I had been sick for long enough that I was worried. Even at my worst I normally catch a bug for 2-3 days at a time and then recover, and this had been going on for more than a week.
Even though I had medical insurance I decided to wait until I was in Canada to access health care. God forbid my insurer decided there was some exceptional reason to deny my claim and I find myself on the hook for thousands of dollars of tests. In one more day that possibility would evaporate.
The pain and nausea were still fairly intense as I rode the Amtrak train to Montreal. As soon as I could, I decided to go find a doctor in Canada.