I cry unto thee, and thou dost not hear me: I stand up, and thou regardest me not. I cry unto thee - I am persecuted by man, afflicted with sore disease, and apparently forsaken of God.
I stand up - Or, as some translate, "I persevere, and thou lookest upon me." Thou seest my desolate, afflicted state; but thine eye doth not affect thy heart. Thou leavest me unsupported to struggle with my adversities.