Patients are almost always preceded by their parents, because no matter how fast an ambulance can drive, terrified parents can drive faster.

i know he's been looking forward to this--and i know that i've been looking forward to this. but now i have to stop looking forward and start looking at where i am. it's hard.

We are all going, I thought, and it applies to turtles and turtlenecks, Alaska the girl and Alaska the place, because nothing can last, not even the earth itself. The Buddha said that suffering was caused by desire, we'd learned, and that the cessation of desire meant the cessation of suffering. When you stopped wishing things wouldn't fall apart, you'd stop suffering when they did.

And as paralyzing and upsetting as all the never agains were, the final leaving felt perfect. Pure. The most distilled possible form of liberation. Everything that mattered except one lousy picture was in the trash, but it felt so great. I started jogging, wanting to put even more distance between myself and school. It is so hard to leave—until you leave. And then it is the easiest goddamned thing in the world.

There were five others before they got to him. He smiled a little when his turn came. His voice was low, smoky, and dead sexy. “My name is Augustus Waters,” he said. “I’m seventeen. I had a little touch of osteosarcoma a year and a half ago, but I’m just here today at Isaac’s request.” “And how are you feeling?” asked Patrick. “Oh, I’m grand.” Augustus Waters smiled with a corner of his mouth. “I’m on a roller coaster that only goes up, my friend.

You matter as much as the things that matter to you. And I got so backwards trying to matter to him. All this time, there were real things to care about: real, good people who care about me, and this place. It's so easy to get stuck. You just get caught in being something, being special or cool or whatever, to the point where you don't even know why you need it; you just think you do.

As lives go, I'll take the quietly desperate over the radically bipolar.