to do when it is dying: find a suitable neural pathway by which to send a message that can "jump start" the rest of the body back into life. If the person having a real near-death experience can metaphorically send a message to someone appearing in the NDE, she learns (specifically, from a revived coma patient), the person will awaken and survive. Before she can tell Richard Wright about her discovery, she goes to visit Nurse Vielle in the Emergency Room and is stabbed by a man deranged by a drug called "rogue". Before losing consciousness, she manages to say a few words to Vielle, trying to communicate her discovery about NDEs. She finds herself on the Titanic again and races against dream-like obstacles to escape and awaken. Richard Wright, on hearing that Joanna is dying or dead, enters an artificial NDE, thinking that he will find himself in the Titanic and be able to rescue Lander. He instead finds himself at the offices of the White Star Line, where the names of the victims of the Titanic disaster are being read to the public - he is too late to "save" Joanna. He awakens many hours later, and Tish, crying, tells him that Joanna has died. As Richard and Joanna's friends struggle with her death, Joanna herself remains on the Titanic until it sinks, and her memories of life fade away. Richard realizes that Joanna was trying to tell him something before she died (they had discussed the importance of last words), and he tracks down all the people she spoke to before she was stabbed. He learns what Joanna discovered. Before she could reach him, Joanna had told, of all people, Mandrake, "The NDE is a message. It's an SOS. It's a call for help." Grasping her dying message, Richard develops a chemical treatment that he believes can revive a patient. Maisie suffers V-fib and dies, but Richard successfully uses his experimental treatment on her, and she later receives a heart transplant; she will live. Within her final NDE, on an imaginary ship, Joanna finds herself adrift on the water, with some memories still intact and accompanied by a child and a dog which Maisie has told her about from other disasters. As the novel ends, they watch the approach of a ship repeatedly mentioned by Ed Wojakowski. Characters Joanna Lander - A clinical psychologist who attempts to