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LULLABY QUESTION (spoiler)

I know this should be in the Lullaby thread but it won't let me create a topic there because it's locked.

When Carl meets up with Nash in the bar towards the end of the book when he sees everyone lying dead everywhere; How come when Nash "kills" Carl by saying the culling song ,and Carl sees everything turn gray and he falls over, why doesn't Carl stay dead? Instead he kills Nash with the culling song in return. How/why does he still live??