Quadrivial Quandary:  Logophiles, Rejoice!  Each day we give you four unusual words.  Can you fit them all in one illustrative sentence?
Quandary Resolution 3286
flannelmouth, medium dead, patina, obscurantism

From my death bed, I instructed my flannelmouthed doctor who had hubristically promised to cure my diabetes: ‘Once you have determined that I am medium dead, in other words not completely dead but unconscious and getting dead shortly, you will cover my mouth with a thick patina of Nutella chocolate spread, and although you may call me obscurantist if you want, I feel no compulsion to explain to you the meaning of such a final request.’

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