There's nothing in the story like a Borgesian hint of unreliability here. Not if you know that he's a smart guy and that these are me sick. So yeah, so I'm giving him the benefit of doubt because of anxiety is the disease of freedom. You could read it straightforwardly but the way it's described just doesn't seem plausible to me. Like this seems like a fidget spinner. It'll be something that'll be like it'll be trendy for like two months and then people will just get over it.

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