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A Perfect Circle – Blue Lyrics 12 years ago
Ignoring the smoke is a metaphor as well.

Her turning blue is a sign that something is wrong.

One metaphor for any major problem is a fire and you notice smoke before the fire.

In this case, the signs of her addiction are starting to show and at this point he's choosing to ignore them to continue to live in ignorance, in spite of the fact that she is dying. This is the smoke he's ignoring.

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