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18 
“By the great force [of my disease] my garment (skin) is disfigured and blemished;
It binds about me [choking me] like the collar of my coat.
19 
“God has cast me into the mire [a swampland of crisis],
And I have become [worthless] like dust and ashes.
20 
“I cry to You for help, [Lord,] but You do not answer me;
I stand up, but You [only] gaze [indifferently] at me.

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