only factual. Colin wondered how many times sheâd said something similar to other families. âI know that youâre looking at him and he seems to be alive. You see his chest rising and falling and can see his heartbeat on the monitor. But on an EEG, looking for brain activityâand we did that last night and this morning as wellâyouâd see no electrical activity at all. That isnât the case for coma patients, and a coma patient would have had responses to the other tests weâve done.â She took a long breath, and her voice changed, a warmth and sympathy entering her tone and attitude. âIâm truly sorry and I know how hard this is for all of you. But I can tell you that there isnât any clinical evidence of recovery from a patient who has met all the criteria for brain death. None. I promise you that if I had
any
uncertainty, any at all, I would tell you to wait and let nature take its course. But with your fatherâs situation . . . If I were to take him off the ventilator, he would stop breathing, and heâd die within a very few minutes. This way, with the transplant team, some good will come from his death. I hope that can be of comfort to you.â
Colin watched his fatherâs chest, which lifted once, then slowly fell. The ventilator hissed in time to the breath. The tableau would be fixed in Colinâs mind: all of them leaning forward over the bed; his mother whispering to his father as Tommy put his arm around her. âTom, you just rest now. Iâll miss you, darling. I love you. I love you so much . . .â Her voice broke and she began to cry, an aching, terrible sound that, contagious, rippled around the room. Colinâs eyes filled with tears, blurring the scene, and his breath shuddered. He felt someoneâs hand on his back and didnât know who it was and didnât care. The comfort was all he craved.
âIâll wait outside while you say your good-byes,â Dr. Pearse said. âCall me when youâre ready for us to take him.â
She left the room, closing the door behind her. Father Frank rose from his chair and went to the head of the bed to intone the Last Rites. Colinâs mother gave a sharp, birdlike cry of pain as she listened. She bent over the body, kissing her husband softly as Tommy held her. Colin heard Jen crying hard, and he started to go to her, but she had already turned into Aaronâs embrace. For a moment, Colin felt adrift, alone in the midst of a terrible pit of black grief, but then Aunt Patty found him; he let her hug him, comforting him as she might have when he was a child. He let himself cry then, fully, pulling away from her several gulping breaths later, wiping at his eyes. He looked at his father lying warm and breathing and empty on the bed; at his mother sitting now in a chair someone had brought her next to the bed, still clutching his fatherâs hand.
âGo on,â she said to the room. âAll of you should tell him good-bye.â
One by one, they made their way to the head of the bed to whisper their last words to him. Colin hung back, watching as Harris came forward to pat his fatherâs hand. âYouâd have won, Tom,â he said. âNow itâll be Tommy. Iâll make sure of that.â
Colin went up last. He touched his fatherâs hand, still impossibly warm. His eyes filled with tears again, blurring his vision. The ventilator chuffed; his fatherâs chest rose. âSorry, Dad,â he said, knowing the others were listening to him. âIâm so sorry . . .â His voice choked and he stepped back. âSorry,â he repeated. Aunt Patty put her arm around his waist and he leaned into her as he glanced at his mother, who was crying also. She nodded to him.
For an instant, as if heâd been somehow transported outside of himself, Colin caught a glimpse of himself on some shore, looking out over