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Dr.West is an opening skit that acts as an introduction to the track "3 A.M ." The song follows Eminem preparing to leave rehab as he talks to Dr.West. The skit follows a standard checkup but soon Dr.West starts encouraging Marshal to be careless and possibly relapse. Eventually, Dr.West brings up pills in front of Marshal leaving him to go mad and hear Dr.West's voice become demonic. Marshall wakes up and realizes its all a dream and proceeds to go on the murder rampage that is 3 A.M.

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