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A twist on the well known scenario made popular [in the early] 90s by a home security system commercial in which an elderly woman falls and is unable to get up. The new television series, Hoarders, gives a whole new meaning to this ubiquitous expression. In honor of the popular series, one may say "I've fallen and I can't get up' when one is swallowed up by garbage and are unable to remove oneself from the [overwhelming] mass of debris that overwhelms one's home. Can also be found when one has a [burning desire] to pay tribute to one's pet with shrines of pet hair displayed throughout one's home.
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