When I finally coughed it up, it was no bigger than the head of a pin. It was a minuscule bit of cheeseburger that I had accidentally aspirated while polishing off dinner over Futurama re-runs. All that panic over something so small; all that terror in such a tiny package.

All day, I’d been telling myself to attempt to walk the four hundred yards to the beach. I’d been going to pulmonary therapy for a couple weeks, so I was trying to push myself physically in ways I wouldn’t have before. I’d decided to try it after I swallowed that last bite, so maybe I was rushing it a bit.

I have to pay unusually close attention when I swallow –even just saliva– because I have to time it carefully with when I breathe –to which I also have pay unusually close attention.

It’s a dance that feels increasingly fraught as my disease gets worse. Nearly every breath feels as if it’s the first one after staying underwater just a bit too long, so I don’t have a lot of time to play around if something goes awry.

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