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"Trouble Is My First Name" is an orchestral piece from the Season 6 soundtrack.
Dogen reveals a large wooden Ankh in the guitar case and promptly smashes it. Hidden inside the ankh is a piece of paper. Dogen reads it and asks for each of the survivors' names. Hurley demands to know what the paper says and Lennon tells him that it says they all will be in trouble if Sayid dies.