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- Locke may have sought out a phone operator with the name Helen to try and get over the end of his relationship with the Helen he met in the anger-management class.
- The real Helen may be Sarah's mother.
- Helen may not be dead. Abaddon may have faked the gravestone to convince Locke to return to the Island.
- The fact that Helen died of a brain aneurysm is not a case of random misfortune. Charlotte, Minkowski, and Faraday's lab mouse Eloise all suffered from Temporal displacement following uncontrolled time-jumps and all died of brain aneurysms. Helen had realized how much she loved John after she thought he was gone... Eventually she learned where he was but unsuccessfully tried to locate the Island. Similiarly to the other victims, she died due to complications of temporal displacement, 18 months after Oceanic 815 crashed. This was alluded to subtlely in the conversation between Abaddon and Locke at her gravesite: John said "she loved me... we could have been together"; Abaddon said "Maybe you could have, but it wouldn't change anything, she'd still be gone"; to which John said "Would she?" This implies the possibility that, if John never went to the Island, the 'temporal displacement'-induced aneurysm would have never developed.