Lyric discussion by acm 

This song is like none other I've heard. He has put his torments to verse, setting them within some of the most beautiful, poweful music that he's written. The most chilling moments come at the beginning and at the end of the song. The beginning, when we hear Elliott's lone voice struggling to rise over the clamor of street urchins, dealers, etc., paints for us a truly vivid and wrenchingingly painful picture from his memories of what we imagine are so many late night, back alley moments. The end, when he sees "dead men talk to all the pretty nurses" and "instruments shining on silver trays" reminds us who know how his final moments transpired of only one thing. "Don't let me be carried away" - this heartbreaking plea would have been answered by many thousands of us in a second. If only we knew how.

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