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45 pages 1 hour read

Gayle Forman

If I Stay

Fiction | Novel | YA | Published in 2009

A modern alternative to SparkNotes and CliffsNotes, SuperSummary offers high-quality Study Guides with detailed chapter summaries and analysis of major themes, characters, and more.

Chapters 4-6 Chapter Summaries & Analyses

Chapter 4 Summary: 10:12 A.M.

Mia arrives at the hospital in a critical condition with a collapsed lung. As they rush her inside, she learns that her brother is still alive but also in critical condition. She is taken to the roof where a waiting helicopter attempts to medevac her to a larger hospital in Portland with superior trauma care. The helicopter reminds Mia of her best-friend Kim’s account of getting sick while flying with her uncle, a National Geographic photographer, over Mt. St. Helens. Mia, on the other hand, feels nothing, even when the helicopter hits an air pocket. During the flight, Mia thinks about the chaos and confusion on the ground and whether her friends, family, and boyfriend already know about the accident. She sees Mt. Hood in the distance, which means they are nearing Portland. She wonders if Adam is already in Portland and thoughts of Adam trigger a flashback about the beginning of their relationship. 

It was her sophomore year, and Adam, a junior, asked her if she had ever heard of Yo-Yo Ma, a world-famous cellist, which, of course, she had. Adam is also a musician, albeit a rock musician. He sings lead vocals and plays lead guitar in a rising local band called Shooting Star. Adam, it turns out, has two tickets to a Yo-Yo Ma concert in Portland, and invites Mia on a date to which she says yes.

At home, Mia prepares for her first date with Adam; she struggles to find the right clothes and wishes she could be as daring as her mother was in her youth. Instead, she settles on a simple skirt and sweater.

Adam, on the other hand, arrives in a daring ensemble, a shark-skin suit. After a brief meet and greet with Mia’s parents, they depart for the concert in Portland. The concert is lovely, and during Yo-Yo Ma’s performance of “Le Grand Tango,” Adam takes her hand and they sit absorbed in the music.

After the concert, they buy donuts and walk along the river. When Mia asks Adam why he is interested in her, he reveals that her passion for music exceeds even his own and he admires how she can completely lose herself in it. The chapter ends with their first kiss on the banks of the river.

Chapter 5 Summary: 12:19 P.M.

Mia begins the chapter with a summary of her injuries, which include a collapsed lung, ruptured spleen, brain contusions, skin abrasions that will require skin grafts, and internal bleeding of unknown origin. While the medical staff discuss her condition and prepare to perform a potentially life-saving operation, they play Wagner’s “Ride of the Valkyries” on a CD player.

Mia observes her entire surgical procedure. While the doctors operate on Mia’s physical body, her consciousness attempts to test the limits of her out-of-body state. Though she can wander the hospital and observe what is going on, she cannot walk through doors or walls, nor can she wander too far from her physical body. 

Wandering down the corridor outside her operating room, Mia finds her paternal grandparents in the waiting room. Mia adores her grandparents. Her father and Teddy both bear a striking resemblance to “Gramps,” and “Gran” is the one who first suggested that Mia apply to Julliard. 

Gran is originally from Massachusetts and Mia’s family used to travel there with her in the summers to spend time with relatives in a Western Massachusetts lodge. One night, Mia gave a concert at the lodge for her family. It was this family concert that initiated the idea of going to Julliard. 

Gran not only supports Mia in her application to this prestigious school, she also offers to drive her from Oregon to San Francisco, California for the audition. However, when she severely sprains her ankle, Gramps offers to take Mia to California instead. 

At the audition, Mia plays a grueling number by Shostokovich, and, in spite of the pressure, she delivers a breakthrough performance. Afterwards, she and Gramps celebrate by taking an outing into San Francisco.

Chapter 6 Summary: 3:47 P.M.

Attended by two nurses, Mia has been moved to the ICU after her surgery. One of the nurses, whose “skin is so black its blue” (52), is particularly kind, calling Mia “sweetheart” (52) and constantly straightening her blankets to make her more comfortable. 

Outside in the waiting room, a social worker chats with Mia’s grandparents, referring to Mia’s condition as “grave.” She urges Mia’s grandparents to contact as many friends and family members as possible to support them and Mia. While Gran talks about all the friends and family en route to the hospital, Mia is only really interested in seeing one person, Adam. She worries that Adam will have no way of finding out where she is, and this worry weighs on Mia. 

She remembers the awkward beginning of their relationship after their first date. Coming from such opposite corners of the social universe, being together took some adjustment, and they were very polite and stilted with each other initially. Going to see Adam’s band only reinforced this discomfort and these shows became a source of dread for Mia. It was not until Adam came over to her house one day that they had an important breakthrough in their relationship. Alone in her bedroom, Adam spontaneously suggests that Mia touch him, or “play him” the way she would a cello. Initially confused by this odd request, Mia obliges, and touches his body as passionately and skillfully as she does her instrument. He in turn plays her like a guitar. This moment reinforces their musical connection and dissipates the awkward tension that has characterized their relationship up to this point.

Chapters 4-6 Analysis

Once again, Mia’s present experiences trigger specific memories from her past. Her helicopter journey to the Portland hospital in Chapter 4 recalls both her best friend Kim’s flight in a helicopter, and her first date with Adam in Portland, where they attended a Yo-Yo Ma concert. Both memories, one humorous and one romantic, stand in sharp contrast to her fight for survival and yet these memories are vital to her struggle. They illustrate the richness of her relationships and the joy of living. All of these memories serve as a critical counterpoint to the horror and tragedy of the accident and her broken physical body.

Mia’s grandparents, like many of the people in her life, love her unconditionally. They not only support her musical aspirations, but are willing to drive her hundreds of miles to make her dream possible. While Mia’s loss of her immediate family is tragic, the presence of her beloved grandparents and the tender memories that their appearance triggers, reminds Mia of how much love and support she still has in her life.

Mia’s anxious pining for Adam at the hospital in Chapter 6 triggers a memory of the anxiety that characterized the beginning of their relationship, a period described as “awkward” (55) and “stilted” (55). This awkwardness ended only after Adam had her touch him the way she touched her cello and while this request seems bizarre to Mia, there is a logic to it. Great musicianship requires the abandonment of self-consciousness and a total presence in the moment. Their playing requires more feeling than thought, and by connecting their instruments to their bodies, Mia and Adam are able to break through their awkward self-consciousness and live together in the moment the way they do when they play music. Just as Mia was connected to her parents by music, music similarly allows her to connect and bond with Adam.

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