modus_ponens 
Seems like a lack of medical license was a surprise for somepony :D
Uploaded by Muffinz 
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+-SH semi-grimdark38226 +-SH artist:muffinz141 +-SH oc1015388 +-SH oc only743219 +-SH oc:fatal fix9 +-SH bird15850 +-SH dove153 +-SH earth pony554452 +-SH pony1718946 +-SH dissection43 +-SH duo211351 +-SH glasses97301 +-SH hat135586 +-SH headset2591 +-SH heart84894 +-SH intestines660 +-SH medic (tf2)1149 +-SH operating room12 +-SH organs1079 +-SH scout (tf2)1217 +-SH team fortress 27277 +-SH video game6423
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