Lyric discussion by bingoboy 

Kristen Hersch was in a car accident at 16 years old, and suffered a double concussion. Upon her recovery, she heard constant ambient noises in her head - sometimes she heard riffs, sometimes words strung together. She received a host of diagnoses for her condition, and she reportedly has synesthesia, where she hears sounds in colors. I think this song is literally about Kristen working through a hook that's stuck in her head.

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