When Suleika learns about the email he sent to their friends, she is annoyed that he didn’t ask her first but glad he took the initiative to look for ways to improve their situation. After they get back to the city, they feel stuck again. They try to go to therapy, but they can’t seem to find a way forward together. They stay stuck in their prescribed lines: “Why are you so distant, went my song. I need a break, went his” (184). Suleika and Will can’t seem to unravel the complicated roles of patient-caregiver and lovers, and the relationship doesn’t seem to heal, no matter what they try. Suleika gives Will an ultimatum to stay and make it work or go and break up. Even though Suleika admits that she’s been expecting to hear this for a long time, she finds herself reeling from his departure.
The titles of Chapters 22-24 mark the timeline of conflict between Will and Suleika while also pointing to the development of Melissa’s illness. Jaouad writes, “Cancer is greedy […] It has ravaged not only my body, but every single thing I’ve believed to be true about myself, and now it has metastasized to our relationship, ruining what was good and pure between us” (184). The medical language overlays the breakup story, giving it a sense of finality, amplifying its wounds, and connecting the grief of not only her illness but of the death of Melissa and the loss of Will. When Suleika comes home to an empty apartment, her experience foreshadows that even though her body is slowly healing, she will have to fight for a life beyond survival.
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