I have to admit everything he lays out makes perfect sense. It does mean that 100% of the movie is a delusion with Jack / The Narrator (who's real name is Tyler Durden) living out his multiple personalities mostly in a hotel room outside of going to some cancer therapy groups.
Tl;dw
Jack is diagnosed with testicular cancer and his psyche cracks at the prospect of losing his balls
Hes not at the doctor to get sleeping pills, the doctor instead refer him to cancer support groups to cope with his ball cancer
Jack invents three new personalities Tyler (masculine), Marla (feminine) and Big Tit Bob (what he fears he may become after his balls are removed)
Jack's real name is Tyler Durden as evident on the plane tickets he gets from his work
There is no Paper Street house (why would a phone company install a working telephone in an abandoned house?)
There is no fight club and no project mayhem. It's all imagined.
Anticlimactic but all the pieces fit. Unless I mis remembered something.
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Snapshots:
ghostarchive.org
archive.org
archive.ph (click to archive)
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