There is something about 'Ayanna' that I do not understand

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In the book "Just After Sunset" is a short story called "Ayanna," where the storyteller's father is dying of pancreatic cancer. I'm not going to go into the details... I just do not understand what happened when he said that his father died because "he choked to death on a piece of steak." That story on that piece of steak and how he choked to death on it was never told...