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“Did you call him ugly?” Augustus asked.

“Just go with it,” I told him.

“I’m naht uggy. You’re the uggy one, nosetube girl.”

“You’re a coward!” I rumbled, and Augustus broke character to laugh. I sat down. We told Mom about the Anne Frank House, leaving out the kissing.

“Did you go back to chez Van Houten afterward?” Mom asked.

Augustus didn’t even give me time to blush. “Nah, we just hung out at a café. Hazel amused me with some Venn diagram humor.” He glanced at me. God, he was sexy.

“Sounds lovely,” she said. “Listen, I’m going to go for a walk. Give the two of you time to talk,” she said at Gus, an edge in it. “Then maybe later we can go for a tour on a canal boat.”

“Um, okay?” I said. Mom left a five-euro note under her saucer and then kissed me on the top of the head, whispering, “I love love love you,” which was two more loves than usual.

Gus motioned down to the shadows of the branches intersecting and coming apart on the concrete. “Beautiful, huh?”

“Yeah,” I said.

“Such a good metaphor,” he mumbled.

“Is it now?” I asked.

“The negative image of things blown together and then blown apart,” he said. Before us, hundreds of people passed, jogging and biking and Rollerblading. Amsterdam was a city designed for movement and activity, a city that would rather not travel by car, and so inevitably I felt excluded from it. But God, was it beautiful, the creek carving a path around the huge tree, a heron standing still at the water’s edge, searching for a breakfast amid the millions of elm petals floating in the water.

But Augustus didn’t notice. He was too busy watching the shadows move. Finally, he said, “I could look at this all day, but we should go to the hotel.”

“Do we have time?” I asked.

He smiled sadly. “If only,” he said.

“What’s wrong?” I asked.

He nodded back in the direction of the hotel.

We walked in silence, Augustus a half step in front of me. I was too scared to ask if I had reason to be scared.

So there is this thing called Maslow’s Hierarchy of Needs. Basically, this guy Abraham Maslow became famous for his theory that certain needs must be met before you can even have other kinds of needs. It looks like this:

Once your needs for food and water are fulfilled, you move up to the next set of needs, security, and then the next and the next, but the important thing is that, according to Maslow, until your physiological needs are satisfied, you can’t even worry about security or social needs, let alone “self-actualization,” which is when you start to, like, make art and think about morality and quantum physics and stuff.

According to Maslow, I was stuck on the second level of the pyramid, unable to feel secure in my health and therefore unable to reach for love and respect and art and whatever else, which is, of course, utter horseshit: The urge to make art or contemplate philosophy does not go away when you are sick. Those urges just become transfigured by illness.

Maslow’s pyramid seemed to imply that I was less human than other people, and most people seemed to agree with him. But not Augustus. I always thought he could love me because he’d once been sick. Only now did it occur to me that maybe he still was.

We arrived in my room, the Kierkegaard. I sat down on the bed expecting him to join me, but he hunkered down in the dusty paisley chair. That chair. How old was it? Fifty years?

I felt the ball in the base of my throat hardening as I watched him pull a cigarette from his pack and stick it between his lips. He leaned back and sighed. “Just before you went into the ICU, I started to feel this ache in my hip.”

“No,” I said. Panic rolled in, pulled me under.

He nodded. “So I went in for a PET scan.” He stopped. He yanked the cigarette out of his mouth and clenched his teeth.

Much of my life had been devoted to trying not to cry in front of people who loved me, so I knew what Augustus was doing. You clench your teeth. You look up. You tell yourself that if they see you cry, it will hurt them, and you will be nothing but A Sadness in their lives, and you must not become a mere sadness, so you will not cry, and you say all of this to yourself while looking up at the ceiling, and then you swallow even though your throat does not want to close and you look at the person who loves you and smile.

He flashed his crooked smile, then said, “I lit up like a Christmas tree, Hazel Grace. The lining of my chest, my left hip, my liver, everywhere.”

Everywhere. That word hung in the air awhile. We both knew what it meant. I got up, dragging my body and the cart across carpet that was older than Augustus would ever be, and I knelt at the base of the chair and put my head in his lap and hugged him by the waist.

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