One Flew Over the Cuckoo's Nest

Why are McMurphy's hands trembling after Martini says "didn't you see them? They need you to see them"

Why would McMurphy's hands be trembling?

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The patients are playing cards and Martini goes into battle mode, pretends he's ready to shoot, and suddenly jumps up with eyes bulging. He scares every man at the table, McMurphy included. Unfortunately, McMurphy was shuffling the deck and sprays them everywhere.


One Flew Over the Cuckoo's Nest/ Page 187