The story is set up as the narrator's explanation for why a "draught of cool air" is the most detestable thing to him. The tale opens up in the spring of 1923 with the narrator looking for housing in New York City, finally settling in a converted brownstone on West Fourteenth Street. Eventually, a chemical leak from the floor above reveals that the inhabitant directly overhead is a strange, old, reclusive doctor. One day the narrator suffers a heart attack, and remembering that a doctor lives directly above, heads there, culminating in his first meeting with Dr. Muñoz
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