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This book ended up being more intense than I was expecting. The quandary that Grace faces is one I can imagine being extremely gut-wrenching, with no easy answers. It brought home to me how important it is that in Canada physician-assisted dying is now legal (with strict criteria that must be met).
I really liked the main character Grace; she was a thoughtful, independent teen girl who strove to (usually) do the right thing – and yet she wasn't perfect. Her reflections on everything going on in her life felt very realistic and I could often relate to her mindset, even if I did not always agree with her choices.
Her relationship with Mr. Sands really stood out as unique in a YA novel; often we see peer friendships and romances being explored, but it's rare to see an inter-generational relationship. Having candystriped for a year in high school, this was a personal touch for me. There was one particular gentleman who was my favourite patient – just as Mr. Sands was for Grace – and who was such a lot of fun to spend time with. There is so much about a hospital setting that is depressing, but this story definitely highlighted that building a connection with a patient there can brighten it.
Sidenote, but: the speech-language pathologist in me was wondering why they didn't try some augmentative/alternative communication (AAC) methods with Mr. Sands as his ALS progressed to affecting his speech. There are technologies available nowadays that can operate voice output devices with eye movement only, for instance. Instead it seemed like he just wasn't given any means to communicate anymore!
4 shooting stars.
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