|This is very sad, but sweet, and written with the right amount of empathy to really put the reader into the shoes of your protagonist. There are a lot of parts which I really enjoyed.
He was balanced on the edge of his chair trying to look professional and empathetic, but he appeared to Malcolm to be trying to hold back a wall-shaking fart while sitting in church This is a very apt way of describing the doctor, and puts an image of him in our minds. It helps us to see both how he looked, and how he was feeling about the whole thing, showing his discomfort. It also has a slight humour to it, showing that even when he knew the worst news was coming, Malcolm could think of something slightly positive and uplifting. Finally, it reminds us how humans notice the funniest little things especially when they are highly emotional.
For two years he rotted away while the doctors pumped him full of radiation and toxic medicines This image has none of the light tone of before, and shows that Malcolm has a despairing side too. It is however a good image (if slightly disturbing) because it shows the audience what it is that Malcolm fears and why he, in the end, chooses to end his life.
With cancer, you carried it within you, invisible and totally unstoppable I liked this line too because again it shows the cause of his fears, a sudden lack of control over his life.
A couple of little things that niggled me reading this story (they were only very small, it is almost flawless) were:
Firstly: Your second line It's always been the case for Malcolm Waters always felt slightly gramatically incorrect, I'm not sure why. I feel it would read better, and form a better link to your first sentence, if you said This had always been the case for Malcolm Waters.
Secondly: Again a minor point, but maybe a little too much boating vocabulary in this: hoisted a Genua EPIRB canister remember the majority of your readers will not be boaters.
Apart from that, it's a great story that I enjoyed reading. Well done!
My review has been submitted for consideration in "Good Deeds Go Noticed" .