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Chapters (80)
  1. Cover
  2. How to Save a Life
  3. Dedication page
  4. A Guide to the Chain of Survival: Part 1
  5. Chapter 1: Kerry
  6. Chapter 2: Tim
  7. Chapter 3: Kerry
  8. Chapter 4: Tim
  9. Chapter 5: Kerry
  10. Chapter 6: Joel
  11. Chapter 7: Kerry
  12. Chapter 8: Joel
  13. Chapter 9: Kerry
  14. Chapter 10: Tim
  15. Chapter 11: Joel
  16. Chapter 12: Kerry
  17. Chapter 13: Joel
  18. Chapter 14: Kerry
  19. Chapter 15: Joel
  20. Chapter 16: Kerry
  21. Chapter 17: Kerry
  22. Chapter 18: Tim
  23. Chapter 19: Joel
  24. A Guide to the Chain of Survival: Part 2
  25. Chapter 20: Kerry
  26. Chapter 21: Tim
  27. Chapter 22: Kerry
  28. Chapter 23: Joel
  29. Chapter 24: Tim
  30. Chapter 25: Kerry
  31. Chapter 26: Joel
  32. Chapter 27: Tim
  33. Chapter 28: Joel
  34. Chapter 29: Kerry
  35. Chapter 30: Joel
  36. Chapter 31: Kerry
  37. Chapter 32: Joel
  38. Chapter 33: Tim
  39. Chapter 34: Kerry
  40. Chapter 35: Tim
  41. Chapter 36: Joel
  42. Chapter 37: Kerry
  43. A Guide to the Chain of Survival: Part 3
  44. Chapter 38: Joel
  45. Chapter 39: Tim
  46. Chapter 40: Kerry
  47. Chapter 41: Joel
  48. Chapter 42: Tim
  49. Chapter 43: Joel
  50. Chapter 44: Kerry
  51. Chapter 45: Tim
  52. Chapter 46: Kerry
  53. Chapter 47: Tim
  54. Chapter 48: Joel
  55. Chapter 49: Kerry
  56. Chapter 50: Joel
  57. Chapter 51: Kerry
  58. Chapter 52: Joel
  59. A Guide to the Chain of Survival: Part 4
  60. Chapter 53: Kerry
  61. Chapter 54: Joel
  62. Chapter 55: Tim
  63. Chapter 56: Kerry
  64. Chapter 57: Joel
  65. Chapter 58: Kerry
  66. Chapter 59: Joel
  67. Chapter 60: Kerry
  68. Chapter 61: Joel
  69. Chapter 62: Kerry
  70. Chapter 63: Joel
  71. Chapter 64: Kerry
  72. Chapter 65: Joel
  73. Chapter 66: Kerry
  74. Chapter 67: Joel
  75. Chapter 68: Kerry
  76. Chapter 69: Joel
  77. Author’s Note
  78. Acknowledgements and Further Reading
  79. Praise
  80. How to Save a Life

I watch his face and I can see the exact moment that he really looks at his mother for the first time in months. ‘What kind?’ he whispers.

‘It’s pancreatic cancer. I’ve been having chemo for a wee bit and they think it’s put the brakes on, but it’s a tricksy thing and—’

He talks over her. ‘I know what pancreatic cancer is like, Mum. I’m a bloody doctor. I know what it does. I—’ He stops. His face ages ten years as the glow from the afternoon champagne fades away.

He turns to me. ‘How long have you known?’

‘Five weeks.’

‘Five—’ He thinks for a moment. ‘So this was why you deferred medical school.’ His eyes close as though he can shut this out. When he opens them again, he looks furious at the betrayal. ‘How could you do this? Treating me like a child who can’t be trusted . . .’

Seeing him so lost makes me well up but I have to hold the tears back. I touch his arm. ‘It wasn’t like that. Elaine made the choice for your future. You couldn’t have done anything to change the treatment. Or the prognosis.’ That last word was a mistake. Too soon to heap another dose of misery onto his shoulders.

Elaine takes over. ‘I don’t have all that long, Tim. I’m sorry. But let’s make the most of the time we do have. Starting today.’

I keep my hand on his arm. What would the advice on breaking bad news suggest now? Empathy, then a confirmatory question.

Instead, I stand up and wrap my arms around him. After a moment’s hesitation, he embraces me back and we stay like that for a few seconds. I hear him clear his throat and when he lets me go, I see a steeliness in his eyes.

He takes his mum’s hand and I see him flinch as he registers the thinness of the skin and the lightness of her bones.

‘I did it because I love you, Tim,’ Elaine says.

He nods. ‘I know. You did what you thought was best. Now it’s my turn.’

That night, in bed, he reaches for me and I think he wants to make love, which hasn’t happened since he failed his exams last year. I want to be close to him again.

But instead he turns on the bedside light and sits up.

‘You’ve been there for her when I wasn’t.’

I sit up too. If he’s angry, it’s part of the process. ‘Your mum made the decision not to tell you, Tim.’

‘No, I mean for months. Years. It was easier for me to play the precious medical student while you paid the bills and helped Mum when she needed it. Just like it was easier to let people think I helped to save Joel Greenaway’s life, when it was you on your own.’