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A 2016 Bandcamp article describes the song as half bittersweet apology, half long-distance relationship ballad. Perhaps Gonzalez intentionally married the two stories in order to create ambiguity

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Other possible causes of coughing up blood include: COPD exacerbation worsening of symptoms Cystic fibrosis Drug use , such as crack cocaine Foreign body Granulomatosis with polyangiitis (Wegeners granulomatosis) Lung abscess Lung cancer Mitral valve stenosis Parasitic infection Pneumonia Pulmonary embolism (blood clot in an artery in the lung) Trauma to the chest Tuberculosis Management of Hemoptysis Management of Hemoptysis Your doctor will examine your chest and lungs and will often begin with a chest X-ray

Then, open all the doors to your car and turn the vents on recirculate