The whole song is about overdosing (likely on heroin) and getting picked up by the cops/ambulance and going from the hospital to jail.
At the hospital he gets a blood, urine and HIV test since HIV is common from sharing needles. Then while in jail he’s sharing smokes because that’s the best he can...
[Verse 1]
So call the cops
Tell 'em to come pick me up
They'll break out the cuffs
When I get there I'll act tough
Nurse can take my blood and piss
An HIV analysis
I won't sleep tonight
Fluorescent burn too bright
[Chorus]
So come on down
Bail me out
Don't act too concerned
The cops are busting all of us
Don't know who to trust
Yesterday we went too far
[Verse 2]
I hope that I can make some friends
Split some soggy Newport ends
They don't talk a lot
Now they're sleeping in my cot
I'll call my mom
Collect call that will make her cry
I'm a stupid son
I was only having fun
[Chorus]
So come on down
Bail me out
Don't act too concerned
The cops are busting all of us
Don't know who to trust
Reading the tags on the wall
[Verse 3]
I can't believe you called the cops
Can't believe they picked me up
They broke out the cuffs
But I never acted tough
[Chorus]
So come on down
Bail me out
Don't act too concerned
The cops are busting all of us
Don't know who to trust
Yesterday we went too far
Smiling was written by Cole Alexander & Jared Swilley & Joe Bradley & Ian St. Pe.
Smiling was produced by Thomas Brenneck.
Black Lips released Smiling on Mon Mar 17 2014.