Trevor’s attitude points to an existential question at the center of my explorations: Of what was Trevor dying? At the most basic level, he died of the toxic effects of liver damage caused by hepatitis C. When the liver becomes inflamed, it fails to filter toxins from the blood and loses the ability to produce vital compounds such as bile and albumin. Without treatment, death comes by systematic deterioration. Jaundice gives way to ascites, which then gives way to hepatic encephalopathy and coma. It’s an exceedingly slow, painful way to go out.

