I think my asthma flaring, but Sarah wasn't caring

from Tyler The Creator – Sipping on Some Syrup Lyrics on Rap Genius

Meaning

Tyler was having an asthma attack, but Sarah didn’t even acknowledge it.

“Sarah” is a persona Tyler created for Raquel, a girl he had a crush on who rejected his offer to go to a dance with him
And Tyler has asthma which is one of the reasons he doesn’t smoke.

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