He knows he is ill though, he feels the tightness on one side of his chest as the diseased lung tissue pushes the healthy remainder out of place. The blood on his handkerchief too, is hard to ignore. No one has given a name to the lump- it has not been diagnosed and the die hard smoker wants to keep it that way. Diagnosis leads to treatment, treatment leads to hospital, hospital leads to death. Why not just take the escalator and skip to level four? Less trouble for everyone, and besides, you can’t smoke in hospital.
When the doctor comes to call the die hard smoker sees the concern on his face and he enjoys ignoring it. He is defiantly chipper, to admit defeat and cave in to medicine at this stage would really dent his pride. Much better to stick to his guns: he will grant him an audience and then light a fag as the door slams shut behind. That’s independence. When Charon himself comes to ferry him across the River Styx, the die hard smoker knows what he’s going to do: offer him B and H in lieu of a coin.
I think this piece really encapsulates the stubbornness and pride that many patients feel towards the medical profession. To many, a hospital represents a restriction of rights, privileges and a lack of independence. This piece demonstrates really well the smokers fierce believe in independence and denial of the inevitable. For many, pride fills the fear and in this case, the man’s bravado is directed towards hospitals and doctors in general rather than perhaps accepting his fear of death.”