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Several of the album's songs deal with the topic of death. For instance, "My Shit's Fucked Up" is a mournful lament to the aging process and the inevitable decay that accompanies it. It describes the narrator visiting a doctor, where he receives unpleasant news: "your shit's fucked up". "Life'll Kill Ya" and "Don't Let Us Get Sick" also have prominent death themes. In 2002, just two years after the release of "Life'll Kill Ya", Zevon was diagnosed with mesothelioma which killed him a year later
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