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A hyperrealistic, highly detailed, fantastical allegorical painting depicts a smiling old man, wearing a black suit and a black bowler hat, with glasses and a white beard, holding an open brown leather suitcase. Inside the suitcase, a human skull with a brain and exposed spine is on the left, next to seven crabs. The crabs symbolize cancer, nestled within the suitcase, while the skull has an expression of pain or screaming. Above the man stands a grand golden caduceus-like symbol with a winged woman, two interwoven snakes, and a DNA helix. To the left, a detailed dark grey column is intricately sculpted with exposed tree roots and a monstrous face at the capital, holding a dark grey crab with handcuffs hanging from its claws. In the background of this column, a modern operating room is visible with doctors performing surgery under bright medical lamps. To the right of the man, another detailed dark grey column entwined with ivy supports a Buddha statue. This column, also sculpted with exposed tree roots, features a waterfall and a jungle with palm trees in the background. The floor is a checkerboard pattern of black and white tiles, with leafy green vines growing over an open book that sits at the man's feet. The book's left