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I think it's important not to forget that Tony was singing the second verse of "Comfortably Numb" last week as he came downstairs to find A.J. depressed and morose on the couch. Carm offers "comfort food."
Tony's dawning in Las Vegas is both his inner achievement (breaking his losing streak by killing Adriane/Christopher) and his confession of the same - "I did it."
Anyone who has to this point doubted that this program is classic literature worthy of comparison to any other classic needs to re-evaluate.