I know you want a pat on the back, but then those fools goin' see you choke

from Lil Wayne – U.O.E.N.O. Lyrics on Rap Genius

Meaning

Brilliant play on words from Weezy right here.

Pat on the back is a common idiom which means to congratulate someone or give them acknowledgment for an accomplishment.

Taken literally you give someone a pat on the back if they’re choking on something to help them get rid of what’s causing blockage.

Choke also means to struggle, or to be very nervous and panicky as in choking up.

By playing on both the literal and figurative meanings of pat on the back and the multiple definitions of choke, Lil Wayne is cleverly saying that other rappers or competitors are doing all that they can to keep up with him (which is an accomplishment), but they’re struggling as they do it, or close to choking by trying to keep up with him. And if Wayne congratulates them for just that, it’ll reveal how much of a struggle it is for them.

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