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Ethan notes that the "special massage" has evolved. It is no longer a therapeutic intervention but a ritual. He told a local news outlet:

Alex grinned and began to gently work out the kinks in Margo's neck and shoulders. He used long strokes and gentle pressure, just like he had learned from the videos. As he massaged, he chatted with his mom about his day, asking her about her work and listening attentively to her responses.