"was one of the best quacks money could buy." Hmm, that says a lot. Has he tried Metamucil, or maybe just adding more fruit to his diet?
I'm still confused by the ending and none of the comments have helped.
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Fruit might hve been rather beneficial but then everyone surely knows that a gentleman doesnt eat fruit!
I suspect that Old Boomy, feeling much more back to his normal self just couldnt resist murdering the cyclist just because, well, because he loves murdering folk!