i'm ballin' through the recession - what does this skull mean? why does it haunt me?

"i was totally astral-traveling. i had the most enlightening, loving feeling. i specifically remember being in outer space, looking down on planets and stuff... right when she touched my penis to take [the catheter] out, i bolted up and projectile-vomited on everybody in the room. it looked like sangria. it was like, 24 PBRs and a gallon of crown royal and fruit. then i was done; i was out of the coma. i had lost weight - i looked great."
- brent hinds, mastodon