![Hacks’ Paul W. Downs on [Spoiler]’s Sage Advice for Deborah, Why Ava Is Her ‘Dumbo’s Feather’](https://tvline.com/wp-content/uploads/2025/04/hacks-season-4-episode-4.jpg?#)
Girl, 9, had tumour so large it distorted shape of her brain
Esmai’s mother was told to take her straight to A&E after an opticians appointment
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