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According to Merriam Webster, the medical definition is a preparation of pulverized tobacco to be inhaled through the nostrils, chewed or placed against the gums

There is hardly a sentence of this parodic caper that lacks Joyces own tonethe compacted incantation, the impelling commaless lilt, the love of rubble that turns history itself into a stream of trash

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After COVID-19, she saw the health impact disproportionately affecting the Navajo Nation and the underserved communities in this country which furthered her resolve to be an Epidemiologist in the future