Swollen knuckles

My knuckles swell until I can’t feel my fingertips, the sweat on my brow doesn’t bother me, my collar tightens around my neck, normally I would be uncomfortable, but this is what is required, it being time to push into it, and life asking to go on like this at first politely, later it will force me one way or another, later there won’t be enough blood to swell in my knuckles, my brow won’t bother to sweat, and my scrawny neck will slip from a sneaky collar that needn’t bother breaking it; I’ll be as good as dead then anyway.