The Fault in Our Stars(26)
Dear Mr. Waters,
I am in receipt of your electronic mail dated the 14th of April and duly impressed by the Shakespearean complexity of your tragedy. Everyone in this tale has a rock-solid hamartia: hers, that she is so sick; yours, that you are so well. Were she better or you sicker, then the stars would not be so terribly crossed, but it is the nature of stars to cross, and never was Shakespeare more wrong than when he had Cassius note, “The fault, dear Brutus, is not in our stars / But in ourselves.” Easy enough to say when you’re a Roman nobleman (or Shakespeare!), but there is no shortage of fault to be found amid our stars.
While we’re on the topic of old Will’s insufficiencies, your writing about young Hazel reminds me of the Bard’s Fifty-fifth sonnet, which of course begins, “Not marble, nor the gilded monuments / Of princes, shall outlive this powerful rhyme; But you shall shine more bright in these contents Than unswept stone, besmear’d with sluttish time.” (Off topic, but: What a slut time is. She screws everybody.) It’s a fine poem but a deceitful one: We do indeed remember Shakespeare’s powerful rhyme, but what do we remember about the person it commemorates? Nothing. We’re pretty sure he was male; everything else is guesswork. Shakespeare told us precious little of the man whom he entombed in his linguistic sarcophagus. (Witness also that when we talk about literature, we do so in the present tense. When we speak of the dead, we are not so kind.) You do not immortalize the lost by writing about them. Language buries, but does not resurrect. (Full disclosure: I am not the first to make this observation. cf, the MacLeish poem “Not Marble, Nor the Gilded Monuments,” which contains the heroic line “I shall say you will die and none will remember you.”)
I digress, but here’s the rub: The dead are visible only in the terrible lidless eye of memory. The living, thank heaven, retain the ability to surprise and to disappoint. Your Hazel is alive, Waters, and you mustn’t impose your will upon another’s decision, particularly a decision arrived at thoughtfully. She wishes to spare you pain, and you should let her. You may not find young Hazel’s logic persuasive, but I have trod through this vale of tears longer than you, and from where I’m sitting, she’s not the lunatic.
Yours truly,
Peter Van Houten
It was really written by him. I licked my finger and dabbed the paper and the ink bled a little, so I knew it was really real.
“Mom,” I said. I did not say it loudly, but I didn’t have to. She was always waiting. She peeked her head around the door.
“You okay, sweetie?”
“Can we call Dr. Maria and ask if international travel would kill me?”
CHAPTER EIGHT
We had a big Cancer Team Meeting a couple days later. Every so often, a bunch of doctors and social workers and physical therapists and whoever else got together around a big table in a conference room and discussed my situation. (Not the Augustus Waters situation or the Amsterdam situation. The cancer situation.)
Dr. Maria led the meeting. She hugged me when I got there. She was a hugger.
I felt a little better, I guess. Sleeping with the BiPAP all night made my lungs feel almost normal, although, then again, I did not really remember lung normality.
Everyone got there and made a big show of turning off their pagers and everything so it would be all about me, and then Dr. Maria said, “So the great news is that Phalanxifor continues to control your tumor growth, but obviously we’re still seeing serious problems with fluid accumulation. So the question is, how should we proceed?”
And then she just looked at me, like she was waiting for an answer. “Um,” I said, “I feel like I am not the most qualified person in the room to answer that question?”
She smiled. “Right, I was waiting for Dr. Simons. Dr. Simons?” He was another cancer doctor of some kind.
“Well, we know from other patients that most tumors eventually evolve a way to grow in spite of Phalanxifor, but if that were the case, we’d see tumor growth on the scans, which we don’t see. So it’s not that yet.”
Yet, I thought.
Dr. Simons tapped at the table with his forefinger. “The thought around here is that it’s possible the Phalanxifor is worsening the edema, but we’d face far more serious problems if we discontinued its use.”
Dr. Maria added, “We don’t really understand the long-term effects of Phalanxifor. Very few people have been on it as long as you have.”
“So we’re gonna do nothing?”
“We’re going to stay the course,” Dr. Maria said, “but we’ll need to do more to keep that edema from building up.” I felt kind of sick for some reason, like I was going to throw up. I hated Cancer Team Meetings in general, but I hated this one in particular. “Your cancer is not going away, Hazel. But we’ve seen people live with your level of tumor penetration for a long time.” (I did not ask what constituted a long time. I’d made that mistake before.) “I know that coming out of the ICU, it doesn’t feel this way, but this fluid is, at least for the time being, manageable.”
“Can’t I just get like a lung transplant or something?” I asked.
Dr. Maria’s lips shrank into her mouth. “You would not be considered a strong candidate for a transplant, unfortunately,” she said. I understood: No use wasting good lungs on a hopeless case. I nodded, trying not to look like that comment hurt me. My dad started crying a little. I didn’t look over at him, but no one said anything for a long time, so his hiccuping cry was the only sound in the room.