The Bottom

From Spiral's End: Hepatitis C & Me by Smith, Jared Bryan
The author's multiple bottoms, culminating in the hospital admission and the morning their child found them unconscious.
Spiral's End, Chapter 2

The hospital scene the author calls 'the bottom with a trapdoor underneath.'

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Spiral's End, Prologue

The framing image of the spiral tightening, used throughout to describe the descent.

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