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The native tribes used tobacco leaves for spiritual ceremonies, rituals, and healing practices

If you miss the fleeting hint on the first page, the novel brings it back to this clinical venue at the very end, when Holden makes an overt reference to hispresumably temporarymedical condition

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Today she has to perform over and over in front of the cameras, and it is weird observing her develop as the day passes, watching her way of delivering a song evolve over a few hours in all the ways that other musicians discover themselves and their style over years of teenage preparation