This ominous song is partially inspired by a story by a US taxi driver who explained to frontman David Bayley the damage she imagined she'd done on an "epic super-bender." Bayley explained to NME that the American had overdid the crystal meth and cocaine she took to help with all-nighters as a long-haul lorry driver and blacked out for a month. The woman then feared the worst when she woke up in a strip club in the wrong State. "She thinks she's killed someone, basically," said Bayley, "but she's not sure. Isn't that mad?"
The song samples the flute line from the Carpenters' 1970 track "Mr Guder,"which is about the futility of being uptight. All the samples on How to Be a Human Being were chosen carefully. "I only like using samples if they bring a context," Bayley explained.
The Flaming Lips' "Do You Realize??" was named in March 2009 the official Rock Song of Oklahoma. Four years later, Oklahoma's governor Mary Fallin pulled the tune as the state's official rock song in a move her office said had more to do with priorities than musical taste.