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Simone Biles overcame the kidney stone pain to help the Americans but guarantee them a team final place at the World Gymnastics Championships in Doha.
The ten-time world champion made a sparkling performance, scoring 60.965 on all four devices, less than 24 hours after being hospitalized.
"It's crazy, I came back from the emergency around 1 am and they found out I had a kidney stone," Biles told BBC Sport.
"But the pain is pretty good right now."
She added, "I'm excited about how the day went and we'll keep morale high for the team final and the all around."
The 21-year-old was returning to international competition for the first time since she had won four gold medals at the Rio Olympics in 2016, and also since she's 39, was touted to be a victim of sexual violence. .
"Before leaving tonight, I thought I could not believe it was already Worlds," Biles said.
"I feel like I would not even have imagined starting a year ago to train and come back, so it's a little crazy that I'm here."
Based on its participation in Doha, Biles is also expected to win a fifth full title in the women's record standings.
His safe was the highest of his four devices, with 15.966 for his first and 15.366 for his second – which was also a new unique skill executed for the first time in a major competition.
Biles' floor routine was just under 15.333, while the uneven bars (14.866) and the beam (14.8) were also among the best scores in the competition.
"I never think about [records] until I see people mentioning them on social media, "she said.
"I'm just trying to focus on my routines and what I can do to benefit the team."
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