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The devastation of grief is a pervasive theme throughout the novel, and different characters offer perspectives on varying kinds of grief. Though Kate and Hugh have both dealt with losing one life’s partner, and that type of bereavement is the primary focus of Kate’s journey as a character, the novel also addresses losing a parent, the type of grief that attends illness or struggles with infertility, and the sorrow of watching a child grieve. These losses are shown to be related through the ways characters address and attempt to recover from their wounds.
Even while Cam is still alive, Kate must confront how his Alzheimer’s disease poses a loss, as she begins to grieve the end of their relationship as she knew it and learns how to deal with him in ways that accommodate his diminishing cognitive and physical capabilities. Cam’s illness makes Kate’s grief more complicated and also extends her loss, giving her that much more to recover from as she moves on to a new stage in her life.
Cam’s death is an event that completely changes Kate’s life, and her grief comes to define her for much of the book. She has identified herself as one-half of Kate and Cam, and without Cam, she doesn’t have a sense of her own identity. Not only does she feel overwhelming sorrow, but also, the centrality of this sorrow in her life makes her feel alienated from other people. In the opening scene at the supermarket, Kate thinks of herself as a different creature from the woman clad in gym attire who is buying soap; Kate feels incapable of accomplishing even those simple, daily tasks. These feelings are common in the newly bereaved and make Kate’s experiences as a character feel realistic. Also realistic is her sense of bewilderment as she tries to comprehend the scope of her loss, facing the reality that her husband no longer exists.
Kate’s wish to hold on to memories of Cam through physical records of him, like his voice on voicemail or the notes in his handwriting, are common reactions among bereaved people. The grieving person feels that to let go of these items that belonged to the loved one in some way shows acceptance of their death, which is intolerable in the early stages. It can also feel like they are denying the lost loved one a place in their life or rejecting their influence. Kate feels terrified at her own thoughts when she considers giving up Cam, such as when she bargains mentally for her baby’s life, or when, at the beach with Hugh, she confronts the possibility she may be attracted to, or even love, another man who is not Cam. This feels to her like a betrayal, another confirmation of her loss.
Kate observes that there are hierarchies that are in grief; the person closest to the deceased is awarded priority, and others who might be grieving, like friends and other family, put aside their feelings to care for the one they believe is grieving more. Kate, for example, has not even considered that her mother might also be grieving for Kate until Justin makes her aware of this. Though Hugh and Cam were friends, it likewise never occurs to Kate that Hugh might miss Cam in his own way. Kate believes that she loved Cam the most and her grief therefore takes priority. She acknowledges that Cam’s parents will be devastated by his illness, but Kate does not spend time thinking about how she might assist them through the process; she is consumed with maintaining her own functioning and taking care of Charlie.
Kate’s acknowledgment that grieving and recovery from grief are not smooth or linear processes also lends realism to the way grief is portrayed in the novel. She realizes, “You don’t recover from it. There is no ‘healed’ moment. You just absorb it into your new life, somehow, and go from there” (265). Literature on bereavement and dealing with loss often addresses how unresolved feelings can return, or one may circle through various stages in the grieving process. To define oneself by loss, however, or refuse to engage in life opportunities that do not include the lost loved one is rarely healthy. As Kate accepts the idea that her heart could heal enough for her to love another man, she has to find a way to accept this reality in terms of her belief that she will always love and miss Cam. This requires a renegotiation for her about how love and romance work, shifting her notion of a once-in-a-lifetime, two-halves-of-a-whole, happy-ending narrative.
Kate and Grace are foils for one another in their struggles with infertility, which is one way the novel looks at larger themes of motherhood, parenting, and how these life changes shape a person’s identity.
Grace is confronting infertility directly: She’s been told she only has a 5% chance of conceiving a child and knows she will have to rely on IVF to have a baby, which has made her dedicate herself to finding a partner. She is ready to take on parenting on her own terms. Meanwhile, Kate struggles with the biological processes of pregnancy, childbirth, and nursing, finding challenges at each stage that make her question her own worth and abilities as a mother. Before Cam’s illness, she came to define herself as a struggling mom, and even in that brief moment in the gym when Hugh looks at her breasts and she imagines he is attracted to her shape, she shortly realizes she is leaking breastmilk, and he was observing the stains through her shirt. When she realizes she is pregnant with a second child without even trying, Kate clings to a new idea of herself as a mother and the four of them as a family, but the loss of the second baby through miscarriage foreshadows the coming loss of Cam.
As Cam’s illness progresses, Kate struggles with the reality of becoming a single parent to Charlie. She also struggles with caretaking for Cam. As he regresses, becoming incapable of eating, communicating, or controlling his bladder, Kate finds she isn’t, in fact, able to take care of a second person in an infantile state. This caretaking for her husband is another change she mourns, as it represents a loss of their married relationship, where Cam once nurtured her by cooking her meals and performing household tasks as well as providing companionship and the promise of fulfilling life dreams together, like travel.
Kate’s questioning of her own identity after losing Cam extends to questioning her abilities as a parent. She fears others will see her as negligent when her child finds a grenade in his father’s study. Aside from serving as a metaphor for Kate’s fragile emotional state, the grenade represents that she didn’t know everything about her husband. Charlie’s report of a loose tooth while Kate is at the beach likewise induces a moment of panic as she fears early tooth decay is likewise a sign of negligence and not precocity. At the end of the book, however, when Kate shares a biological child with Hugh, she takes on a motherly role toward Ruby and expects to take on a grandmotherly role to Ruby’s child. She witnesses Charlie’s wish to be adopted by Hugh, and her new forays into parenting reaffirm Kate’s success at venturing into a new stage of her life, confirming her ability to love and be loved again.
The Last Love Note plays on the conventions of romance that prevail in books and movies in the romance genre, especially the romantic comedies after which the book purports to be modeled. Part of the book’s message is that while these narratives provide entertainment, realistic experiences of love tend to be more complicated.
Kate’s mother and Grace speak to the possibility that attraction and sexual desire can be enjoyed outside of a romantic attachment, as Grace discusses Justin’s sexual availability in the first chapter and Kate’s mother later counsels Kate to have an affair to reawaken her spirit. Kate’s relationship with Cam, in contrast, has followed a conventional, even fairy-tale script. They met when young and fell in love; their passion for each other has continued for 17 years, through the birth of their first child; they continue to demonstrate their compatibility in the ways they miss one another when Cam is in the hospital. Cam’s illness and death subvert this script, and Kate concludes that hers was a once-in-a-lifetime love that she won’t encounter again.
While dramatic irony shows Kate’s emotional dependency on Hugh growing both in the present moment of the story and in the flashbacks, it isn’t until Kate experiences sexual desire for Hugh that she considers him as a romantic partner. Before, she has thought of him as a co-worker, a reliable person she could call upon, and a friend. For Kate, physical attraction to Hugh must necessarily follow with a long-term attachment, which she immediately begins to anticipate and tries to define. As soon as she realizes she wants to kiss Hugh, Kate struggles to acknowledge that she might be able to love again and be with another man who isn’t Cam. In this respect, she is still caught up in the conventions about love and romance that put sex in a sequence of events leading to a committed marriage, which is where the novel ends with her and Hugh.
Grace’s relationship with Justin echoes this conventional narrative, as the epilogue suggests they have developed a long-term partnership and are raising twins. Like the birth of Camryn Genevieve, the fertility of being able to bear a biological child is considered part of the package for the traditional romance. In this respect, while the novel’s conventions of romantic comedy are handled in a much more ironic fashion, the adherence to the conventions of romance primarily shape the plot.