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During the physical exam, your doctor will use a stethoscope to listen to your lungs, check your heartrate, and measure your blood oxygen saturation using a pulse oximeter

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Among these are the particularly foul smells that develop from long-term exposure to one specific source: smoking cigarettes

There's also a clear bit of incest with his sister going on there

Hot tunes are by: ROT, VERMIN FROM VENUS, FOE, and TERMINAL CHOICE