You know how at the beginning of a lot of shows and movies, someone coughs blood or something into a handkerchief to signal to the audience that person is dying, sick, etc… think The Crown, when the king did or Little Women when the sister that died did or Yellowstone, when John did because he had a bleeding ulcer. It signals to the audience that something is about to happen to that person, something is about to change in the storyline
There are 11 choices on the Louisiana ballot.