45 pages • 1 hour read
Gayle FormanA modern alternative to SparkNotes and CliffsNotes, SuperSummary offers high-quality Study Guides with detailed chapter summaries and analysis of major themes, characters, and more.
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A few hours have passed and Mia is back in the ICU recovering from her emergency surgery. Though she is in a more stable physical condition, mentally and emotionally, Mia is still in crisis, to the point where she is contemplating death as an easier option than life because it would be a release from her suffering.
Willow arrives fifteen minutes after Mia is brought back to the ICU and she brings Mia’s Grandma and Grandpa to sit beside her in bed. Gran shares gossip with Mia as if she were fully conscious, sharing stories about her father, Aunt Glo, birds, and the cousins. While Gran talks, she gently combs Mia’s hair with her fingers. Though she tries to lose herself in Gran’s happy babble, Mia cannot seem to distract herself from the troubling thoughts of life and death. She sees the power to choose between life and death as a great burden, and very much wishes she could have a “pinch hitter carry her home” (180) or decide for her.
Later, she finds herself alone in the ICU except for Gramps. He sits by her bed in tears, speaking to her as if she were awake. Though he desperately wants Mia to live, he tells her that he will understand if she decides to let go and leave them. Her loss and suffering are an enormous burden, and he would not blame her for wanting a release. This message offers great comfort to Mia, because it represents her grandpa’s selfless love and total empathy towards her predicament. It relieves a lot of her guilt about potentially leaving her family and friends behind.
Mia’s gratitude towards her grandfather prompts another memory, this time of her father’s selflessness. Once, on the verge of a touring Japan with his band, Mia’s father decided to quit the band altogether to be a full-time family man, a decision that particularly angered his best friend and fellow band mate, Henry.
While her father’s choice to quit his music career initially seemed to be an unnecessary sacrifice, he made it because he wanted to and not because he had to. Spending more time with his family was ultimately what was most meaningful for him.
Gramps initially struggled with his son’s decision. He had supported his son’s music career, and recognized his great talent as a musician and a songwriter. Gramps wanted to see his son fully realize his creative talents and his sadness is evident when he reminisces about his son’s formidable songwriting gifts to Mia. He tells Mia that her dad’s song lyrics are like poems, and that she should listen carefully to the words. Later that evening, back at home, Mia checks the liner notes to one of her father’s CDs, and focuses on the lyrics. One song in particular, “Waiting for Vengeance,” strikes her as a particularly poetic song about choices, a topic that parallels her present circumstances.
Later that night, her father overhears Mia singing the song to an infant Teddy, and he is touched. When Mia asks her father whether he misses the band and his music career, he responds that he will always have music but that he does not miss the band. He finds more joy and meaning now as a father and husband, and his choice had more to do with acknowledging that change than it did with sacrificing his art. He philosophizes about his choice to quit, stating that “sometimes you make choices in life and sometimes choices make you” (192). This line is particularly poignant as Mia ponders her own choices.
Mia contemplates the lyrics of her father’s song, “Waiting for Vengeance”. The words “I’m not choosing…but I’m running out of fight” (193) particularly resonate with Mia, in fact, they so closely mirror her own existential crisis that she almost wonders if they are a secret message from her father. She considers what choice her parents would have wanted her to make. While her mom would have been livid at the thought of Mia choosing to leave the world behind, she suspects that her father, like her grandfather, would have understood “what it meant to run out of fight” (194).
Mia appears to be leaning towards letting go of life as she hums the words to her father’s song. Just as she seems to have decided her fate, she hears Adam out in the hallway, sobbing as he talks to Nurse Ramirez; he is consumed by grief and self-blame.
When Adam finally enters Mia’s room, he blanches at the sight of her injuries, but then composes himself and warms her cold hands in his. While he warms her hands, he repeats the word “please” again and again, finally imploring Mia not to “write a song” (198).
The fact that Adam had never written a song was a sore subject in their relationship. While Mia wanted him to write her a song, he professed that he was incapable of writing “the sappy love song” (199). This used to be something they would fight about and the memory of their petty disagreements sparks a memory of the one substantial conflict in their relationship: Mia’s potential acceptance into Julliard.
Not wanting to spoil a beautiful relationship, Mia initially lies about her Julliard audition, telling Adam that she did “okay”, when in fact she gave the performance of her life. Getting into Julliard would send Mia to New York City, while Adam’s band, Shooting Star, is based in the Pacific Northwest. Because of the distance involved, Mia’s acceptance to Julliard is a frightening prospect that would put the strength of their relationship to the test. While Mia wants to avoid this upsetting topic for as long as possible, she feels guilty and unsettled for lying to Adam.
She eventually decides to tell him the truth: he is both elated at her accomplishment and disappointed that she downplayed her success. When he offers to take her somewhere special to celebrate, they quickly realize that their schedules are both full with music obligations. This realization that their life pursuits and choices are beginning to create distance between them is a painful one.
Adam has already graduated from high school and his band has been offered a record deal by a company in Seattle. With his band taking off and Mia training to launch her own career as a cellist, their lives are growing more and more hectic and complicated. Though they joke about his band relocating to New York, and about her pursuing a music program at a local university, they know that these options are unlikely and unrealistic.
Mia remembers a New Year’s Eve Party the two had attended a few weeks before. Adam had kissed her passionately at midnight and made her promise that they would spend the next New Year’s together too. She promises him that they will, hoping that it will be true.
She arrives home at 8 A.M. to find her family and Henry having a breakfast of salmon hash, her father’s specialty. Teddy shouts enthusiastically that he stayed up until midnight and saw the ball drop in New York City, and talk of New York sparks Mia’s internal conflict over leaving Adam behind for Julliard.
Mia’s mother, seeing that Mia is tired and withdrawn, orders everyone out of the kitchen so she can talk to her privately. They wash dishes together and Mia reveals the potential separation that has been troubling her and the notion that music is literally driving them apart.
Mia’s mother challenges this idea, reminding Mia that all relationships are difficult and that music is actually the thing that brought her and Adam together. Although Mia agonizes over her choice, her mother puts it into perspective, reminding her that whether she follows her “music love” (211) or her “Adam love” (211) she is following love and that either choice is both a win and a loss. Ultimately, Mia decides she will go to Julliard if she is accepted, a choice that prompts Adam’s first attempt to write a song dedicated to her.
Adam leaves the ICU on an unknown errand and Kim reappears looking tired and disheveled. Kim recaps the evening’s dramatic events. While Mia already knows everything that’s happened, the way Kim talks to her brings her great comfort. She wants to remember Kim exactly as she is right now. Adam is a different story, as remembering him now would be like losing him all over again.
In addition to recapping the night’s events, Kim lists all the friends and family members who have come to support Mia at the hospital, including Professor Christie. Kim reminds her that while she lost her mom, dad, and brother, the twenty people in the waiting room are “all her family” (220).
Mia recalls a family Labor Day barbecue with her mom, dad, Teddy, and about twenty friends during an Oregon heat wave. They celebrated until dark, sharing great food, drink and music. At one point during the barbecue, her father and Adam convince her to join their guitars with her cello, and, for the first time, she actually plays music with her friends and family.
It is early in the morning, nearly 24 hours after Mia ate breakfast with her family. Mia continues to be treated and cared for by a devoted group of nurses and hospital staff. While she appreciates their care, she feels a shred of guilt as she has decided to let go and leave life behind.
Though she has made this decision, there is still something delaying this choice: Adam. She promised herself that she would wait until he returned and she plans to keep that promise.
Adam’s first word to Mia when he arrives is simple and powerful: “Stay,” he pleads. Though he acknowledges all the legitimate reasons Mia has for going—most notably the death of her family—he insists that there is still much to stay and live for. He tells her that if she stays, he “will let her go” (231).
Adam concludes his appeal, not with words, but with music. He places headphones over her ears and she can suddenly hear Yo-Yo Ma playing “Andante con moto e poco rubato” and the music triggers a flurry of joyful memories and moments spent with her mom, dad, and Teddy and images of what her life could still be, including a walk through New York City with Kim and holding hands with Adam next to a riverbank. These images of what was and what might be flood her mind with crescendo-like speed and force until she feels, for the first time, the full depth and breadth of the pain she will have to endure should she choose to live.
Just as she feels the full intensity of this pain, she also feels Adam’s hand touching hers. This touch and all it represents serves as a powerful counterpoint to the pain of her loss. While her pain and suffering threaten to overwhelm and destroy her, she focuses on Adam’s hand holding her own, and with all her remaining strength, love, and will power, she squeezes his hand.
When he squeezes her hand back, she can truly hear his breathing for the first time since the accident, and while the novel ends with Adam’s question—“Mia?” (234)—her heightened sensory consciousness suggests that Mia is finally awakening from her coma, and has made the decision to stay and live on.
The novel continues to explore the crucial choices that shape the trajectory of our lives. Mia’s recollections about her father’s choice to leave his musical career in Chapter 14 offers an example a deliberate choice made without regret, and while not everyone agrees with his decision, it is ultimately her father’s choice to make. Likewise, her Grandfather’s supportive reminder that it is Mia’s choice to live or die earns her gratitude and relief, because it is the first time someone has openly acknowledged the challenge she faces in overcoming her loss. It is also the first time anyone has suggested they will support her, whatever choice she makes. She now appears to be leaning towards going, rather than staying.
While Mia is on the brink of choosing to go, Adam’s sudden and timely appearance at her bedside gives her a viable reason to stay. Though the losses she suffered are irrevocable and traumatic, she has a great deal of love left in her life.
Though Mia has never confronted a decision as important as her choice between life and death before, this is not the first time she has had to choose between “staying” and “leaving.” Though she and Adam are very much in love, the possibility that Mia will be accepted to Julliard may mean the end of their relationship, as the distance between New York City and the Pacific Northwest might prove too great for their relationship to bridge. Though she agonizes over this choice, she ultimately decides that she will go to Julliard if she is accepted. This decision—whether to stay or to leave— is the first life-altering choice that Mia has ever had to make, and it foreshadows the choice that occupies her attention over the course of the novel.
Though Mia has lost a lot, Kim’s visit in Chapter 16 reminds her that she still has an overwhelming amount of love and support in her life. While the previous chapters forced Mia to confront difficult life choices and the pain of loss, this chapter, with its flashback to a wonderful Labor Day barbecue, reminds her of the joy of living. Surrounded by her closest friends and family, the occasion marked the first time she had ever played music with her father and boyfriend. The image of communion and making music together represents the unity and bliss that life offers.
At the beginning of the final chapter, Mia claims to have made the decision to go, to choose death; however, her delay suggests that this decision is not final. Adam’s return to Mia’s side, and his passionate appeal for her to “stay”, functions as the novel’s climax. His words represent the strength of unconditional love and counter the agony of limitless pain and loss. When he plays the lovely Yo-Yo Ma piece for Mia, the music sparks an orchestral array of images of life as it was and life as it could be for Mia.
This rising flood of imagery is both beautiful and terrible because it unites images of pain and possibility, love and loss, joy and suffering. Though this flood of imagery threatens to destroy Mia, she manages to survive the pain that it triggers by focusing on Adam’s hand holding her own. Adam’s hand is her symbolic lifeline of love and support, a thread of life linking her to the world, to the future, and ultimately to survival. By focusing all of her remaining strength and love on squeezing Adam’s hand, she is able to overcome the flood of pain and loss and return, not only to her physical body, but to her loved ones and to life itself. This moment represents her final choice to stay and live, in spite of all the pain.
By Gayle Forman