My chest is heaving.  The air I  rapidly suck into my lungs does not seem to be adequate  as I immediately gasp for another breath.  My heart is pounding, trying to escape the confines of the sternum that lies over it.   The waves of nausea are somewhat overshadowed by a brewing headache.  Too put it bluntly, I feel like crap. My eyes gaze towards the clock on the wall and to my dismay its only 5:40 AM.  Twenty more minutes of hell stand between me and relief.  And I can’t help think for a moment why am I here again?

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