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Eh, I doubt it's fantasy. I'm going to bet there really is a snake and she just tried to force feed again and then got scared that maybe she shouldn't have done that when the snake didn't swallow them with gusto.
Probably has more to do with being embarassed about doing something people told her not to do before, so she had to come on with a different name and try to get more help. Doesn't seem quite so bad if she would have just owned up to it in the beginning, but to keep it up this long... well... that's where it turns scary.
I really do hope she'll find a different vet, leave the snake alone, and possibly find someone with more experience to help - maybe even take him off her hands.
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