Pain & pressure in my head
intense, almost unbearable
gives warning soon I might be dead...
(A condition quite past care-able.)
...
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Hugh, a very emotive and moving piece. In the wake of that it's always difficult to be objective. Some of the word play was almost amusing, notwithstanding the subject matter. I thought the last verse was a beaut! The first two lines convey it all.
There is a certain dark humour to this Hugh. It starts out almost like one of those teenage angst pieces, its almost as if you were having a sly dig. Of course I could be wrong about your intent. And that, I think, is a good sign: to allow the reader to impose their own will on the piece.