Lyric discussion by Tunes24 

I feel like this is pretty straightforward. His mother had a brain aneurysm when he was eleven, and was crippled for the rest of her life, a shell of what she was before.

The doctor is literally just a doctor. He is straightforward telling him communication is out of her control, and this being his mom, of course he doesn't want to believe it. The part about being his perfect enemy is pretty well documented if you listen to either APC or tool, His mothers faith renewed through her aneurysm is the fire that forged his philosophical views on religion and humanity.

The real emotion in this song is him just letting out all the frustration he feels toward her that she's plagued by this permanent disability, and his anger seeping out, despite the fact that this is his own mother, at her "high road" "passive aggressive bullshit" that she refuses to communicate these things with him.

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