i was at the hospital actually - You were really at the hospital, probably because your chest

You were really at the hospital, probably because your chest was on fire and you were too lazy to call a doctor.

I was at the hospital actually, my chest felt like it was being attacked by a flamingo.

I was at the hospital actually, I was too lazy to take medicine.

I was at the hospital actually, I had a chest infection and I was too tired to move.