It was a long list. The world contains a lot of dead people. And while Patrick droned on, reading the list from a sheet of paper because it was too long to memorize, I kept my eyes closed, trying to think prayerfully but mostly imagining the day when my name would find its way onto that list, all the way at the end when everyone had stopped listening.

When Patrick was finished, we said this stupid mantra together—LIVING OUR BEST LIFE TODAY—and it was over. Augustus Waters pushed himself out of his chair and walked over to me. His gait was crooked like his smile. He towered over me, but he kept his distance so I wouldn’t have to crane my neck to look him in the eye. “What’s your name?” he asked.

“Hazel.”

“No, your full name.”

“Um, Hazel Grace Lancaster.” He was just about to say something else when Isaac walked up. “Hold on,” Augustus said, raising a finger, and turned to Isaac. “That was actually worse than you made it out to be.”

“I told you it was bleak.”

“Why do you bother with it?”

“I don’t know. It kind of helps?”

Augustus leaned in so he thought I couldn’t hear. “She’s a regular?” I couldn’t hear Isaac’s comment, but Augustus responded, “I’ll say.” He clasped Isaac by both shoulders and then took a half step away from him. “Tell Hazel about clinic.”

Isaac leaned a hand against the snack table and focused his huge eye on me. “Okay, so I went into clinic this morning, and I was telling my surgeon that I’d rather be deaf than blind. And he said, ‘It doesn’t work that way,’ and I was, like, ‘Yeah, I realize it doesn’t work that way; I’m just saying I’d rather be deaf than blind if I had the choice, which I realize I don’t have,’ and he said, ‘Well, the good news is that you won’t be deaf,’ and I was like, ‘Thank you for explaining that my eye cancer isn’t going to make me deaf. I feel so fortunate that an intellectual giant like yourself would deign to operate on me.’”

“He sounds like a winner,” I said. “I’m gonna try to get me some eye cancer just so I can make this guy’s acquaintance.”

“Good luck with that. All right, I should go. Monica’s waiting for me. I gotta look at her a lot while I can.”

“Counterinsurgence tomorrow?” Augustus asked.

“Definitely.” Isaac turned and ran up the stairs, taking them two at a time.

Augustus Waters turned to me. “Literally,” he said.

“Literally?” I asked.

“We are literally in the heart of Jesus,” he said. “I thought we were in a church basement, but we are literally in the heart of Jesus.”

“Someone should tell Jesus,” I said. “I mean, it’s gotta be dangerous, storing children with cancer in your heart.”

“I would tell Him myself,” Augustus said, “but unfortunately I am literally stuck inside of His heart, so He won’t be able to hear me.” I laughed. He shook his head, just looking at me.

“What?” I asked.

“Nothing,” he said.

“Why are you looking at me like that?”

Augustus half smiled. “Because you’re beautiful. I enjoy looking at beautiful people, and I decided a while ago not to deny myself the simpler pleasures of existence.” A brief awkward silence ensued. Augustus plowed through: “I mean, particularly given that, as you so deliciously pointed out, all of this will end in oblivion and everything.”

I kind of scoffed or sighed or exhaled in a way that was vaguely coughy and then said, “I’m not beau—”

“You’re like a millennial Natalie Portman. Like V for Vendetta Natalie Portman.”

“Never seen it,” I said.

“Really?” he asked. “Pixie-haired gorgeous girl dislikes authority and can’t help but fall for a boy she knows is trouble. It’s your autobiography, so far as I can tell.”

His every syllable flirted. Honestly, he kind of turned me on. I didn’t even know that guys could turn me on—not, like, in real life.

A younger girl walked past us. “How’s it going, Alisa?” he asked. She smiled and mumbled, “Hi, Augustus.” “Memorial people,” he explained. Memorial was the big research hospital. “Where do you go?”

“Children’s,” I said, my voice smaller than I expected it to be. He nodded. The conversation seemed over. “Well,” I said, nodding vaguely toward the steps that led us out of the Literal Heart of Jesus. I tilted my cart onto its wheels and started walking. He limped beside me. “So, see you next time, maybe?” I asked.

“You should see it,” he said. “V for Vendetta, I mean.”

“Okay,” I said. “I’ll look it up.”

“No. With me. At my house,” he said. “Now.”

I stopped walking. “I hardly know you, Augustus Waters. You could be an ax murderer.”

He nodded. “True enough, Hazel Grace.” He walked past me, his shoulders filling out his green knit polo shirt, his back straight, his steps lilting just slightly to the right as he walked steady and confident on what I had determined was a prosthetic leg. Osteosarcoma sometimes takes a limb to check you out. Then, if it likes you, it takes the rest.

I followed him upstairs, losing ground as I made my way up slowly, stairs not being a field of expertise for my lungs.

And then we were out of Jesus’s heart and in the parking lot, the spring air just on the cold side of perfect, the late-afternoon light heavenly in its hurtfulness.

Mom wasn’t there yet, which was unusual, because Mom was almost always waiting for me. I glanced around and saw that a tall, curvy brunette girl had Isaac pinned against the stone wall of the church, kissing him rather aggressively. They were close enough to me that I could hear the weird noises of their mouths together, and I could hear him saying, “Always,” and her saying, “Always,” in return.

Suddenly standing next to me, Augustus half whispered, “They’re big believers in PDA.”

“What’s with the ‘always’?” The slurping sounds intensified.

“Always is their thing. They’ll always love each other and whatever. I would conservatively estimate they have texted each other the word always four million times in the last year.”

A couple more cars drove up, taking Michael and Alisa away. It was just Augustus and me now, watching Isaac and Monica, who proceeded apace as if they were not leaning against a place of worship. His hand reached for her boob over her shirt and pawed at it, his palm still while his fingers moved around. I wondered if that felt good. Didn’t seem like it would, but I decided to forgive Isaac on the grounds that he was going blind. The senses must feast while there is yet hunger and whatever.

“Imagine taking that last drive to the hospital,” I said quietly. “The last time you’ll ever drive a car.”

Without looking over at me, Augustus said, “You’re killing my vibe here, Hazel Grace. I’m trying to observe young love in its many-splendored awkwardness.”

“I think he’s hurting her boob,” I said.

“Yes, it’s difficult to ascertain whether he is trying to arouse her or perform a breast exam.” Then Augustus Waters reached into a pocket and pulled out, of all things, a pack of cigarettes. He flipped it open and put a cigarette between his lips.

“Are you serious?” I asked. “You think that’s cool? Oh, my God, you just ruined the whole thing.”

“Which whole thing?” he asked, turning to me. The cigarette dangled unlit from the unsmiling corner of his mouth.

“The whole thing where a boy who is not unattractive or unintelligent or seemingly in any way unacceptable stares at me and points out incorrect uses of literality and compares me to actresses and asks me to watch a movie at his house. But of course there is always a hamartia and yours is that oh, my God, even though you HAD FREAKING CANCER you give money to a company in exchange for the chance to acquire YET MORE CANCER. Oh, my God. Let me just assure you that not being able to breathe? SUCKS. Totally disappointing. Totally.”

“A hamartia?” he asked, the cigarette still in his mouth. It tightened his jaw. He had a hell of a jawline, unfortunately.

“A fatal flaw,” I explained, turning away from him. I stepped toward the curb, leaving Augustus Waters behind me, and then I heard a car start down the street. It was Mom. She’d been waiting for me to, like, make friends or whatever.

I felt this weird mix of disappointment and anger welling up inside of me. I don’t even know what the feeling was, really, just that there was a lot of it, and I wanted to smack Augustus Waters and also replace my lungs with lungs that didn’t suck at being lungs. I was standing with my Chuck Taylors on the very edge of the curb, the oxygen tank ball-and-chaining in the cart by my side, and right as my mom pulled up, I felt a hand grab mine.

I yanked my hand free but turned back to him.

“They don’t kill you unless you light them,” he said as Mom arrived at the curb. “And I’ve never lit one. It’s a metaphor, see: You put the killing thing right between your teeth, but you don’t give it the power to do its killing.”

“It’s a metaphor,” I said, dubious. Mom was just idling.

“It’s a metaphor,” he said.

“You choose your behaviors based on their metaphorical resonances . . .” I said.

“Oh, yes.” He smiled. The big, goofy, real smile. “I’m a big believer in metaphor, Hazel Grace.”

I turned to the car. Tapped the window. It rolled down. “I’m going to a movie with Augustus Waters,” I said. “Please record the next several episodes of the ANTM marathon for me.”

CHAPTER TWO

Augustus Waters drove horrifically. Whether stopping or starting, everything happened with a tremendous JOLT. I flew against the seat belt of his Toyota SUV each time he braked, and my neck snapped backward each time he hit the gas. I might have been nervous—what with sitting in the car of a strange boy on the way to his house, keenly aware that my crap lungs complicate efforts to fend off unwanted advances—but his driving was so astonishingly poor that I could think of nothing else.

We’d gone perhaps a mile in jagged silence before Augustus said, “I failed the driving test three times.”

“You don’t say.”

He laughed, nodding. “Well, I can’t feel pressure in old Prosty, and I can’t get the hang of driving left-footed. My doctors say most amputees can drive with no problem, but . . . yeah. Not me. Anyway, I go in for my fourth driving test, and it goes about like this is going.” A half mile in front of us, a light turned red. Augustus slammed on the brakes, tossing me into the triangular embrace of the seat belt. “Sorry. I swear to God I am trying to be gentle. Right, so anyway, at the end of the test, I totally thought I’d failed again, but the instructor was like, ‘Your driving is unpleasant, but it isn’t technically unsafe.’”

“I’m not sure I agree,” I said. “I suspect Cancer Perk.” Cancer Perks are the little things cancer kids get that regular kids don’t: basketballs signed by sports heroes, free passes on late homework, unearned driver’s licenses, etc.

“Yeah,” he said. The light turned green. I braced myself. Augustus slammed the gas.

“You know they’ve got hand controls for people who can’t use their legs,” I pointed out.

“Yeah,” he said. “Maybe someday.” He sighed in a way that made me wonder whether he was confident about the existence of someday. I knew osteosarcoma was highly curable, but still.

There are a number of ways to establish someone’s approximate survival expectations without actually asking. I used the classic: “So, are you in school?” Generally, your parents pull you out of school at some point if they expect you to bite it.

“Yeah,” he said. “I’m at North Central. A year behind, though: I’m a sophomore. You?”

I considered lying. No one likes a corpse, after all. But in the end I told the truth. “No, my parents withdrew me three years ago.”

“Three years?” he asked, astonished.

I told Augustus the broad outline of my miracle: diagnosed with Stage IV thyroid cancer when I was thirteen. (I didn’t tell him that the diagnosis came three months after I got my first period. Like: Congratulations! You’re a woman. Now die.) It was, we were told, incurable.

I had a surgery called radical neck dissection, which is about as pleasant as it sounds. Then radiation. Then they tried some chemo for my lung tumors. The tumors shrank, then grew. By then, I was fourteen. My lungs started to fill up with water. I was looking pretty dead—my hands and feet ballooned; my skin cracked; my lips were perpetually blue. They’ve got this drug that makes you not feel so completely terrified about the fact that you can’t breathe, and I had a lot of it flowing into me through a PICC line, and more than a dozen other drugs besides. But even so, there’s a certain unpleasantness to drowning, particularly when it occurs over the course of several months. I finally ended up in the ICU with pneumonia, and my mom knelt by the side of my bed and said, “Are you ready, sweetie?” and I told her I was ready, and my dad just kept telling me he loved me in this voice that was not breaking so much as already broken, and I kept telling him that I loved him, too, and everyone was holding hands, and I couldn’t catch my breath, and my lungs were acting desperate, gasping, pulling me out of the bed trying to find a position that could get them air, and I was embarrassed by their desperation, disgusted that they wouldn’t just let go, and I remember my mom telling me it was okay, that I was okay, that I would be okay, and my father was trying so hard not to sob that when he did, which was regularly, it was an earthquake. And I remember wanting not to be awake.