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Jerome starts off by feeling uneasy because he had just read a patent liver-pill circular. Scanning the symptoms of liver disease, Jerome imagines he has similar problems,
"It is a most extraordinary thing, but I never read a patent medicine advertisement without being impelled to the conclusion that I am suffering from the particular disease therein dealt with in its most virulent form. The diagnosis seems in every case to correspond exactly with all the sensations that I have ever felt."
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