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A deeply introspective narrator grapples with his ailments and spiteful nature, revealing a complex relationship with his health and the medical profession. He acknowledges his illness, yet refuses treatment out of spite, reflecting on his past as a rude government official who derived a twisted satisfaction from his behavior. The narrative explores themes of self-sabotage, superstition, and the contradictions of human nature, showcasing the protagonist's awareness of his flaws while remaining trapped in a cycle of resentment and isolation.
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