There is a story following this song. It is not verified as true, but it is very possible. Supposedly, Dean and Gene had just finished writing "Spinal Meningitis" in their hotel room while on a drug trip. Gene was hungry and went downstairs for food. He saw a headline, "Am I Gonna Die, Mommy?" very similar to a line from the song. He got scared and ran up to tell Dean, but he found that Dean had started coming down from the drugs. He was curled up, shivering, and repeating, "Mister, would you please help my pony? I think it's his lung." They made it into a song later.
Andrew - Abyss, PA