[exDemMom]

Is the distinction important?

Either way, his brain is squirming like a toad.

That song, Riders on the Storm by The Doors, was based on a real serial killer. Whose brain was squirming, the way Nick Reiner’s brain was squirming.

[hecticskeptic]

Is the distinction important?
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Always..... the first step is always to correctly identify the problem.