This is terrific--both plain-speaking and creative, and engaging right through to the last word. The cliches are perfect for the voice of this speaker, but there are original moments too--like preferring death to another catheter.
I wonder if L8 could begin with something sharper than "unheard-of"--maybe something indicating how big the nightmares are despite the "diminished" brain. And I think L6 needs a comma after "washed."
jlk
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