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Previously on Watson...
Detective Lestrade, meet Sherlock Holmes.
-Aren't you gonna say something? -Say something to who?
There's no one there.
This is a hallucination.
I cut back on the meds I was taking, and obviously,
that was a mistake.
But you know what? As soon as I go back on them,
away you go.
Goodbye.
You good over there?
Feels like something's been going on.
Go on. Tell her.
-You're supposed to be gone. -What?
John!
Do you know who left this on my desk?
- He here yet? - No sign.
Maybe he put it here.
I mean, there's no patient information
anywhere on the scan. A cryptic message.
Seems like his wheelhouse.
Is he here yet?
Nope.
Not unless he left a CT scan on Ingrid's desk.
Scary.
A mass on the temporal lobe. I'd call it terrifying,
but if I don't know who this is, what am I supposed to do?
-Maybe he put it there? -Exactly what I was thinking.
If this is some kind of test,
I hope it doesn't take very long.
I got exactly one hour.
Lauren and I have an appointment with her OB.
Hey, Brenda, is he gonna be here soon, or...?
Where is he?
I'm just the interim receptionist.
I am not a babysitter.
If the man isn't here yet, that is his business.
Go on, make yourselves busy.
-Morning, sir. Welcome back. -Hey.
Man of the hour. Conference room's ready.
You're all here. Excellent.
You're not exactly on time, Holmes.
How can I be late if I've been working?
Been having a look at your new patient.
I didn't know we had a new patient.
Well, she doesn't know you're her doctors yet,
so everyone's on equal terms.
We'd better get started.
Loads of work to do before Watson gets back.
Regan Anson.
The streak in her hair is striking,
but incidental to our purposes.
We work with John Watson. We know about white forelocks.
Well, that's wonderful.
Miss Brenda was kind enough
to help me with this morning's presentation.
She helped me with the facts and
critiqued my grammar on occasion.
You use too many expensive words.
It's a beautiful language, Brenda. Let's revel in it.
Regan Anson was admitted to UHOP last night.
She complained of shortness of breath,
and her friends noticed a strange bronzing of her skin.
This was all before she collapsed
and hit her head on concrete.
Right now, she's sedated
until the swelling in her head improves.
Can I clarify one thing with you, Holmes?
You're not a doctor, all of a sudden, are you?
I'm a detective.
There are those that call me the world's greatest detective,
but you know, labels. I find them tiresome.
I'm sure that's exhausting for you.
Indeed.
Regan Anson, our current patient,
is tied to "Mister A."
"Mister A"? Is that a code name?
A nickname. It refers to Malcolm Anson,
Watson's chemistry teacher at secondary school.
The man changed the course of your mentor's life.
The way Sherlock tells it,
Mister A is responsible for Watson becoming a doctor.
He is responsible for Watson becoming Watson.
Surely, you've all had a teacher like that?
Mr. Topp.
-Mr. Topp. -He, um, kept me after class
and told me to stop hanging out with Andrei Plotnikov.
Mister A was that man for Watson.
Their relationship lasted well beyond his school days.
So far beyond, in fact,
that Watson asked Mister A to be his best man.
Why do they call me "Mister A"?
I guess it's because I'm such an easy grader.
That's a lie. John says you never give an A.
Yeah. Mm-mm.
I will let you all judge the truth for yourself.
But to my credit...
when John Watson
walked into my classroom,
I knew exactly what to do.
I encouraged him to apply to CMU early,
and I watched with pride
while he graduated from college at 19.
You know,
you do this job,
being a teacher,
because you hope that someone like John
might cross your path once
over the course of your career.
And that wish came true for me.
I got John,
and I saw him.
And now,
tomorrow...
I see him
married off
to someone just as impressive as he is.
To John and Mary.
A toast.
I'm sorry.
To be continued.
Please drink.
To John and Mary.
Cheers.
Mister A.
-You all right? -Sorry.
I got something from Regan when she came home from camp.
But I'm okay.
-I'm gonna finish that toast. -No, hold on, hold on.
- Let me examine you. - Oh, s-stop.
- I mean, I'd be honored, but... - I'm fine.
Let's do this.
Malcolm!
Malcolm? Malcolm?
Where is Watson?
I mean, you say he'll be back soon, but
forget the name on the door, he runs this clinic.
Where is he, and when's he getting back?
To be perfectly honest, I have no idea.
He's off somewhere. I can only assume he's thinking.
He's taking various elements
that are floating around his subconscious
and assembling those into a coherent theory.
Now, do all of you have some reason
not to let the man think?
Adam, I think you're needed in the bullpen.
- Hi. - Hey. You okay?
I think so. Maybe. I-I don't know. I-I just,
I felt weird at work, so I Ubered here, and I...
I know we have our appointment with Dr. Malena later, but
I don't feel right. You think we can head there now?
-Of course. -Okay.
The case of Mister A
was Dr. Watson's greatest unsolved mystery.
Uh... Your second boss here proposes that we have an answer
waiting for the man when he gets back.
If we solve the case of Mister A,
then I believe
we also find a cure
for whatever's plaguing his daughter.
Now, whichever one of you
makes the greatest contribution to solving this case,
you win the chance to come to England,
to take a rotation at the London Royal Hospital
for two months while studying my methods at Baker Street.
Do you have a problem with studying at Baker Street?
Studying? No problem.
Living? It just feels a little man-centric.
Potent smells.
Crusty towels.
For the record,
my towels are clean.
But you don't have to live at Baker Street to study there.
What is that leak?
Is it hot in here?
It's boiling.
Must be something wrong with the thermostat.
Someone will come along and fix it, I'm sure.
It's quite good training, when you think about it.
The temperature can be quite uneven on Baker Street.
And again, we are dubious about staying
in the Watson-Sherlock love nest.
Why are you moving that?
That's someone who's actually sick right now.
Are you sure about that?
There's no identifying information on this scan.
Could've been taken anytime.
Okay.
The famous Mister A,
he was sick all the way back in...
2010.
So, after Mister A collapsed at the rehearsal dinner,
Dr. Watson brought him to UHOP.
He was a 43-year-old man
who had recently lost almost 30 pounds,
but he still had hypertension and type 2 diabetes.
Put yourself in Watson's shoes.
It's the night before your wedding,
and the best man's just collapsed.
How would you solve the mystery of Mister A?
We'd start off with a CBC with diff.
After that, you'd want a CMP, an EKG,
chest X-ray, and blood cultures.
Perfect analysis.
That is precisely
how Watson treated Mister A that night.
-Full marks. -Of course we get full marks.
We're doctors. You're just...
Well, "just" a detective seems dismissive,
but in this context, you are just a detective
who spends half his time in London and half here.
In this context, I'm the only one who knows the full story.
So, that makes me better than a doctor.
That makes me omniscient.
Odd thing about that night back in 2010,
Watson was concerned with diagnosing his patient.
Mister A, well,
he had other priorities.
You're the best student I ever had.
I have to get to your wedding.
You know, I owe it to the universe.
The universe.
Okay, listen, I might be the best student you've had yet,
but think about your current students.
Is there anyone who is showing some type of promise
to beat the great John Watson?
Well, that is a tall order.
Oh, trust me, nobody knows that better than me.
Amber Zevi.
She's quiet, but honestly, she's pretty damn good.
Okay, see, that's what I'm talking about.
Amber Zevi might leave me in the dust
by the time everything is said and done.
I doubt that.
Look, might be unlikely, but who's to say?
We have to get you back to your classroom
because whoever that person might be,
they might not make it to half their potential without you.
I want to be at your wedding, John.
And I want that, too, but I'm not gonna let you leave here
until I know what's wrong with you.
Listen, you trusted me enough to recommend me
for early admission to CMU, right?
Trust me when I tell you,
you're right where you need to be.
Have I told you you look absolutely ravishing?
A couple of times, but mind you, I'm not asking you to stop.
Good. You look absolutely ravishing.
Thank you, Mister A.
I'd love a word with my fiancรฉ in the hallway.
You should see this.
His heart's enlarged.
The EKG also shows left ventricular hypertrophy.
Acute left-sided heart failure.
That's exactly right.
Mister A was a mostly healthy 43-year-old,
making positive changes to his lifestyle, and yet,
in heart failure nonetheless.
Anything from Adam?
Mm-mm.
Look at those beautiful babies.
-So they're okay? -They're thriving.
You should take it easy.
There's no such thing as working
right up to the birth of triplets,
but they look great to me.
I shouldn't have gone into work today.
Like I said,
it can't hurt to slow down.
I just want to check one more thing.
Maybe you can get her home?
I'll bring my car around.
If you want to file a brief from the couch, no problem.
Let's get you somewhere you can rest, okay?
Okay. Wait, Adam.
Look.
Those are our babies.
Hi. I'm here to pick up my fiancรฉe, Lauren Confalone.
You can have a seat, Dr. Croft. She'll be right out.
Thanks.
Blue team to Women's Health.
Blue team to Women's Health.
Coming through. Clear the hallway, please!
Right over here.
-All right, let's move. -Get one just in case.
All right, everybody, let's keep it moving.
Hey, is everything cool? It seems like
people are rushing in there.
Lauren might be having contractions.
-Wait, contractions? -We're worried
she's in preterm labor,
so we're transferring her to a birthing area.
Uh-oh.
Last time I had one of those things,
I was getting a root canal.
You're not gonna give me a root canal, are you? Okay.
Excuse me, Dr. Watson.
Hey.
Is my dad gonna be okay?
We're working to help him, Regan.
Now, Regan Anson may be your patient in the present day,
but on the night before Watson's wedding,
she was just a girl who was convinced
she'd put her father in hospital.
Why would she think that?
So when did you get sick?
I got really sick while I was at camp.
About three weeks ago.
I was supposed to stay for the whole summer,
but my fever just kept getting worse.
Did the doctors tell you what was wrong with you?
They gave me these gross pills.
They called it a Z-PAK.
Antibiotics. Did they help?
I had to go home from camp.
Dad took care of me.
Felt better after a few days, but then,
he got it, too.
He didn't feel better till maybe a week ago.
Hmm.
Is that a good thing?
Is that a good thing?
As regards the long-ago conversation
between young Regan and Watson,
a theory sprung from that. It's funny.
One never quite knows
when the spark of inspiration will kindle.
Why are you all looking behind me?
I'm not the only one who saw that, right?
Pretty sure they're all looking because of that.
Huh.
Watch those flames!
-I'm almost through! -Let's go.
Don't worry about the roof. We got to get them out.
Give me a hand. I need help with this door!
Keep going. Come on.
We don't have much time.
Come on, get them free.
This can isn't enough. We need a handline down here!
Where's the engine company?
Captain, we can't contain the fire.
I need everybody clear of this car!
Clear it out!
Get clear now!
Watson never makes us espresso.
Constantly reminding the man to build
little pauses into his day.
It's those moments of letting go
that clear space for inspiration.
What's up with the flashing lights?
Sometimes, a solution comes from the most unlikely of sources.
No, seriously.
There are no ambulances, no police cars.
What is that light?
What is that light?
Let's go. Let's go.
We got to move. We got to move.
Prepare for transport.
Is that more to your liking?
Hold up. You said the solution could come from
the unlikeliest of sources.
That sounds like Regan Anson was right.
Something contagious caused the collapse of Mister A.
Yeah, and if the antibiotics didn't work when Regan got sick,
-that means that Mister A had a virus. -Mm!
This isn't reception year, Doctor.
Do speak up.
Viral myocarditis.
I believe your heart failure is caused
by an inflammation of your cardiac muscles,
that's a direct result of your viral infection.
So is this... h-heart disease?
Not exactly.
I think you got it from Regan.
Her flu in your body,
and you combine that with your preexisting
diabetes and hypertension,
all of that together gave you an enlarged heart,
and that led us to tonight.
But this is good news, Mister A.
If I'm right, in time, you'll have a full recovery.
And if things go well, you'll even be able to work out again.
"In time." You're getting married tomorrow.
I have a job to do.
No, my brother can fill in.
Now, we may get a sax solo
instead of a speech, but we'll be just fine.
My speech.
Can you h-hand me that bag, please?
You should have this.
Put a lot of thought into it,
but I think it's...
worthy of the man.
And the woman.
Well, I'm sure it's-it's perfect,
but I don't want to just read your speech.
John.
So you want to get married twice?
People who elope do it all the time.
Once for themselves, once for the family.
We'd be doing it once for the family, once for Mister A.
We finish up at Willowcrest Gardens,
we drive over here with Father Ray for round two.
So you already talked to Father Ray?
He's up for it. I mean, of course he's up for it.
It's Mister A.
Guy wrote a whole speech.
I don't see why it should go to waste.
Thank you.
Are you kidding me?
I get to marry you twice.
I'm the one coming out ahead in this whole thing.
You okay?
Can I have that?
I don't know why I got it.
Sherlock made espressos for everyone.
So, um...
Lauren's carrying three babies.
Two identical twins. One fraternal.
The identicals, um,
two girls.
One of them, she's-she's not getting the blood she needs.
She's not getting enough nutrients.
Twin-to-twin transfusion syndrome?
Yeah.
So, now Lauren has too much amniotic fluid.
The polyhydramnios is causing preterm labor.
If we had caught it earlier, we could've done something.
Put Lauren on bed rest.
But now, they can't stop it.
Lauren is 28 weeks?
Lung complications. Brain complications.
You must be scared.
My kids could die.
Lauren could die. I am terrified.
But I know what I need to do.
Pretty much everything here is out of my control.
The only thing that is within my grasp,
my own behavior.
How I act around Lauren. How I make her feel.
I have the easiest job in that room,
and no matter what happens in there...
...I am not gonna fail at it.
You're staring at me.
You're different now.
I'm gonna be a father. I have to be.
I hope like hell I'm gonna be a father.
So, it's either change, grow up,
or run away.
I can do this, right?
I think you definitely can do this.
You're still staring at me.
I'm sorry.
I'm just so proud of you.
That must feel weird.
It feels very weird.
Who took my scan?
Huh?
My scan.
The one with the ominous mass.
It was on the white board.
Sherlock put it on the glass wall. Now, it's nowhere.
The scan came into your life a mystery,
and now, it leaves the very same way.
I know you did this. All part of some bigger test.
I can assure you it had nothing to do with me.
Now, I asked you to consider
the case of Regan Anson and her father Mister A.
I haven't heard much about a case at all.
How's Lauren?
She's in labor.
They can't stop it. It's a waiting game now.
Oh, poor girl.
We've all heard a diagnosis of viral myocarditis.
Plenty about speeches and toasts.
But as far as something that needs solving,
-I don't hear much. -You are quite right.
Like any good storyteller, I took my time with the setup.
I wanted to be precise,
to give you all the details you need.
And now, we have arrived, finally,
at the moment of crisis.
Brenda?
It's here. Watson and Mary's wedding day.
Please take each other's hands...
...and repeat after me.
In the name of God,
I, John Watson...
In the name of God, I, John Watson...
...take thee, Mary Morstan, to be my wedded wife.
...take thee, Mary Morstan, to be my wedded wife.
I swear to hold your butt
and to always smell every single smell
that comes from your butt.
I don't think that's part of the ceremony, Regan.
Dad? Dad!
Get help, get help.
Help! Help my dad!
For richer, for poorer.
For richer, for poorer.
In sickness and in health.
In sickness and in health.
To love and to cherish
until death do us part.
- To love and to cherish... - Dad!
...till death do us part.
Viral myocarditis
wasn't the answer at all.
When it came to his mentor,
John Watson--
the best man I've ever known
and the doctor who inspired you all
to work you never thought possible...
...was wrong.
Dr. Watson?
Hey. Regan.
I'm sorry, Regan.
What are you doing here? You having trouble finding your mom?
No. I told her I have to talk to you.
I have a question.
-What is it? -My dad.
Did-did he die because of me?
No. No, Regan, none of this is your fault.
None of it.
I was sick first.
I gave the sickness to him, and then he died.
I killed him.
Regan, if... if you have to blame someone,
you can blame me.
I was wrong about what made your dad sick.
-It wasn't a virus. It was... -What?
If it wasn't me, if it wasn't a virus, what was it?
I don't know.
I don't know what it was
that caused your dad's heart to give out,
but I promise you I will do whatever I can
to get you the answers you deserve, okay?
I wish I can bring him back, Regan.
I'm sorry.
I'm so sorry.
I wish I can bring him back.
I'm sorry.
Regan's question is one Watson's never been able to answer.
He still thinks about it at night,
when his mind refuses to switch off.
It knocks around the corners of his conscience
even as the demands of living patients
relentlessly overshadow the one who passed away.
On his wedding day.
How awful.
That was supposed to be the happiest day of Watson's life.
It's tragic.
But we have the opportunity
to lighten Watson's burden.
We can give him a gift
he hasn't even asked for--
the solution.
Where should we even start?
I mean, I could pull up Mister A's...
No. Why should we participate in an academic exercise
where the sole objective is alleviating Watson's guilt?
This is no mere academic exercise.
A life still hangs in the balance.
People, dial in.
Identifying what killed Mister A will save Regan
and any future children, so
let's have an answer waiting for Dr. Watson when he gets back.
Back from where?
We don't even know where Watson is.
Isn't that the problem that we should solve first?
Solve the problem that lies in front of you.
The solution to every mystery is the end of a story.
You have all the details Watson had,
and the confidence of the man himself.
He sees greatness in all of you.
Just like Mister A
saw greatness in him.
Well, let's try not to let him down.
Both of them.
Ingrid?
I'll do it for Regan.
And to beat Watson at his own game.
Let's reexamine Mister A's diabetes.
Yeah, something about that's been bothering me.
He was in good shape, making healthy lifestyle choices.
What if his diabetes diagnosis
was caused by something unknown to Watson?
He could've had an underlying condition,
one that explains his heart failure, too.
Diabetes can be caused by poor diet, underactive thyroid,
-iron buildup in the pancreas. -Wait, iron buildup.
That can affect skin color, which could explain...
Mister A's tan.
He thought it was from exercising in the park, but
what if it was just iron building up in the body?
-And his heart. -Causing cardiomegaly.
Okay, so Mister A's iron buildup
is what caused his heart failure and diabetes.
What caused the iron buildup?
You know, the bronzing should have been my first clue
when Regan was admitted with the same symptom...
Sick of the kids already?
Hardly.
You know, they really are quite extraordinary.
I'd expect nothing less from Watson.
Could you pass him a message once he gets back?
Shoot.
Tell him...
...I love him dearly.
And that I miss this every bit as much as he does.
Not what I was expecting, but...
okay.
So you're not gonna stick around and see how it all ends?
No, they have everything they need.
They can take it from here.
I'm not a doctor, after all.
I do, however,
have a line in well-timed exits,
and my instincts tell me that now is the time
for me to step out of this particular tale.
-Bronze diabetes. -Hereditary hemochromatosis.
Ooh, fight.
Two names for the same condition. You know that.
I know, but I still want to see you two fight.
Two names for the same condition.
A condition that could've been treated
with therapeutic phlebotomy.
If Watson got the right diagnosis,
Mister A's death was preventable.
Yeah, too bad leeches weren't on Watson's wedding registry.
You brought up bloodletting.
Don't get squeamish about the implementation.
Watson was too late for Mister A,
but we can still test Regan to confirm.
She was admitted to the hospital with elevated blood sugar
and bronze skin, so bronze diabetes.
Or hereditary hemochromatosis.
And we officially beat Watson at his own game.
Where's Sherlock? I'll tell him the good news.
Holmes! Sherlock?
I just hope this doesn't hurt Watson.
We just solved the case that's been keeping him up
for 15 years.
I think he'll be relieved.
Or he'll beat himself up for another 15.
At least we won't be too late for Regan.
It's terrifying what you can pass down to a kid
without ever knowing.
Those kinds of fears used to paralyze me.
Seeing what Adam's going through...
I think I'm finally starting to understand that maybe
no one ever feels ready to be a parent.
You can't be. Not for everything.
You have to just...
give yourself over to it.
To this thing that's bigger than you.
Are you saying...?
I've wasted enough time being stuck in my own head.
I think I want to be a dad.
What's 606? Which one of you put this on my desk?
It was gone. Now, it's back on my desk touching my things.
-Ingrid, seriously... -It wasn't us.
Was Adam back here?
No. Adam's still with Lauren,
but you should definitely bring this paranoia up in group,
if they ever let you back.
Oh.
Adam. Finally.
What'd he say?
"I need you."
Let me guess.
There are six babies in there instead of the three,
and you need to use all the family names.
...husband and wife.
Dad!
Oh, my God. John? Can you hear me?
-It's Mary. -Yep. I can hear you.
You were in an accident.
They pulled you and Laila from the car.
- Where-Where's Laila? Where is she? Don't move.
You need to stay still until fully examined.
They think you may have dislocated
your shoulder in the accident.
We don't think the shoulder will require surgery, but...
Mary, just tell me
where's-where's Laila?
Her condition is serious.
Laila hasn't woken up yet. Her liver is lacerated.
They're prepping her for surgery.
What are you doing?
I'm... I'm getting out of this thing.
John, you were in a serious accident.
Your car blew up. You need...
Well, first of all, you need a CT scan
to check for a brain bleed.
I got to take care of some things first.
-"Things"? -Oh!
Listen to me, when I was unconscious,
my brain-- I don't know-- it was...
it was working. It was, it was making connections.
I have to talk to Adam. I have to...
got to see Regan Anson before she wakes up.
Regan Anson?
Mister A's daughter?
She's a patient here at UHOP.
She was admitted to the hospital
right before I took that drive to Ellwood City.
Wait, wait, what...
What OR is Laila in?
Watson?
Whoa. Are you okay?
I heard you refused a scan.
Yeah, things are going well down there.
I think Laila's gonna be okay.
Are you even listening?
You need a scan, like, now.
This moment, not another.
I already know what it's gonna say.
- Wait, how do you know? - Adam.
Lauren's pregnancy belly
is bigger than it should be at 28 weeks.
-She's carrying triplets. -You also mentioned early satiety.
She's eating less because she feels full early.
She's having trouble sleeping. She's uncomfortable lying flat.
Yeah, she's carrying triplets.
Get in to see your ob-gyn first thing.
I'm concerned about polyhydramnios.
Could cause preterm labor.
I'm gonna go see Regan Anson.
Who's Regan Anson?
That's right. I...
dreamt the part you diagnosed her.
You guys were good, though.
Doing your laps?
When you wake up from sedation, they make you do ten laps
around the hallway to prove you're ambulatory.
This is number seven.
I want to get home.
Do you remember me, Regan?
I never forgot about your dad.
I think about Mister A all the time.
Is that what this is?
Do I have what he had?
I think you do.
But that's not a death sentence. It's not at all.
I was wrong about what happened to your father.
I believe he had something called bronze diabetes,
or hereditary hemochromatosis.
It's one of the most misdiagnosed illnesses there is.
Regan, I'm proud about what I do.
I'm vain about it even. But that one?
I just had it wrong.
I'd like you to do a genetic test.
We'd like to take a look at your Bm96 gene.
And if you're right about this? If I have...
bronze diabetes?
It's a surplus of iron. It can be managed,
and when your symptoms flare up,
we'll be able to treat them with a therapeutic phlebotomy.
You're gonna be just fine.
You have a family, Regan?
Yeah, one son.
Malcolm.
And what do you do now?
I'm a high school chemistry teacher.
Well, that makes me very happy.
You were gonna say something.
Before the crash.
You were gonna say something.
Well, that definitely can wait.
You had a liver laceration.
Mary did the operation herself.
Your post-op labs, they look good.
You're gonna be fine.
Oh, and Micah is with his dad.
I'm gonna bring him down here as soon as you're ready.
And what about you?
My shoulder. I have to go in for imaging.
I know.
I know, but...
When I was unconscious,
I had a...
I don't know if "dream" is the right word, but...
I had all these things swirling around in my head,
and they all just kind of came together.
Hmm.
Was I in it?
John, what are we doing here?
You're all staring at me.
Adam took Lauren to see Dr. Malena.
Lauren was in preterm labor from polyhydramnios.
But... they were able to stop it.
Now, she's on bed rest.
You might've saved those babies.
I'm just glad they're taking precautions.
Well, it's been a long day, so...
I'm thinking about taking tomorrow off.
Sure. No problem.
Also, see you in the morning.
Stephens.
Not to put my spoon in your soup, but
I think you'd be a good father.
We all need to get outside of ourselves.
We all need to connect to something bigger.
Are we sure that man is human?
I mean, like, human human?
John.
Your, um, CT scan.
I already know.
You know, it all makes sense now.
I mean, that's why he was here. That's why I was seeing him.
That's why who was here?
Sherlock Holmes.
I was seeing him because of what you see in that scan.
That's also why he was here, if that makes sense.
Why it was him.
Who's gonna help me see the truth,
if it's not my best friend?
And what's the truth?
Come on.
You know that already. You're the one holding the scan.
Can I?
I have a tumor inside my head.
I have a brain tumor.
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