Title, title... Uh, how about November Gale?

Not, er, complete, of course, but I'd like some feedback on this bit here if possible. Oh, and a bit of a language warning is in order, I guess:
He walked out the door. In retrospect, this was perhaps the worst possible thing he could have done. But, as this was currently the present and therefore lacking in 20/20 hindsight, he walked out the door anyway. He couldn’t help it, after all; the proverbial worm in the woodwork had spent the last week chewing away at the foundation of his head, and acute paranoia, coupled with a migraine painful enough to be described as “It Bob hurts!” had spurred him towards the door and the crisp November air at last. He hit the pavement at a near run and set out into the lonely streets.
Lonely, of course, was purely subjective in this case. Dozens of people bustled along and tried to appear busy, and traffic was a stop-and-go affair. Compared to the hundreds usually seen, however, the city looked damn empty. He paid the scant many no mind as he trudged down the street, unsure of where he was going or, indeed, why he was out and about in the first place. He figured something would come to him eventually and let his feet lead the way. They were very good feet, you know, and had never failed to take him where he needed to go.
The wind picked up a bit, and he found himself sticking to side streets. Here was where he first noticed something was off. In a city as large as this, he fully expected to run into drug dealers or other miscreants he passed through back alleys. But there was no one. Not a single, twisted soul jumped out from the shadows to offer him a good trip or to send him on a not-so-good one. He felt, for a moment, like the last man in the world, wandering aimlessly among the wastelands of civilization. The whole thing was… was downright spooky. He pondered it for a moment, unaware that his pain had ceased.
He snapped back to reality as a trash can fell clattering to the ground behind him, and turned around just in time to see the one responsible – or rather, to catch a glimpse of a shadow skittering across the corner of his vision. A sudden burst of intuition seized him: This was the worm, the gibbering bit of madness that had drawn him outside. He had just walked straight into a trap and tugged on the carrot.
The stick was pulled, the door swung shut, and the iron bar came crashing down.