49 pages 1 hour read

Ms. Bixby's Last Day

Fiction | Novel | Middle Grade | Published in 2016

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Background

Social Context: Early Adolescence in the Sixth Grade

Content Warning: This section of the guide contains a description of death. 

Anderson begins the story with the three narrators approaching a classmate, Rebecca, and telling her that they have diagnosed her with cooties. The ensuing conflict involves discussions of mythical illnesses, attempted contamination, and a chase scene only ending through the intervention of a teacher. Thus, the author captures boys’ fledgling early, pre-teen awareness of girls, seen through the filters of mystery and taboo. Given the boys’ age, the book frequently connects to themes related to growing up; it constitutes a coming-of-age story about the shift from childhood ignorance to a more grown-up understanding of some of the harsh realities of the world.

Still intact, however, among the boys who are the main characters is the notion of the best-friend-forever. These are commitments the boys pledge as life-long vows of fidelity: Topher makes Steve promise to prevent him from ever getting married. Most of the jealousy described in the narrative is the fear that another guy will interfere with a friendship between two of the boys that has been solid for years. In the face of these carryovers from pre-pubescence, there are as well awakening attractions to members of another gender. In this case, two of the narrators—Topher and Brand—develop crushes on their free-spirited teacher, Maggie, and symbolically fight over her when Brand sees the wonderful portrait Topher has drawn of Maggie.

Another common feature of emerging adolescents is also prevalent in the narrative: the blending of fantasy and reality. Topher is the primary example of this, continually engaging in magical thinking: imagining himself strangling a teacher with his shoelaces, believing he can convince an adult stranger to purchase a bottle of wine and give it to the 12-year-olds to bestow on Maggie. However, Topher is not the only person guilty of this, as the three boys watch as virtually every aspect of their plan to skip school and visit Maggie in the hospital succumbs to reality.

Fox Ridge Elementary’s sixth-grade classes, as portrayed by Anderson, are not the beginning of middle school, as is frequently the case in many 21st-century school districts around the US. Rather, the sixth graders in the book are about to graduate from elementary school. Thus, as the final step of their primary education, the sixth graders present an air of finality, of finishing a step of their education. Maggie intends to make her students critical thinkers: She has the class discuss a story, poem or event; asks them to share the moral of the story; then tells them to think about what they have discussed and journal about it. Instead of a single answer, Maggie allows her students the freedom to decide for themselves what lessons a story holds. On separate occasions, she debates with Steve the possibility that soul mates might find one another despite the vastness of the human population, and she also debates with Brand the meaning of her failed childhood desire to be a magician.

Another somewhat unusual element of the sixth grade as described by Anderson is the lack of additional instructors and subjects. The narrators relate that there are two sixth-grade teachers, Maggie and Mr. Mackelroy. With her constant references to stories, poems, and writing, Maggie is an English teacher. Apart from Steve fretting about what classes he missed by skipping and Maggie pointing out where the boys would be if they were not at the hospital, there is virtually no mention of the Fox Ridge staff of teachers or the subjects they teach. Teachers are only indirectly discussed by Topher in Chapter 1 when he lists six different categories of teachers.

Medical Context: Pancreatic Ductal Adenocarcinoma

With four weeks left in the school year, Maggie explains to her students that she will be leaving at the end of the week to begin treatment for ductal adenocarcinoma, an aggressive pancreatic cancer. This is a very serious diagnosis: The one-year survival rate for this lethal illness is only 25%. The five-year survival rate is only 10%. This type of cancer is also usually quite advanced before it is detected, a major reason for its high mortality rates.

Because it is an aggressive form of cancer, Maggie’s prognosis is not good, and, as is typical of patients with cancer, she will have to undergo intensive treatment, such as chemotherapy, which will cause her to lose all of her hair. In breaking the news to her students, she nevertheless works to remain positive, expressing thoughts like, “[t]hings are never as bad as they seem” (18), and assuring the children, “she was going to ‘beat this thing’” (17). Steve, who uses the internet to research any topic of study or interest, finds that this type of cancer is extremely aggressive, with only one out of four patients surviving beyond the first year. Though only a week since they have last seen her, when the three narrators arrive in Maggie’s hospital room they have a hard time recognizing her. This is in part because she has shaved her head in anticipation of losing her hair through cancer therapy. Beyond this, her face seems thin and sallow, and bandages cover her arm. She has grown so weak that she can scarcely climb to the top of a hill for their picnic.

Beyond the shock of hearing the news, the initial hardship this places upon the students is Maggie’s sudden absence. Not only is she unable to finish the school year but she also ends up missing her final week—including a party with her students. Though she tells the class in a pre-recorded message that she is lounging, the students discover that she is in the hospital receiving treatment.

It is also common for people with rare and aggressive forms of cancer to seek treatment at medical facilities that may not be in close proximity to where they live. This is because hospitals in larger cities often have more funding and more targeted care than regional hospitals. Furthermore, different hospitals will have doctors—called oncologists—who specialize in different kinds of cancer. The boys do eventually learn that Maggie will be transferred to a distant hospital for specialized care. Thus, students repeatedly hear increasingly gloomy news about Maggie and her illness. The narrators learn that, only a couple of months later, during surgery to remove one of the tumors, Maggie dies.

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