I did a little thought experiment with that cancer blog I read and went back to the beginning of his experience to see how far I would've made it if I found myself in a parallel situation. I swear I'm not obsessed with his blog or anything, but there is a lot to think about and mull over theoretically about living and dying from what he presents.

He first noticed something wrong with his guts during a road trip in the latter part of May 2014, initially thinking it was a bad omelette while driving out to Chicago. He endured symptoms over the course of the road trip with his brother taking Route 66 (and copious amounts of over-the-counter stomach medicine) from Chicago to Santa Monica, and by the end of May he was back in Seattle. I imagine I would've done exactly the same. If it was physically possible for me to keep pushing on, I think I would have in silent complaint. 

The next milestone was stabbing abdominal pains on June 9 that kept him up all night wondering whether he should go to the ER. By morning he quickly realized going to work was not going to happen and he went to the ER that was three blocks away from his condo in Capitol Hill. He calls it Group Health, but from Google maps (no I'm not obsessing), I think he's referring to the Kaiser Permanente, a west coast health care behemoth with which I'm unfortunately familiar. 

Could I even get to the ER? I was once in a similar situation a bunch of years ago (whoa, dude! That was coincidentally also in September! I didn't look for the post to get the link, but just came across it in the course of things. I call it 911 in that post for familiarity, but here, and most of Asia, it's 119). Five or six hours of excruciating, stabbing abdominal pains that had me laid out gripping my mattress, sweating with the air conditioning on, making frequent trips to the bathroom whenever that seemed to be an option for some relief from the pain. I had my backpack prepared as a go-bag with things I thought I'd need if it got so bad that I felt it was absolutely necessary to make a dash out into the rain and hail a cab for the nearest hospital. But it abated after five or six hours and never came to that. I never told anyone about it, but my best guess is that it was kidney stones which I hear are very painful but no permanent damage after they pass.

I don't know what my breaking point is to go to the ER when enduring that kind of pain, but it's safe to say more than five or six hours. But what if the pain continued and didn't look like it was going to let up? I'm going to assume for this experiment that I make it to the ER, but because I'm me I have to consider the possibility that I wouldn't get to the ER. Faced with needing to do something, no longer being able to endure enduring the pain at home, I might just make my way to the river about a half mile away (possibly less than three Seattle blocks), and I have no idea how that scenario continues. Collapse and die? Collapse and fall into the river and drown? Collapse and someone notices and calls 119? 

But I get to the ER because he did. He had health insurance and I don't, but Taiwan has national health. I don't know how that works nor where I fit into it, but let's say, like him, I don't have to worry about that (my national health card would've been thrown into the go-bag). A CT scan is required. He had a problem lying down for any period of time because of back problems, but I don't. The scan results pointed to needing a colonoscopy and he had to be sent to another hospital for that as an in-patient, but he couldn't just head over there himself. He needed to call someone to go with him. He had to go through his metaphorical rolodex and his younger sister was finally able to accommodate. 

Me?: "Is there anyone you can call?" No. No family? No. Friends? No. No friends? I don't even have a phone. I don't have anyone's phone number, much less anyone with a car. I can't even call my landlord. Imagine if that was where it all ends, lol! But as far as this thought experiment goes, it just may as well be. If in that parallel situation, I suppose they would arrange an ambulance or (more likely) a taxi to transport me (or they might have the facilities to do the colonoscopy), but once the reality of the colonoscopy* became manifest along with the discovery of the mass and the surgery required to cut it out, I would go along only as far they rolled me along that path telling me what needed to happen, and only as long as they actually instigated it. As soon as I could make an escape, out of their sight and their control, it would be endgame for me. If at any point I could say, "I need to go home and think about it" and they let me, that would be it and I'd be gone. If they said, "No, we can't let you go under these conditions", then I'd play along until I could get away. I'm a very patient patient.

* They literally, not metaphorically, shove a camera up your asshole after 24 hours of cleaning out all the shit, literally, with the medical metaphor of Drano and look for anything that doesn't belong there.

Needless to say, there would be no chemo for me. Once a terminal diagnosis is made, I wouldn't do anything to further treatment. I don't know if I would even tell anyone, but stranger things have happened and I just don't know myself well enough to guess what I would do (that's a totally separate (and futile) thought experiment). My hope would be just to have enough time to metaphorically clear my browser history (as well as literally clear my browser history since that seems to be what people do, not sure why), finish up any loose ends and proceed with plan A, involving dying without dignity.