The poem starts with a casual, almost joking tone. The speaker flips between loving and hating computers and phones, the way many of us do on a bad day. Then things turn darker. Lines like "oww my toes are gone" and "good bye wheelchair hello pavement" suggest an accident, and the jokey rhythm stays even as the situation gets serious. The poem seems to follow the speaker into a hospital, where the sounds change to "beep," "glug," and "silence."
The machines are no longer gadgets to complain about. Judging by the imagery, they are keeping the speaker alive: an IV, a pacemaker. The speaker's anger at the "dumb pacemaker" gives way to a frightening choice when they unplug it, and the beeping fades. The repeated "i can't think" sounds like panic or fading awareness. The sudden shift to "ice cream" is strange and a little heartbreaking. It could be a retreat into a simple comfort, or thoughts dissolving. The mood is darkly comic, then anxious, then eerily empty.