Ten of Swords
Not exactly the card of choice prior to a visit to a surgeon. The man in the card has had all he can take and appears to have given up. Some readers refer to the sun coming up in the background as a "sign of hope" but it looks like the sun setting, not rising to me. A rather sad ominous card to be sure. It can also mean running on empty, out of options, hitting rock bottom/great loss.
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