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Based on my examination,
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the bulk of her tongue has been removed.
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The anterior margin's jagged and irregular.
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Not a surgical removal.
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What'd they use?
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If I had to guess, a household tool, pliers maybe.
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How recent is the injury?
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Scarring and healing suggests the removal occurred
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at least six months ago.
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Does it prevent her from speaking?
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Well, with that kind of damage,
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I'm afraid she's not going to be doing a lot of talking.