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Kamiya’s refusal to seek help has put the two in a position where even the best amount of communication will still feel one sided. Kamiya constantly pushes his view on the disease without trying to understand why Hitomi would have ever wanted it to happen. He’s so deep in his own self pity that he won’t see Hitomi’s love for what it is. Hitomi needs to step up and speak his truth at some point or else they will continue to have this disconnect. The doctor tried to explain it but Kamiya again rejected it because he can only see his own struggles with the disease. He blames himself and it’s funny because in a way it is his fault. If he hadn’t pushed Hitomi away so much, maybe Hitomi would not have wanted to get the disease as well. Poor Hitomi clearly thought it would be the bridge that they needed, but Kamiya is still drawing a line. Hoping the end of this chapter means he will finally let Hitomi in.