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I think must of us are missing the fact that the second to last panel his 'smile' is a grimace because he has severed the afflicted hand.
I'll let you discuss what is meant by this.
I actually never interpreted it that way - I though it was just showing it getting worse - but that's a good point and you may be right. It could be showing that he "fixed" the problem by pretending it doesn't exist as much as he can around others, since none of them take it seriously anyway. Of course, that won't help anything and will likely make it worse.
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