I forgot to add that since Frodo lists those four items-- knife, sting, tooth (GOllum's attack at Orodruin) and the long burden, I think Frodo counts the event as a wound whether or not he is sick on just the anniversary of it. I suspect that it burdens him daily, not jsjt once a year. Otherwise, if he were only "sick" and weary twice a year, could he not stick it out, and stay with Sam?
But-- thinking back to Rivendell:
Gloin: "You were very fond of Bilbo, were you not?"
"Yes," answered Frodo. "I would rather see him than all the towers and palaces in the world."
Perhaps he would have gone with Bilbo anyway, even if the pain had been less. How grim to have to choose between two close friends. And how hard it was on poor Sam.
Whatever Iluvatar wants; but it is hard, sometimes.
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...down to the water to see the elves dance and sing upon the midsummer's eve.
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