He has a thorn in his hand.
It points toward the spot in his palm, and seems to be connected to some part of his heart. Even when everything is fine, it hurts him to the core.
The doctor tells him it will disappear.
Even though he knows every word the doctor says is riddled with holes.
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From beginning to end, the one who has always been a compulsive liar is not him, but the doctor who looks after him at every turn.
Theme: I am loathing, daydreams, and longing; otherwise, I am nothing.