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After the End

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4.18  ·  Rating details ·  1,635 ratings  ·  466 reviews
Max and Pip are the strongest couple you know. They're best friends, lovers—unshakable. But then their son gets sick and the doctors put the question of his survival into their hands. For the first time, Max and Pip can't agree. They each want a different future for their son.

What if they could have both?

A gripping and propulsive exploration of love, marriage, parenthood,
...more
Kindle Edition, 400 pages
Published June 25th 2019 by G.P. Putnam's Sons
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  • After the End by Clare Mackintosh
    After the End
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    Release date: Jun 25, 2019
    Enter for your chance 1 of 10 copies of Clare Mackintosh's new novel After the End!

    From New York Times bestselling author Clare Mackintosh, a deeply m
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    Availability: 10 copies available, 748 people requesting

    Giveaway dates: Jul 16 - Aug 06, 2019

    Countries available: Canada

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    Lynne I found this book to be completely confusing! I didn’t understand what really happened “after” and the ending? What actually happened? I felt so…moreI found this book to be completely confusing! I didn’t understand what really happened “after” and the ending? What actually happened? I felt so discombobulated when I finished reading this book...like I was left hanging on a cliff…nothing was resolved or clear?! I typically love her books, but this one not so much. Any help with my confusion would be appreciated!(less)
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    Community Reviews

    Showing 1-30
    4.18  · 
    Rating details
     ·  1,635 ratings  ·  466 reviews


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    Dorie  - Traveling Sister :)
    ***NOW AVAILABLE***

    This was an incredibly hard book to read and an even harder book to review. I have waited a few days to let my thoughts settle and have decided to try and write this review to help others decide if it’s something they would like to read.

    I had read Ms. Macintosh’s thrillers and really loved them. I knew what this book was about but it was more thought provoking and heartbreaking than I had imagined. As you know from the blurb, two young parents disagree on the decision of whet
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    *TUDOR^QUEEN*
    Jun 23, 2019 rated it it was amazing  ·  review of another edition
    Thank you to Putnam's Sons / Penguin Publishing Group for providing an advance reader copy via Edelweiss.

    The premise of this book lured me in immediately. The story takes place in England where they have the National Health Service (NHS). The parents of almost three year old Dylan Adams, who has a cancerous brain tumor, are just told that the hospital recommends no further treatment; just comfort (palliative) care. The mother has accepted that devastating assessment, but the father insists on fu
    ...more
    Debra
    Parenting is hard. I think every parent might have experienced time in the upbringing of his/her child where they do not agree upon something with the child's other parent be it, curfew, discipline, when to have a cell phone, etc. But what happens when you are faced with the ultimate decision? What happens when your child gets sick? When your child has a terminal disease. Do you prolong his life to only face the inevitable? Do you allow him to pass away with comfort and care? How do you decide? ...more
    Louise Wilson
    Jun 14, 2019 rated it really liked it  ·  review of another edition
    Max and Pip have a toddler called Dylan. Sadly he has been diagnosed with a brain tumour, of which surgeons could not remove all off. Then they are given the devastating news that the Timor is growing again. There is nothing more the surgeons can do but give him palliative care and make sure that he is pain free. Max, not wanting to give up on his son, researches the disease hoping to find a cure for his son. He finds that it can be treated in America. But first he has to take the hospital to co ...more
    Ova - Excuse My Reading
    Have you ever heard about Charlie Gard? I thought so much about that poor baby during reading this book. Couldn't help thinking Mackintosh was inspired by that real life event but I have learned sadly Claire Mackintosh herself lost a child so really felt for her during reading this book and how brave of her to write about this difficult subjects.. Turning her own experience into an eye opening read is definitely worth congratulating.

    This book is about a terminally ill child and her parents: Pip
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    Liz Barnsley
    Nov 21, 2018 rated it it was amazing  ·  review of another edition
    I don't even know where to start with a review at the moment - reading this so early gives me the opportunity to not have to say too much as yet so nearer publication I will attempt to write a full review and make it count.

    I can't even begin to imagine what it took to write this but After The End is incredible. Just that. The sheer weight of emotion in it is astounding, beautiful even in heartache and it offers a perspective and ultimately a choice for the reader that makes you think, really thi
    ...more
    Amanda
    May 25, 2019 rated it it was amazing  ·  review of another edition
    Whenever I read a book by Claire Mackintosh I know to clear my day and get comfortable,as I will not be able to put her book down and won’t be disappointed!!

    Max and Pippa have a son Dylan who they adore. Sadly Dylan is diagnosed as having a brain tumour ,which couldn’t be removed during surgery and caused brain damage which will leave him unable to walk or talk.

    Max and Pippa have the dreadful decision whether to opt for further treatment which may lengthen his life but not cure him or to allow d
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    Jayme
    Oh, I hope I can do this beautiful book justice!


    This is the story of Max and Pip- two parents who love each other but who love their son Dylan more.

    Dylan has a tumor which could not be completely removed, and it is growing again. His brain damage is irreparable, and if he lives, he will not walk or talk, or be able to communicate his needs.


    Max and Pip must decide if they should explore a treatment which will NOT cure him, but MAY extend his life..or allow the Doctors to provide only comfort c
    ...more
    NZLisaM
    Jodi Picoult fans, eat your heart out!

    When it comes to writing a compelling, engaging, insightful story, Claire Mackintosh can do no wrong in my book, and even though I knew going in that this was going to be completely different from her usual domestic suspense thrillers (which I love) I was still desperate for the chance to read it.

    After the End is the story of a terminally-ill toddler with multiple deliberating disabilities. Dylan is not yet three years-old but as the result of a brain injury
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    Debra
    Jun 01, 2019 rated it liked it  ·  review of another edition
    Shelves: edelweiss
    Parenting is hard. I think every parent might have experienced time in the upbringing of their child where they do not agree upon something with the child's other parent be it, curfew, discipline, when to have a cell phone, etc. But what happens when you are faced with the ultimate decision? What happens when your child gets sick? When your child has a terminal disease. Do you prolong his life to only face the inevitable? Do you allow him to pass away with comfort and care? How do you decide? Ho ...more
    Carrie
    Jun 05, 2019 rated it liked it
    Shelves: edelweiss
    A lot of folks are calling After the End by Clare Mackintosh a mystery or a thriller but I didn’t get either vibe from this one but maybe more perhaps just general fiction or a tad drama. The story is one in which parents are caring for a sick child, not searching for a missing one.

    Max and Pip are a young married couple that thought they had everything going for. Very much in love and with a wonderful son things were good until one day they were’t. These parents get the most devastating news whe
    ...more
    Pauline
    Feb 04, 2019 rated it liked it  ·  review of another edition
    Shelves: netgalley
    I have read and enjoyed all of Clare Mackintosh's previous books and was delighted to receive a copy of her latest book After the End.
    This story is unlike any of her other books. This is a story of a family in crises, a sad emotional tale of a terminally ill child and the choice that his parents have to make for his future. A thought provoking story that made me think of what I would do in their shoes.
    Thank you to NetGalley and Little, Brown Book Group UK for my e-copy in exchange for an honest
    ...more
    Shelby
    Feb 15, 2019 rated it it was amazing  ·  review of another edition
    Shelves: womens-fiction
    When you get married, you never imagine anything tearing your relationship apart. But even the strongest of marriages falter when tragedy strikes. And unfortunately, the crack in their marriage is unavoidable for Pip and Max when their toddler son, Dylan, is diagnosed with having a brain tumor. Pip and Max manage to be supportive of one another and hopeful for Dylan’s sake for months, up until Dylan’s doctor says that his tumor is increasing in size and that it would be fruitless to continue car ...more
    Ruthy lavin
    Feb 19, 2019 rated it really liked it  ·  review of another edition
    A very well written book about an extremely touching and controversial subject.
    A moving story.
    Easily worthy of 4 stars.
    Kate
    This is something entirely different from the author. Not a psychological thriller but an emotionally heartbreaking and beautifully written portrayal of how a loving relationship can be turned on its head by the most cruel and distressing of circumstances. Stunning writing from Clare Mackintosh that brings us so close to her characters and we're right there with them, through the best and the worst. A remarkable novel. Review to follow closer to publication on For Winter Nights.
    Rachel Hall
    Jun 23, 2019 rated it it was amazing  ·  review of another edition
    Clare Mackintosh’s latest novel is an emotionally charged and deeply personal exploration of best friends, soulmates and married couple, Max and Pip Adams, faced with the most impossible decision of their lives when their only child, Dylan, is diagnosed with a brain tumour. Opening with Dylan in a child paediatric care unit, the story follows the heartbreaking months prior to the medical boards formal recommendation on his future and ongoing care. The story allows the reader to experience a sens ...more
    Darinda
    A happily married couple are given the devastating news that their son has a brain tumor, and his prognosis is terminal. His doctors recommend end of life care only. His parents are split on what to do. One agrees with the doctors and the other wants to pursue other treatments. Since the parents cannot agree, the decision is left to the court system.

    Told with alternating points of view – Pip (mother), Max (father), and Leila (doctor). The novel is also split between before and after. The “before
    ...more
    Sarah
    Jun 07, 2019 rated it it was amazing  ·  review of another edition
    Shelves: favorites, fiction
    Firstly I need to say how very different this book is to the authors others. Having loved her other books which are under the psychological genre, this one couldn’t be any further away in terms of genre.

    Max and Pip are a loving couple who find themselves having to make one of the hardest decisions I think anyone can be faced with when it comes to their son. All through the story in fact I was so torn as to which direction I would have gone. It’s one of those scenario’s where you wish you could s
    ...more
    Kristy
    Max and Pip have a deep, untenable bond and a strong marriage that they feel is sealed by fate. But when their nearly three-year-old son, Dylan, gets sick, everything they know changes. Dylan has a brain tumor, and now Pip spends her days in the PICU, while Max tries to juggle work and being strong for his wife and child. Then, the couple receives the worst of all news: the chemo isn't helping Dylan's tumor, and the doctors feel Dylan's condition is terminal. Suddenly, Max and Pip find themselve ...more
    Eva
    Jun 24, 2019 rated it really liked it  ·  review of another edition
    This is such a hard review to write but I imagine not nearly as hard as it must have been to write this novel.

    Max and Pip face one of the toughest decisions any parent could possibly face. Their three year old son, Dylan, is brain damaged due to complications from a tumour. Max and Pip are one of the strongest couples you’re bound to meet but now, they find themselves on opposite sides as each tries to decide for themselves what’s best for Dylan.

    After The End is a novel I had to read in bits and
    ...more
    Heidi
    AFTER THE END is a difficult book to review, not only because of the subject matter but knowing that it reflects some of the author’s own experiences when her child was critically ill. As a parent, I cannot imagine anything more heartbreaking than having to decide whether it would be kinder to let your child die rather than continue treatment for the sake of prolonging his life. Most marriages would struggle under the strain, but what if, on top of all the heartbreak, the parents do not agree on ...more
    Debbie
    Jun 23, 2019 rated it really liked it  ·  review of another edition
    Max and Pip are a strong couple and appear unshakeable. That is until their son gets sick and they need to make a critical decision about his survival. But they can't agree.

    So this was a medical/legal/family drama of the best kind. It was sad, harrowing, so touching and there were big tears! The family were in such a heartbreaking situation, yet one that sadly I appreciate does actually play out in real life. It canvassed the right to life, quality of life, science and medical interventions.

    This
    ...more
    Donna Hines
    Apr 03, 2019 rated it it was amazing  ·  review of another edition
    Shelves: arc, netgalley
    This is not your typical thriller from Clare as this is in fact a terrible life altering dramatic disheartening story that will require a good box of Kleenex prior to reading and may require you to stop and pause for a second or two.
    It all begins with a loving couple named Pip and Max. They loved each other and were a strong couple in life and in faith until tragedy struck and their 3yo son Dylan was diagnosed with a brain tumor.
    Dylan's medical team recommended no further treatment should be adm
    ...more
    Shalini
    Jun 30, 2019 rated it really liked it  ·  review of another edition
    One of the most heartbreaking stories ever told. Dylan had a brain tumor, was operated on, and had undergone chemotherapy. Removing the tumor had caused the normal brain tissue also to be excised. The Dylan they knew no longer was the same. He was quiet with vacant eyes. And the tumor was growing. A chance of treatment which may prolong life was a radiotherapy in America. The hospital objected, wanted Dylan to pass away in dignity. Mom agreed. Dad wanted to fight, and the matter went to the cour ...more
    Linda
    Jun 13, 2019 rated it it was amazing  ·  review of another edition
    I always read the authors notes before I read the book, once it revealed the plot twist arrrghhhhh! Clare’s acknowledgements however revealed that she has been in the exact same position as Pip and Max, her characters from After the end. It’s a heart breaking story, a couple whose not - yet 3 son has a brain tumour and despite surgery the tumour is growing. His prognosis is that there is no hope. One parent wants him to die peacefully with pain relief, the other parent wants him to have radical ...more
    Laura
    Feb 17, 2019 rated it it was amazing  ·  review of another edition
    Shelves: netgalley-treats
    Clare Macintosh is an author with enviable storytelling skills who has knife-like precision when it comes to writing the perfect thriller. Her pacing, characters and ability to ramp up the tension to the final few pages is incomparable. Therefore, I will buy and read anything she writes without knowing a single thing about the novel I’m about to delve into – she could write anything, and I’d read it!
    I am so very thankful to Little, Brown for allowing me an early NetGalley copy of After The End
    ...more
    MRIDULA
    Jun 28, 2019 rated it it was amazing  ·  review of another edition
    Clare Mackintosh, popular for her outstanding and gripping YA thrillers, brings us a new release that has been inspired by events from her own life.

    When a child is terminally ill, the lines between living and existing gets blurred. Dylan, a 3-year-old with a brain tumor is fighting a tough battle between life and death. But things start turning nasty when their parents- Pip and Max are left with choosing between palliative care or advanced therapies that may or may not make Dylan’s life better.

    W
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    Jennifer
    Jun 19, 2019 rated it did not like it  ·  review of another edition
    DNF

    I had heard such great things about this author, but I really struggled with this book. I had a hard time connecting to the characters and the hospital setting just dragged and did not hold my interest at all.

    Thank you to Penguin Publishing Group for my copy via Edelweiss.
    michelle
    May 12, 2019 rated it really liked it  ·  review of another edition
    I always get excited to hear Clare Mackintosh has a new book out. I have read her other books and loved them. But this is different for her other books. This is not a psychological thriller.
    After hearing about the sad loss of Clare’s own child. It has inspired her to write this one. Max and Pip and a son Dylan. He is their world. When Dylan gets Cancer that leaves him brain damaged and the doctor can’t do anything else for him. Max and Pip must make a decision that changes both their lives. But
    ...more
    Meggy
    Jun 13, 2019 rated it it was amazing  ·  review of another edition
    FAVOURITE BOOK OF 2019

    If you are lucky, you stumble upon books that change your life. Don't mind my dramatic tone... In fact, do mind, because today's post is special. I couldn't put down my feelings, I couldn't come up with a review. I read a book, and I felt different. Isn't it magic when it happens?


    I can't thank Little, Brown UK enough for letting me read a copy of this novel through NetGalley in exchange for an honest review.



    Dear Claire,

    When we, book bloggers, finish a book, we often start

    ...more
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    5,089 followers
    Clare Mackintosh spent twelve years in the police force, including time on CID, and as a public order commander. She left the police in 2011 to work as a freelance journalist and social media consultant now writes full time. She lives in North Wales with her husband and their three children.

    Clare's debut novel, I Let You Go, is a Sunday Times bestseller and was the fastest-selling title by a new c
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    “In a few moments, the doors will open, and the next act of Dylan’s story will begin. No matter what the judge’s ruling, Max’s and Pip’s lives will be irreversibly changed today, and Leila knows they will forever question the choices they made in the weeks leading up to the hearing. But when you stand at a crossroad you cannot see each destination, only the beginnings of the paths that will lead you there. All you can do is choose one, and walk, and hope that someone will walk with you.” 1 likes
    “When Alexis was born, I thought I'd never have a second child. How could I, when I'd already poured my love into my first? But then I had Brianna, and then Logan, and I realized something they don't teach you in biology.... The heart stretches.” 1 likes
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