Meaning of "Helter Skeleton" by The Gaslight Anthem

The lyrics of "Helter Skeleton" seem to depict a complex relationship between the narrator, who may be battling addiction or emotional struggles, and a caring nurse referred to as "Madame Misery." The nurse serves as a source of comfort and understanding, offering a reliable presence for the narrator to lean on when needed. The imagery of "the taste of the spike in your brains" suggests a struggle with substance abuse, while the idea of finding solace on the "99th floor of apathy" reflects a state of emotional numbness or detachment. The repeated reassurance of a "soft spot in my cardiac arrest" and the declaration of loving until death indicate unwavering loyalty and affection, despite the challenges faced. Overall, the lyrics paint a somber yet hopeful picture of finding support and love in the midst of personal struggles.