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Quentin had been diagnosed with renal cell carcinoma about 10 months before, on the day he turned 23 years old. A scan showed a previously-undetected tumor on his kidney had spread to the bones of his spine, where numerous secondary tumors had sprouted. The first noticeable effect of his disease was back pain and soon thereafter loss of feeling and function in his legs and feet, as the tumors caused the bones of his spine to crush in against his spinal cord.
A horrible ordeal of radiation, chemo, and surgical procedures followed, although the doctors knew from the outset that his cancer was not curable. He withstood unimaginable pain, frustration and humiliation at being unable to walk without assistance, hideous side-effects from the radiation and chemo "therapies," and despondency and emotional devastation at knowing that he would not live to see his months-old daughter grow up.
In the end, the cancer spread to most of his vital organs, and the failure of his liver became the immediate cause of death. Have you ever witnessed a person dying from liver failure? As the liver function fails, toxins build up in the tissues of the body and cause dementia of the mind. For several days before his death, Quentin became increasingly incoherent, delusional, and agitated. He was unable to eat, to converse, even to communicate a need so basic as urinating. But he knew he wanted to smoke. His addiction was planted on such a deep level that even the psychotic mania induced by liver failure could not displace it.
His last volitional act was to smoke a cigarette. He did not ask to look at the sky or feel the soft late-summer air on his skin. He did not ask to see his baby daughter's face. He did not ask for his beloved dog, or for his brother, or for his mother. He asked for a smoke.
