"Why so depressed, Pamela? Is the weight of your gigantic medallion making it hard for you to stand up? We all wear them, Pamela! It's traditional! And you can use it to open bottles and change tires! No, Pamela, I don't care if you're a size 0 and can't wear any fabric heavier than organza for fear of bone fracture... you're not allowed to wear a daintier medallion! Hmm? There's something else? What-- your shoes? Well, of course they're orthopedic! Why wouldn't they be? They symbolize our great demon lord Azazazazel's fallen arches! Now put on your neckbrace and stovepipe hat so we can start the ceremony!"