Using his fingernails, Duncan began to scratch his arms in a frantic attempt to allow the insects to escape. They were eating him from within. Desperately he scratched harder, digging his nails into his skin until he drew blood. The pain was intense, but the itching of the insects was worse.

Despite the terror of the insects, Duncan stopped his scratching, as he became aware of a new symptom. Holding up his bloodied hand, he noticed that he was shaking. Looking down at himself he saw that his whole body was shaking, and the tremors were getting worse. For a brief instant he thought about calling 911 for help. But as the thought crossed his mind, he noticed something else. He was warm. No, he was hot!

“My God!” Duncan managed when he realized that sweat was pouring from his face. With a trembling hand he felt his forehead: he was burning up! He tried to unbutton his shirt but his tremulous hands were incapable. Impatient and desperate, he ripped the shirt open and off. Buttons flew in all directions. He did the same with his pants, throwing them to the floor. But it was to no avail; clad only in his undershorts, he still felt suffocatingly hot. Then, without a moment’s warning, he coughed, choked, and vomited in a forceful stream, spattering the wall below his signed Dali lithograph.

Duncan staggered into his bathroom. Through sheer force of will he got his shaking body into the shower and turned on the cold tap full force. Gasping for breath, he stood beneath the cascade of frigid water.

Duncan ’s relief was brief. Involuntarily a pitiful cry escaped from his lips, and his breathing became labored as a white-hot pain stabbed into his left chest and ripped down the inside of his left arm. Intuitively Duncan knew he was having a heart attack.

Duncan clutched his chest with his right hand. Blood from his abraded arms mixed with water from the shower and swirled down the drain. Half-falling and half-staggering, Duncan stumbled from the bathroom and headed for the door of his apartment. Never mind that he was near naked, he needed air. His broiling brain was about to explode. Using his final reserve of strength, he gripped the knob to his front door and yanked it open.