The midpoint is the average of the two end points:
... M = (P + Q)/2
We can solve this for Q.
... 2M = P + Q
... Q = 2M - P
Filling in your values, we get
... Q = 2(10, -3) - (-9, 7) = (20-(-9), -6-7)
... Q = (29, -13)
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