I am a sick man…I am a wicked man. An unattractive man.  I think my liver hurts.  However, i don't know a fig about my sickness, and am not sure what it is that hurts me.  I am not being treated and never have been, though I respect medicine.  What's more, I am also superstitious in the extreme; well, at least enough to respect medicine.

Thus, as a result of heightened consciousness, a man feels as if it’s all right if he’s bad as long as he knows it- as though that were any consolation.