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(+8)

for people who don't understand, you talk tot he patients and you have to figure out the key word in which you type it into the key and then solve the puzzle. once you solve the puzzle the paper will tell you the cure. so if the patient has sleeping problems, the key word could be "sleep'

(-1)

if the patient has sleeping problems ( and you have already done the puzzle) you the key word for the note is aromatherapy.