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He told the caller he could see his words.
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And you said he acted like he was hallucinating?
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I think I might know what's wrong with him.
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He has synesthesia.
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It's a neurological phenomenon
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in which two or more senses are triggered simultaneously.
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For instance, someone might associate specific numbers with colors
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or even be able to taste music.
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I think Carl has the form of synesthesia
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in which he can literally see the words that people are speaking.
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Hence the message he left
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"Hear your evil, see your evil."