"And yet here you are pumping it into your veins." – Ketch, 13x17

Key:
Conscience– Listening to or stuck in my head.
Ivory Tower– Mood or emotional/psychological wellbeing.
In The Muck– Thinking about or what I got to say.
Under The Knife– Current hyperfixation.

(Each term is a reference to a Ketch line.)

Very nice

pumping in our what

It's something he said to another character.

oki