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there are times when i want what i say to be taken very literally and there are times when i want what i say to be taken very metaphorically / poetically / symbolically and i haven't figured out how to communicate accurately which times are which
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I think you should have a sign with you at all times. One side has a picture of a medical textbook, the other is a unicorn. Then you just hold it up after you are done speaking with the right side facing your audience.