Strange

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only thing on my differential here is small cell carcinoma of the left lung
 
I'm afraid that I'm going to need a lung biopsy, a CXR, and some spirometry data. Do you have insurance?

Oh yeah... "I see that this must be something that is really affecting your life. It must be hard to have irritated lungs when you chew on your Pilot PV pen. Is there anything that makes the irritation worse?"
 
uh, don't chew on your pen. You're healed!!
 
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