He worked afternoons and most weekendsWith that and the books, there was no time for friendsDad worked until he filled the tanksEvery dollar went into the bankWith big plans of getting away, he saidI'm gonna change the world one dayCampus call, the place was setHe's gonna be a doctor yetOn his last day living in the highway townA man pulled up with a window downNo shirt, just a black leather vestSnake tattoo on the front of his chestIt was over before the kid knewThe shotgun fired and the window blewHis father died, but as he slipped away, he saidWhat goes around comes back one dayOh, what goes up must come downLife's a dance, we all go aroundIt's always been a small world after allYou give what you get, you get what you giveTo each their ownLive and let go, live and let goTo live, but someday there'll be nowhere left to fallNowhere to fallWhen karma comes to callTen years on and the boy's a manWorking hard doing what he can't doHe works long hours for a doctor nowA long way from his highway townHe still thinks back to the fateful dayAnd what if it all went the other wayHe wouldn't be saving lives todayAnd I guess that's why he'll always sayYou can hear him sayWhat goes up must come downLife's a dance, we all go aroundIt's always been a small world after allAnd you give what you get, you get what you giveTo each their ownLive and let liveSomeday there'll be nowhere left to fallNowhere to fallAnd karma comes to callHe's coming to call me nowOh...In the back of his mindIs a heavy thoughtIt keeps on breaking him downIf he only knewWay back thenAll that he knows nowSome people sayHe lost his mindOthers sayHe just lost controlWhy did the doctor doWhat he did that dayEverybody talkedBut nobody really knowsIt was a cold redThe man was almost deadThey wheeled him inOn that emergency bedAnd he watchedAnd let him bleed to deathThere was a snake tattooOn the front of his chestOn the back of his mind