O my God, before I was created I was nothing, and now that I have been created, what am I? In life I am dust, and more so when I fall prey to death. When I measure my life in Thy presence, I am confused and I am ashamed. Help me, O God and God of my fathers, to steer clear of sin. And as for my past sins, purge me of them in Thy great mercy, but, I pray, not through severe and painful disease.