Jacob is labeled Dr. Death at the beginning of the novel. What does this label say about Jacob’s anxiety? What does Briana’s defense of him say about her own character?

Jacob and Briana exchange letters early in their relationship. Why do you think the author chose letters as a medium for communication between these two characters?

In what ways did Amy aggravate Jacob’s anxiety during their relationship? In what ways does Briana help alleviate Jacob’s anxiety? Why do you think Jimenez explores these different approaches to Jacob’s anxiety?