Paciente Lyrics in English by Dany Ome, Kevincito El 13, Ozuna
De pinga is a very common and versatile Cuban slang phrase. While pinga literally refers to a penis, the phrase de pinga is most often used to mean "awesome" or "really good" when describing something positive.
However, it can also be used to express annoyance or that something is "bad" or "a pain in the ass," depending on the context and tone. In this song, the line "Porque tú ere' una cosa muy de pinga" clearly uses it in the positive sense, meaning "Because you are something really awesome/great." It's an interesting and unique phrase to learn for anyone interested in Cuban Spanish.
The whole song runs on one joke that Dany Ome refuses to drop: he is not lovesick, he has been admitted. "Pero me he vuelto un paciente" (But I've become a patient), he sings, then doubles down with "En el hospital donde habito sufre un corazoncito" (In the hospital where I live a little heart suffers). He lives in the hospital, he does not visit it. The reason he gives is the closest thing here to a tender line, "Y se me hace difícil superarte" (And it's hard for me to get over you), and it sits directly beside a chorus too crude to quote in full.
What saves it from being only a horny reparto record is how funny it is about its own devotion. "Si me divorcio, es pa' instalarme" (If I get divorced, it's to settle down) is a man planning his exit from one life straight into someone's apartment. "Tú te ganaste el Grammy" (You won the Grammy) arrives as the highest compliment he can reach for. Around all of it Ozuna and Kevincito El 13 keep stamping the record with where it came from, "El reparto más duro que tiene Cuba" (The hardest reparto Cuba has), until the outro stops being a song at all and turns into a roll call of Cuba, Puerto Rico and the Dominican Republic.
