James is Susannah's younger brother. Despite their five-year age difference, they're very close. When Susannah becomes ill he's midway through his first year at college, and Mom and Dad keep the severity of Susannah's illness from him. They only allow them to speak on the phone after Susannah has been in the hospital for several weeks, and hearing how difficult it is for Susannah to speak makes James cry. When Susannah is released from the hospital and James comes home for the summer, he spends much of his free time with her and drives her around. He talks about bands and movies, something that she used to do but can't anymore.