
Starting at the End
by Jeremy Gray
This title was previously available on NetGalley and is now archived.
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Pub Date May 28 2025 | Archive Date Jun 19 2025
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Description
It’s one thing for a doctor to support in theory a terminally ill patient’s right to die with dignity, quite another to be the person asked to end their brother’s suffering.
When Robert, a doctor, learns that his older brother Jim, a successful rock ’n’ roll pianist he hasn’t seen in more than 20 years, has returned to England from the USA, he and his wife Barbara go to see him. While there, Jim’s wife Scarlet confirms Robert’s suspicion that Jim is in the advanced stages of cancer. Robert, against Barbara’s strongly held views, is on the verge of signing an open letter that will call for a public conversation about assisted dying, and finds himself moving quickly from supporting the idea in theory to confronting the thought of ending a person’s life in reality.
While Robert and Scarlet are drawn together, the conflicting feelings Robert and Jim have about their childhood culminate in a fierce row and Robert storms out. Jim becomes desperate for his brother to bring an end to his suffering before he loses the ability to play music, and Barbara urges Robert not to do anything that will destroy her trust in him. Robert is drawn back to visit Jim again, but will he risk sacrificing everything he’s ever worked for – his career, his marriage, even his freedom – for a brother he barely knows?
A Note From the Publisher
Available Editions
EDITION | Ebook |
ISBN | 9781836288961 |
PRICE | £4.99 (GBP) |
PAGES | 360 |
Available on NetGalley
Featured Reviews

a book like this was never going to be easy. but it seemed weirdly timely. i wanted to read a piece of fiction on this to try and get me a side step away from all the noise about it in the news and worse the media stirrings of it.
it was an extremely thoughtful telling of it and i appreciated the no sides biased approach. you werent preached to. you were judged or pushed. and the characters had varied roles in which side they lay so i thought this was such a good plot decision.
i also thought it was a smart way to bring the decisions closer to. when one many has his beliefs its all well and good. but what about as the professional would he feel if this was first him having to perform the act or more if it was being talked about with someone in his own family.
i had to take a few moments within this book. and im glad i didnt rush, but equally i kind of did because i couldnt put it down.
a hard book, but for all the right reasons if that makes sense. and it gave me what i needed from it when i initially though it wanted to read such a book.