"T.B. Sheets" was the opening song and featured prominently in the 1999 movie Bringing Out the Dead, directed by Martin Scorsese.
John Collis describes the song's theme thusly:
First of all, the singer chides the terminally ill invalid for crying. "It ain't natural," he says. The woman cries all night and the observer, trapped in the death room, is embarrassed and helpless. Later in the song, the sun bouncing off a crack in the window pane "numbs my brain",...And then there's the crushing claustrophobia of the sickroom - "Let me breathe," he demands of the woman whose breath is failing, bubbling in cheesy lungs. There is a street below, a street she'll never walk in again, and he is getting desperate to be down there, to rejoin the living, because "the cool room is a fool's room".
Brian Hinton described the song's music as follows:
Here is a Dickensian tale of death and decay in a big city. Organ and drums go free form, then a stately groove, fitting Van's voice like a garrotte, led by nagging lead guitar. Van's harmonica hurts the ear, then he's like a terrier, lecturing his girfriend, "Julie" about it not being natural her staying awake at night, dying.