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I Know This Much is True Chapter 40 Summary

How It All Goes Down

  • Back in the present, Dominick calls Sheffer to tell her to he wants Thomas tested for HIV.
  • He keeps Ralph's name out of it, and says he wants his own doctor to do it, too.
  • He reminds her of how that guard kicked him in the nuts, and he has the documentation to prove it. Ah, blackmail.
  • Dominick gets a call back from Dr. Hume, the chair of the security board, so he blackmails that guy, too.
  • Later, Sheffer comes by to talk to Dominick about Duane Taylor, the guard whom Dominick saw withholding cigarettes from Thomas.
  • He's not just a jerk, he's also a serial rapist—an HIV-positive serial rapist: "As much as a quarter of the population at Hatch may be HIV-positive" (40.95). Yikes.
  • Dominick brings his own doctor down for Thomas's physical. He's HIV-negative, but he has been raped.
  • Dominick convinces Leo to pretend to be an attorney, and the two pay Dr. Hume a visit, blackmailing him (again) to letting Thomas out.
  • He's free, and the first thing he wants to do is visit the Falls.
  • They reminisce, then visit McDonald's for lunch with Leo.
  • Thomas has to stay with Dominick until Sheffer finds a place for him at Hope House, a home Thomas has stayed before.
  • Dominick drops him off and says he'll see him tomorrow. Famous last words…
  • He gets a call that night: Thomas is missing.
  • They find him. Well, they find his body in the river. He'd plummeted from the Falls: "Whether Thomas had jumped or fallen in, none of us could really say" (40.240).
  • Dominick prepares for Thomas's funeral (this all happens really fast) and drinks with Ray and commiserates over Thomas's death.
  • Too drunk to go home, Dominick flops down on Thomas's bed and falls asleep.
  • He wakes in the middle of the night with a memory from when he was four years old: the first time he realized that he and Thomas were separate people.
  • Thomas had scarlet fever; Dominick did not. He realizes "Thomas is sick and I am not. He's asleep. I'm awake. I can save myself" (40.303).