Are you off to milk the cows? Way too early for being awake otherwise.
I think I has spem in my alium years ago when I had pleurisy.
Pleurisy, also known as pleuritis, is an inflammation of the pleura
"off your face"
And I did have pleurisy at about age 14.
And do you have occasion to use that phrase often?
But I'd say you turned out pretty darn well, regardless!