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Hannahs name in her alternate world is Chaya. She often says that she lives in New Rochelle, New York, and her name is Hannah, not Chaya. Not taking her seriously, Shmuel laughs at the idea of Lublin being in America. Most people who know her know Chaya well laugh off her assertions that she is from America. Some people call her crazy and some people call her imaginative and eccentric.
They just think it is just he sickness because she has been sick for awhile