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He's alone on an island.

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"Was he dying? His stomach churned, and the word threatened to turn black."

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"Every movement, every breath tortured him.

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What's happening is cole is being attacked by the Spirit bear, which actually isn't isn't a spirit. He's struggling to move while he's bleeding

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The setting in this page is on an island, surrounded by water, by himself during the day.

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The mental image the page gave me was the bear standing over Cole & Cole just laying there helplessly, not being able to do anything but lay there & bleed.

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"Waves of nauseating ain flooded through h