Lyric discussion by Malfoy 

Alright, this has nothing to do with any Palahniuk books, as Panic! at the Disco confirms. You guys have basically just been taking out a couple lines and thinking up some reference from a past book... but the song has a coherent meaning that if you read over the words makes sense. It might not be perfect but I'll take a stab at it and if you have any suggestions I'd like to hear.

The setting is a hospice... there is a person there who may be suicidal or might just be mentally unstable or very depressed or has some other problems, but somehow he or she is on the edge of dying. He or she comes to and fro from the hospice pretty often and it's a recurring problem.

"Watch your mouth, your speech is slurred enough that you might just swallow your tongue. I'm sure you'd want to give up the ghost with just a little more poise than that."

Right here the person on the hospice bed is basically rambling on and not making much sense; the person he's talking to can't understand him, and says to the patient to regain his poise, and to start making some sense so that he can help him. "Give up the ghost" means to die (think about it... when you die some say a ghost of you stays behind). The patient doesn't want to die acting like that does he? Does the patient want people to remember him like that?

"Or was it God who chokes in these situations? Running late? No, no, he called in."

Or was it God.... - he's basically asking, is it God's fault you're here? is he to blame? Maybe God is just running late? No, he's not just late, he's not even coming in today (the big question is why: I think maybe it's that the patient is so hopeless - he's done this so many times - that God is basically letting him be. Not quite sure. I think mostly it's a statement to stop blaming God.

"That's when you stutter something profound to the support on the line. And with the way you've been talking every word gets you a step closer to hell."

You've been rambling on for so long but you've finally made a bit of sense... up to this point everyone on support thought you were coming closer and closer to death (closer to hell).

"A pessimist? No I just can't help it, to say what everyone else is thinking."

He's said a few times that the patient is about to die - "give up the ghost..." and "a step closer to hell." Is he a pessimist for saying that? No, or if he is, he's not the only one who's a pessimist - all the support team thinks the person is nearly beyond hope.

"The problem: the hospice is a relaxing weekend getaway, where you are a cut above every sick sad patient. When you're on first name basis with all the top physicians."

Stay with me. Up to this point it sounds like the person is basically mentally unstable... The patient is not making a lot of sense to the doctors. Here is more evidence that the patient may be bringing this on to himself - the place the patient is brought to, a hospice, is pretty nice and relaxing. It's better than what most patients get, and all the physicians know you."

"The Solution: Prescribed pills to offset the shakes.. to offset the pills you should take a day at a time (fix a vice with a vice)."

So to appease him the doctors give him pills... apparently the patient is already supposed to be taking pills but he isn't, so these will offset the results from not taking pills.

"I am alone in this bed, house and head. She never fixes this but at least she makes me forget."

This is the most important line. It's almost an epiphany. The patient puts himself in "these situations" so many times. Maybe here the patient realizes to stop blaming the doctors and God and to start taking care of himself. Notice he's not just alone in his bed and house, but in his head - maybe the patient realizes he needs to start taking care of himself more.

Also I want to go back to the line "stutter something profound to the support on the lie.." which gives the doctors a clue that the patient isn't as bad as he's making himself out to be and just needs to get his act together.

The doctor never fixes his problem but makes him forget his troubles (more evidence he might be depressed/mentally unstable or what). It's a vicious cycle.


So basically what it means to me is there are many people who claim to have all these problems and take all these pills and keep going to doctors to get help... The person needs to stop feeling so hopeless and blaming other people and start taking more care of himself. Stop playing all these games.

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