This is a Psalm written by David during a time of serious illness.
His first concern is that the Lord will not be angry with him. He does not want to suffer the Lord's wrath. When things go wrong it is natural to wonder if God has something against us.
Then David appeals to God to heal him, because he is finding the illness so severe. It seems as though God will never answer. Again this is a totally natural reaction.
He calls on the Lord to deliver him because of His unfailing love. The love that God has for us is the grounds we have for hoping that He will come to our rescue. We do well to remember that the Lord loves us.
The he reminds God that the dead cannot praise Him. We are no use to God dead.
At the end of the Psalm David doesn't feel any better physically, but the difference is that he is now confident in the Lord, confident that the Lord will deliver him, and that his enemies will be defeated. The first stage in breakthrough in a situation is having faith that God will deliver us. Faith comes first, then deliverance.
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