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not an English native speaker, can't get the wordplay. any kind person willing to explain? thank you in advance
It's onomatopoeia for a famous metal song by Disturbed "Down with the sickness".
Oh, ah, ah, ah, ah Get up, come on get down with the sickness
Didn't even need to click the link to know it was Richard Cheese. He has great stuff.
It's a reference to a song (down with the sickness)
"Ow, ah, ah, ah, ah" is the sound the singer makes in the beginning of this song: https://youtu.be/09LTT0xwdfw?t=21s
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