‘It’s ultimately your choice, Emma. Whatever treatment we can offer you, there will always be choices.’
‘Quality versus quantity, by any chance?’ asked Emma.
‘Yes, I’m afraid in my business, it often comes down to that.’
‘It’s not only me I have to consider though,’ she said with a sigh of resignation. ‘I have to do what’s best for other people.’
The doctor gave Emma a stern look. ‘You have to do what’s best for you, Emma. What helps the people you love in the end is knowing that you got to do what you wanted.’
‘In that case, I want to see Paris in springtime, stand on the edge of the Grand Canyon and stroll through the Valley of the Kings,’ Emma quipped. Mr Spelling didn’t respond other than to raise an eyebrow and she held up her hands in surrender. This was not the time for smart remarks and Emma’s heart quickened as the words to her next question formed in her mind. ‘Are you really telling me I can call it a day now?’ Her tone remained light but, in Emma’s mind, a serious temptation was taking hold.
‘You have choices,’ repeated Mr Spelling sagely.
Emma was briefly lifted at the thought of bringing her treatment to an abrupt and total end, but then she let her body sag. ‘Then my choice is to make my family happy. My mum’s not ready to give up yet, so neither am I. I don’t want to be responsible for breaking her heart, not if I can help it.’
‘Then I’ll support your decision one hundred per cent,’ replied Mr Spelling with an unreadable poker face.
‘I suppose my next challenge is to build up my strength so I’m ready to take whatever you can throw at me. If memory serves, you don’t do things by half measures.’
‘And neither do you. It will be a tough fight, I won’t deny that,’ he agreed. ‘So is there anything else you need to know while we’ve got the chance?’ He had also recognized that the conversation would be quite different if Meg had been there.
‘No, I think I’ve taken up enough of your time,’ she told him, fearful that if the debate continued about her treatment plan she might just change her mind, but Mr Spelling didn’t seem ready to leave. The smile had slipped and he had a look of sadness on his face that Emma was finding all too familiar. She felt obliged to ease his pain. ‘Can you keep a secret?’ she asked.
‘Trust me, I’m a doctor,’ Mr Spelling said, his eyes brightening with interest.
‘In the story I’m writing, I survive this thing.’
‘Would this be the book you want to finish?’
Emma nodded. Her book was another reason she had to fight, for time at least. She’d had many visitors over the weekend, her closest friends and family with the notable exception of Alex, and all of them had heard that she had started to write. Every single person had tried to find out more about what exactly she was writing but so far Emma had remained tight-lipped. She wasn’t prepared to share her flight of fancy, unsure if she was ready for their judgement, but Mr Spelling was different. She could trust him with her life.
‘Yes, and my biggest problem will be how to fill that life I have in front of me.’
‘So tell me, do I play my part in your story or have you discovered that doctor with the sharper knives?’
‘You give me the all clear,’ she assured him.
‘Good. I like a happy ending.’
‘Ending?’ Emma laughed. ‘Oh, no, that’s just the beginning. Cancer is not the sum of my life, I am,’ she said firmly. ‘My story begins with me getting the all clear, an alternative to what happened last week really. Another life.’
‘Your life as you would want it to be,’ observed Mr Spelling.
Emma smiled, liking the description. ‘Yes, but I’ve already hit a hurdle. I haven’t got a clue what I would want if I could have anything!’
‘Springtime in Paris? Walking through the Valley of the Kings?’ Mr Spelling reminded her.
‘They’re certainly pretty snapshots from an interesting and varied life but I still need to add more depth to my story and the truth is, I don’t have any great ambitions, not any more.’ Emma sensed she was talking herself out of writing her book. Her tumour was about to take away the last of her dreams.
‘Any more?’ So you had ambitions once? You hold such power at your fingertips, Emma,’ he said, taking hold of her hand and looking at it. When he looked up at her again there was a shadow of regret in his eyes. ‘Just think, you have far more control over your destiny than any doctor. Your hopes and dreams are still there waiting to be handed to you on a plate.’
‘Or off a shopkeeper’s shelf.’
Mr Spelling shrugged his shoulders. ‘You say tomato, I say tom-A-to,’ he said.
‘In New York, I think they say tom-A-to,’ Emma said with a surge of enthusiasm. ‘Mr Spelling, I do believe you’ve just given me the inspiration I needed.’
I was still dangling my right foot in midair as I pondered my next step but then I looked up and was met with an encouraging smile from the kindly shopkeeper. I forgot all about my feet.
‘So, what would you like first?’ he asked, tipping his head towards the shelves of boxes that were lined up behind him where the hospital car park should have been.
My heart quickened as I realized that everything I could possibly want was within easy reach. ‘I … I don’t know where to begin,’ I said.
‘Don’t worry, I have a reputation for being able to size up my customers and I sense that what you want most is a purpose in life, something with a bit of a challenge. How about we make a start with your dream job?’
‘I had that once.’
‘Then you shall have it again,’ he replied, sweeping a brightly coloured box off a nearby shelf. It shone with promise. ‘But if you don’t mind, I’ve made some improvements.’
I didn’t need to ask what he meant. The colour of the box reminded me of a juicy green apple or, more precisely, the Big Apple, and I couldn’t wait to begin peeling away its skin to take a closer look.
With my career sorted, the shopkeeper naturally wanted to know what romantic aspirations I had. He looked me up and down, fingers curled around his chin. ‘Is Alex good enough for you?’ he asked sceptically.
I wrinkled my nose as he pointed to a shelf full of various other options, an enticing row of boxes in eye-catching gift wrap. ‘Not if you ask my friends and I have to admit that I had been contemplating moving to London and was expecting to have to make the break but … well, I still think there’s some potential there,’ I told him. I wasn’t ready to start my life from scratch and I didn’t have to. I could work with what I had and even make a few of my own modifications.
‘I’ll leave that one in your hands then but your decision isn’t binding. I can do a good deal when you’re ready for a trade-in.’
‘Don’t you mean if?’ I asked but my words were drowned out by the beeping of a car horn.
I was standing in front of the hospital, my foot still dangling in midair and if the noise of the horn hadn’t already startled me, then the face of the person behind the wheel would have been enough to knock me off my feet. My arms flailed and as I stumbled, the torn pieces of card I had been holding in my hand were snatched away by a gust of wind. As the winner’s confetti fluttered around me, I stepped forward to claim my prize, not even registering that first step that I had been debating, or the next.
‘I thought you couldn’t bear the sight of hospitals?’ I said. The sun had broken through what had seemed impenetrable cloud cover. I shaded my eyes with my hand and Alex beamed a winning smile at me, his olive skin pulling taught across his square jaw. He had the decency to look just a little shamefaced. As he absentmindedly smoothed his hair, hair that was slicked back so neatly that it needed no taming, I noted the delicate sprinkling of grey at his temples and knew Alex was proud of this first sign of aging. He was only thirty-two but he was embracing the more mature look, he thought it made him appear more distinguished. ‘I couldn’t keep away, I’ve been thinking of you all morning. So tell me, how did it go?’
It was my turn to smile. ‘Complete remission,’ I said and the tremor in my voice travelled down my spine in a delicious shiver.
‘Then that makes your next decision rather easy,’ he said with a meaningful look.
‘And what decision would that be?’ I asked.
Alex leaned over and opened the door for me. He waited until I was safely secured in the passenger seat before he answered. ‘I would love to tell you but Ally took the call and she’s insisting that she should be the one to tell you,’ he said, picking his phone up from the well between the seats. He thumbed a few buttons briefly and then passed it to me before the call was connected.
I gave him a quizzical look as I took the phone but Alex’s face was unreadable.
‘Ally, do you have some news for me?’ I asked when the call was answered.
‘Oh, no. Tell me your news first,’ Ally demanded into my ear.
‘I’ve been given the all clear,’ I said. I had already made frantic calls to my mum and Louise but it didn’t matter how many times I said it out loud, it still hadn’t quite sunk in. ‘All clear, Ally. At last, I have something in my life to celebrate.’
‘More than you think.’ Ally’s voice broke and there was a pause. I could hear a nose being blown. ‘I’m so relieved that you can finally get on with the rest of your life.’ There was another pause as Ally took a deep breath. ‘And what a life it could be. Someone called Kate rang from your old firm, when you worked in London. She wouldn’t give me all the details but she told me enough. She, or rather they, Alsop and Clover, want you back. She wants you to call her urgently. I’ll text the number to your own phone, OK? Emma, the job will be based in New York!’
My eyes widened in shock. I was speechless.
‘Emma?’
‘New York? Seriously?’
Ally laughed. ‘I’m so happy for you, Emma. Enjoy the moment. It’s been a long time coming.’
I was still stunned when the call ended and I handed the phone back to Alex. ‘Why me?’
He laughed. ‘One of the biggest PR and marketing firms in the world is offering you the job of a lifetime and you make it sound like it’s a bad thing.’
‘Oh, my God, Alex, I don’t think I can take this much good news in one day.’
I could feel a scream building inside me as I took one last look at the hospital before Alex drove away. The pavement flickered white as the wind continued to play with the discarded remnants of my appointment card. I had left my mark on the hospital but then it had left its mark on me too and, in fairness, it was I who had taken far more of a beating. But I wasn’t interested in keeping score; we were even as far as I was concerned and I was ready to put it all behind me.
It was only once we had driven through the hospital gates that I regained my power of speech. ‘And are you OK with me moving to New York?’ I asked, surprised at how selflessly Alex was basking in my glory.
‘I want what’s best for you and only you,’ he told me earnestly. ‘It doesn’t matter where you are, I’ll always support you. You can count on me.’
‘Are you ready, Em?’ The voice was familiar but held a note of trepidation that would be out of place anywhere except perhaps an oncology ward.
Louise’s face had the same shadow of fear across it as her own but that was where the similarity ended. Louise was a complete contrast to her sister, taking after their dad’s side of the family. Emma coveted her blue eyes and the blonde hair falling poker-straight halfway down her back, not to mention her body, which was the picture of health. What she didn’t envy was the weight of responsibility that would be placed on her little sister’s shoulders. Louise wouldn’t only have to stand on her own feet as her mum had said, she would need to be strong enough to keep the family together if the worst happened. One of Emma’s legacies would have to be preparing Louise for the task. Judging by her red and swollen eyes, Emma suspected that she was asking too much of Louise, but there really was no choice.
‘I have to wait for my prescription but other than that, I’m ready to go,’ Emma replied. Even the sudden surge of enthusiasm to write couldn’t delay her further. She eagerly closed down her laptop before slipping it into an oversize holdall, which was already crammed full of all the detritus of her latest hospital stay.
‘Shall I take that?’
‘I can manage,’ Emma said. She wouldn't play the part of helpless patient any longer than necessary but as she stood up, her determination faltered. The dizzy spell was more of a ripple than a wave so she did her best to hide it, taking longer than needed to pack up the last of her things.
‘Did you bring my jacket?’ Emma asked, thinking about the rain that was still coming down hard.
‘Oh, no. Sorry, Em, I didn’t think. Here, take mine.’
Louise had already begun to take off her coat but Emma stopped her in her tracks with a warning glare. She was still the older sister, which gave her an air of authority that she would cling onto until the bitter end. Louise raised an eyebrow in defiance but then shrugged her coat back on and as she did so, her eyes were drawn to something or someone behind Emma. She began to suppress a smile.
When Emma turned around, Peter was standing behind her. He had collected Emma’s medication, a cocktail of anti-seizure drugs, steroids and painkillers that would hopefully keep the tumour and its symptoms at bay in the weeks running up to her treatment. They were piled up high on the seat of a wheelchair. ‘That thing had better not be for me,’ she growled.
Peter was about to answer but Louise cut him short. ‘Don’t even try. You won’t get her to use it.’
Peter and Emma locked eyes. ‘OK, I give in,’ he said, having stood his ground for only a fraction of a second.
‘I tell you what,’ offered Emma. ‘We can use the wheelchair to carry all of my stuff to the car. In the meantime, you can have a quick break and collect it from the entrance in, say, ten minutes.’