It took me a while to figure this first chapter out. From what I can tell... Victor and Denny were at a strip club and Victor was describing each of the dancers as if he was a doctor examining his patients. Its weird, but I guess he was in medical school.
Victors mom continues to get thinner, now at only 85 pounds! One day Victor watches the front desk for a girl that works there as she gets coffee. He uses this time to spy on his mother, and pleasure himself at the same time (this is one of the most discusting things I've ever heard, probably worse than the old man/monkey porn).
Victor describes his workplace, where they raise mutated chickens (mutated because they let children tamper with the eggs before they hatch). A lot of the chickens are living with one leg, or one eye, or even no legs or no eyes! It sounds kind of funny, but its also pretty cruel.
The last chapter in this section is another flashback, to when Victors mother worked as a therapist. Oh, she helped her patients alright... But not with words. She basically prostituted herself out, and her little business grew quite popular.
After hearing about Victor's mother, it became clear that being loony runs in the family. Victors mom was probably just as messed up as he is, and now look where she is! She's almost dead, living in the hospital. Maybe Victor should consider that.
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