Halsey has returned with a new song — and new revelations about her personal life. She writes in an Instagram post, “long story short, i’m Lucky to be alive. short story long, i wrote an album.”

The post includes footage of Halsey talking about being sick, saying she’s in pain and undergoing treatment for what is evidently a serious condition. A press release states that along with the release of the song, Halsey “is making a donation to both The Leukemia & Lymphoma Society as well as the Lupus Research Alliance.”

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The song, “The End,” is the first one to be released from her upcoming album. Halsey writes on Instagram, “Before the first single comes, I wanted to share this. It means a lot to me and I love it.”

She sings, “Every couple of years now, a doctor says I’m sick/ Pulls out a brand new bag of tricks/ And then they lay it on me.” She goes on to sing about having “poison in my brain and in my blood,” and meeting a new lover who she hopes will be with her through her health ordeals.

The song ends with her singing, “When I met you, I said I would never die/ But the joke was always mine/ ’cause I’m racing against time/ And I know it’s not the end of the world, but could you pick me up at 8?/ ‘Cause my treatment starts today.”

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