the revised Rosetta

The psychiatrist is Dr Slim, turning pages slowly in a folder open on his lap. The woman, sitting across from him in restraints, is Rosetta. Medium in stature, her body is densely draped in narrow streams of blue braiding Code, tattooed in crisp nine point Andalé Mono font, from the top of her shaven head, covering her face, and flowing downward to where the code disappears past the neckline of her hospital gown, appearing again on her arms where they emerge from short sleeves, cascading to her fingertips. It has been reported by nurses that the vertical lines of Code cover her entire body. Only the green pupils and whites of her eyes stand out in contrast; even her lips are inked. Her stare is steady.

Slim is reading Rosetta’s case file voyeuristically. His eyebrows raised when he discovers juicy slivers of clinical gossip, something ironic or hostile placed there by another doctor or disgruntled staff. Then frowning and making a too-too-too sound with his tongue, whenever he encounters more relevant clinical notes. He has a lunch date in forty-five minutes, and thinks he’ll have the grilled chicken bruschetta.

“You haven’t slept for a very long time,” he says, about to bite his thumbnail, then changing his mind. Then turning the pages back to a place near the beginning, he says, “Ah, here we are: No sleep since admission, three days ago. Patient spends the night sitting cross-legged on bed, claims she hasn’t slept since 2010.

“No sleep for three days,” says Slim. “That’s easy to fix. But you say you haven’t slept since 2010? That’s very interesting.”

“Is it?”

“Do you want to say more about that?”

“No.”

Slim shifts in his chair.

“Are you hearing things?” he asks. “Voices?”

“I hear your voice.”

“Auditory hallucinations are a common effect of sleep disorders. And in your paperwork…,” he turns more pages to be certain, “…there is the diagnosis of schizophrenia. You’ve had bouts of psychosis, and now you’ve committed a very serious crime. Were you commanded to do so?”

Next he’ll ask me if I smell shit, she thinks. He’ll without the apostrophe is Hell. He’s Hell. This prison is Hell. The handcuffs and florescent light. The walls too white. The isolation rooms too small.

“And the tattoos,” he says, “I understand from staff that you’re covered with them, nearly every centimetre of your body.” He considered the alphanumeric chains, and her frank expression behind them. “Done with such precision, too. Do you know what I mean when I say self-harm?”

Rosetta’s eyes narrowed.

“Are you aware of seeing things,” says Slim, “people for instance, you’ve been told others don’t?”

“Of course.”

“How do you know others can’t see what you see?”

“Because I can’t see what they see. Makes sense, right?”

“Can you give me an example of what you see, that others can’t?”

“Why?”

Eight years, sleepless.

“Because this is a clinical assessment.” He says this smiling without rapport, reveling uneven teeth. “I assess, prognosticate and recommend therapy. Not necessarily in that order. And at some point, I make a recommendation as to whether you stay here or return to court for criminal sentencing. To achieve all of that, I ask you questions and, ideally, you answer them honestly.”

There were no answers to such ordinary questions.

Three days awake. The fool had no idea.

She began practicing wakefulness, and forsaking dreams, as a child, out of  a fear of sleep, slowly and carefully at first, counting breaths and heartbeats silently. Clearing her mind of everything else—the sickening touch of hands. Beginning when she was five. One touch, two, three…. The slow impossible wrongness. Ghosts sitting on her bed, stroking her cheek in the nightstand lamplight, speaking musically, slow and backward, saying they loved her. Each time taking on their spider-likeness, because that’s how some ghosts attack.

Her wholly wakeful life began much later, when she was fifteen years old, after escaping the haunted house and running to the slum side of the city. It was there, in a skid-row hotel room, that she first floated over the lawless atoms of night, her fear of sleep eclipsed by a splendid new twenty-four hour consciousness.

And there she began her journal, in pencil at first on the walls of her room, and then the corridors of the decaying hotel, refusing to correct errors as she wrote. Correction was the slaughter of blameless fractions of thought that were becoming the Code. She’d never understand it, she thought at first. But then came the moment of discovery, when she became aware that in order to understand the Code, it must be inked upon her skin.

Awkwardly at first, she used sewing needles and razor blades, and a potion of India ink and cigarette ash, later finding expert and trustworthy artists, who wouldn’t look beneath her surface at the perfect swirling binary as they marked her.

“Sometimes it’s helpful to talk about the things you see and hear,” Dr Slim says.

“You wouldn’t get it.”

She translated ghosts into humans using the Code. Human thirsts were easier to decipher. Slim was with the ghosts.

“We’re also concerned about cognitive impairment,” says Dr Slim—“Your possible premature decline. We’d like to do tests. Untreated psychosis causes neurodegeneration. Left untreated, you may even be left unable to recognise the passage of time.”

“Time or times, Doc?” Rosetta says, finally relaxing in her chair. “Epochs and eras? Or just ticks fucking tocks, spawning hours.” She grins. “Clock guts. The 6am news you wake up to every morning. I know Time. I recognise him just fine. I’ve got his phone number. I call him and laugh whenever he’s late. Time crosses the street when he sees me coming, runs and hides like a coward behind the eyes of old women.”

“That’s very poetic,” Slim says, looking again at his thumbnail.

“Fuck you.”

“Look,” says the doctor, “you’re not guilty of a crime by reason of insanity. So, this isn’t prison, but it is confinement and refusing therapy, drug or otherwise, isn’t an option.”

“I’m going to escape,” she says.

“No, you’re not. No one ever has. This place is more secure than a penitentiary, in its own way.” He paused and then said, “We’ve a long list of neuroleptics at hand, each with its own charming set of side-effects. And we always over prescribe. The drug addled never wonder far.”

“I’ll escape. I’ll sleep. It’s finally time, I figure. Just try to catch me then. I’ll sleep where there aren’t any ghosts.”

“There are no ghosts,” Slim says. “There never were.”

“You’re one, you know? I didn’t think so a minute ago, but now it’s obvious.”

“No, Rosetta. I’m not a ghost.”

“You’re challenging me?”

“Yes.”

Ghost facts

  1. Ghosts exist.
  2. Ghosts are of the dead, but not the dead. This is obvious to anyone who has seen one.
  3. Rosetta has lived surrounded by ghosts since childhood.
  4. There are castes of ghost.
  5. Rosetta knows each caste by its name—killer, lost, screamers, etc.

Rosetta encountered her first ghosts when she was orphaned at age five, after one parent died of a mysterious violence in the house on 8th Avenue, and the other went to prison.

These first ghosts were named mister and missus shade. They were wanting-ghosts, posing as foster parents. They wanted Rosetta—wanting the things she’d no idea breathed inside of her. And they hated her for it.

Wanting-ghost facts

  1. Wanting-ghosts want.
  2. Wanting-ghosts take.
  3. Wanting-ghosts prefer to remain visible, though they often pass through walls and ceilings when no one is watching.
  4. They’re clever.
  5. Few see them for what they are.
  6. They sulk.
  7. They worry, shout and show their teeth.
  8. Their hands are quick and fierce.
  9. They’re selfish and violent.
  10. Wanting-ghosts hate what they want.

Wanting-ghosts have mural faces—gasoline fire eyes, a cloud of planet gravity discordant orbit phases wheeling round each of them. And when Rosetta refused their raw touch, when she turned her head and cried out, or hid in closets or under her bad, their faces blistered and their fierce hands became claws. And when they failed against her defiance, when they knew she’d never be meek and surrender, they chose loneliness for her instead, locking Rosetta in a basement.

At first she fed herself from the cellar shelves, peaches from mason jars hard to open with small hands. She ate them as she looked out of a small square reinforced window onto the resting winter garden. When the peaches ran out, she starved for a week before a bowl of something began to be left each evening on the uppermost step of the stairs to the kitchen.

Other ghosts came to her in the basement, and Rosetta began to know each kind. The sad, the shining, the watchers who sat very darkly in the corners, the ones that screamed loudly but were never heard, the ghosts of children quietly unable to understand the fact of their own deaths.

Once during an uncounted spring, a little boy, who might have been a ghost, snuck into the garden, hunching down to looked at her through the wire mesh window. He’d a round face and brown eyes, and wore a clean striped tee-shirt. After staring at each other for a minute, the boy ran away and vanished through a hole in a fence, returning later and placing a candy bar and a fistful of caramels on the windowsill. An offering she’d never touch. Then he ran away again, and never came back.

A bath came once a month, the day before the lady from the Foster Agency arrived. After each bath, Rosetta was placed in a room with a warm bed and picture books. And that’s where missus shade would leave her. Each time, before she left, twisting Rosetta’s ear very hard and instructing her to tell the Agency lady that she loved her foster parents. Then missus shade locked the door behind her.

Eventually the lady from the Foster Agency stopped coming. The shades told Rosetta she’d been adopted, and left her in the basement watching from the window as the garden bowed to each season, again and again. She wanted to count each cycle, but hadn’t learned numbers. Time, a thing she discovered later was passing. More ghosts arrived, surrounding her on and on, until one showed her how to escape.

“I’ve already prescribed a new combination of medications,” says Slim. “And you will take them. The staff will make sure. The meds will help you to sleep, among other necessary things. You’ve said you want to sleep. I want you to follow the nurse’s instructions. Is that clear?”

Slim released Rosetta onto the ward, where the ghosts were slouched and long fingered, where the hospital staff cast spells. She took to a corner in a threadbare easy chair, yawning for the first time since childhood, and wondering if dreams were all they were cracked up to be. A grinning posse would arrive soon, with injections and pills.

How to kill a wanting-ghost

  1. Wanting-ghosts aren’t hard to kill.
  2. Most wanting-ghosts choose suicide.
  3. Want-ghosts must sleep, unlike other ghosts.
  4. Most sleep at night, as they did in life. Some, however, sleep during the day and haunt the night.
  5. The shades slept at night, and haunted the day.
  6. Wanting-ghosts fear sleep.
  7. The best time to kill a wanting-ghost is when it sleeps.
  8. They sleep deeply, rarely waking before their time. This makes them vulnerable.
  9. The most effective way to kill a wanting-ghost is by knife and fire.

Her vengeance against mister and missus shade came on a night when the moon was a hung high thin bit of scrap. She’d become mist for the visit. Entering the house by passing through fissures in the outer walls. Coming to float above them as they slept.

Her accomplice was a knife that had found her, where it lay one night in an alley she often walked before dawn. The knife was handsome, with a pearl handle, and she knew its history when she took it into her hand. She knew why it had been dropped there. There was murder in it. It smiled when she held it. It would kill for her, even if she hesitated.

Coming out of the mist, she sat on the edge of the bed, stroking mister shade’s cheek as she ran the knife’s blade lightly across his throat, watching as his eyes moved swiftly to and fro beneath their lids. And when those eyes opened with a start, he saw her silhouette, her posture still familiar after years, and then her face in the dim light of the slice of moon through the window. Her face behind the torrent of Code; the grownup face of the child he’d harmed so completely. She’d a strange expression of sympathy as she held the sharp edge firmly under his chin.

“Oh look,” she whispered, “you’re bleeding.”

A thin current of blood trickled down his neck as his pupils dilated, igniting the orange inferno of his eyes. The room glowed.

“Please,” said mister shade. “Take anything you want.”

“Anything? Then I’ll have grace and vengeance. And those eyes,” she said. “They’re what I came for.” The handsome knife moved quickly and in a second shade’s eyes were in her hand, still burning and too hot to hold. So she threw them against the wall, mister shade screaming as they exploded into flame. The knife moved faster again when it drew the line, deep and true across shade’s throat.

The fire caused by his eyes exploding against the wall was spreading throughout the room, and Rosetta saw missus shade, with her own napalm eyes, sitting up in the bed.

“You?” the missus said.

“Me,” said Rosetta. The knife went in deep, and missus shade’s eyes faded.

Now the fire would finish the job, as the shades lay in their bed.

Knife and fire.

Neighbours in bedclothes gathered on the street to watch the house burn.

Rosetta turned to mist and escaped.

Grace and vengeance.

Days later, the police knocked on her door.

*

Now she sits silently in the hospital ward common room, surrounded by the staff come to cast spells.

“Non-responsive,” a doctor says. “Has she been given anything yet?”

“No.”

“Weak pulse,” says a nurse, “almost none at all. Get a BP cuff.”

“Forget that,” the doctor says, listening through a stethoscope. “Get the crash cart, room 3.”

“I can’t find a pulse at all now.”

“Get a damn gurney.”

She dreamed as her heart gently failed. A good one, as dreams go. She was a girl and she was a woman, sitting on the veranda of a happily aging house in the country. Shade-trees, birdsong and crickets. Blue skies as a bright red roadster motored by on the quiet road beyond the gate, someone waving out the window. The ink was gone, the characters of the Code having flown heavenward like a swarm of blue bees.

 

 

 

 

 

 

 

Advertisements

Nurse Victory

the building coming down at the docks
was a thing in the war or some other romance
now hooded men stole its copper

but my body once slept inside
(it was derelict then too
but sheltered many)
that’s the point of this, the
angels in my pockets
winged pennies nickels & dimes
singing the Holy Holy Hosannas
& Torch Songs—

one is locked in tiny rooms
it turned out
for hearing such joy &
watched through tiny panes of glass

that’s how we met

hello Nurse Victory, I breathed
seeing her peek at me through the glass
me in my corner near the drain
(everything in a Psychiatric Quiet Room is near the drain)

from there I saw her once hopeful &
later at her Station so angry for marriage
never quite chill enough
for all the trend-setting psychotics &
never nearly as wise

pity?
I might have saved her
if not for the side-effects

& so the building comes down with the ball
Nurse Victory
where are you now?

 

 

 

 

 

 

Insulin induced hypoglycemia and suicidal ideation

How does one ask this question of a psychiatrist who’s so prepared to put a patient into the hospital: How do I manage suicidal ideation, that accompanies bouts of hypoglycemia, while mildly depressed?

The question is obviously one outside of the experience of most psychiatrists, since very few patients with bipolar disorder also have type 1 diabetes, for which injecting insulin is absolutely necessary, and can lead to occasional episodes of serious hypoglycemia. I’ve discovered that this is murky territory psychiatrists don’t want to visit.

In fact, in my experience, it’s a forbidden question because asking will almost certainly place me in danger of being incarcerated on a psych ward. I know because the last time I asked, the police were called and waiting for me when I arrived home from the appointment. All because I mentioned the suicide word, while asking what I thought was a perfectly reasonable question.

The point is that there are times when I have low levels of depression made worse by seriously low blood glucose levels. During these episodes, when my brain lacks the fuel required to function properly, any irrational thoughts I have safely stored away, may be let loose and run free.

FYI: The day the cops scooped me my glucose levels got lower and lower as the events unfolded, because the cops didn’t believe I was diabetic and wouldn’t let me eat. They justified this by pointing out that I wasn’t wearing my bracelet—my choice, my mistake. So, by the time I arrived at the hospital in the back of a police car, my sugars were so low that even the emergency ward nurse raised an eyebrow. When my glucose level was normalised, however, I was actually able to talk my way out of being admitted to the psych ward, a testament to my ability to think and communicate rationally when all is well.

The result is that now I don’t ask the question.

Am I capable of following through with an attempt at suicide, as a result of thoughts that come during a bout of hypoglycemia? So far I haven’t, obviously. All I need is a few seconds of clarity to know that I need some quick sugar. The problem is that the clarity doesn’t always arrive.

Is it smugness on the part of a psychiatrist, or a need to inspire confidence by presenting him or herself as all-knowing, that leads to an inability to calmly discuss this challenge? I’ve experienced both of these attitudes in doctors, much to my disappointment. So, what’s the strategy? Time will tell.

 

 

 

the photo booth

I wouldn’t recommended it, trying to thumb a ride on the road just out front of the locked gates of a mental hospital. It was cold and white, and there hadn’t been a car by in more than an hour. The two or three that had already passed by, had accelerated as they did. That it was Christmas morning didn’t help, I was sure.

The idea of me, an ex-patient, hitching a ride on a country road out front of the asylum from which I’d just been released, made me smile. But I had my shoes and a donated coat, and my pictures of her and I, and I knew that with these few things, I could wait until spring for a ride, if I had to.

By now she was just a dot on the rise in the road a mile away. We’d never been separated by such a distance before. Maybe I was finally on my own.

It was hard to believe, standing there, under the circumstances, that it had only been days before that Veronica told me that the walls of my room would bleed if I cut them with a razor. She said that the old hospital was dying anyway, and that the room I occupied was its last pulsing organ. Its acre of wooded land was its deathbed, and that I would be its final near-death experience.

So, on a night in late December, I took two hits of my smuggled-in acid and looked out of my second floor window, past the bars, believing that I saw gravity collapse stars into endless heroic outlines. Then I cut and waited to wash in the blood of the ancient hospital. But the walls didn’t bleed, so I had taped my razorblade back onto the underside of my night table drawer, and listened for the rest of the night to Perseus tap on the glass.

Veronica had been wrong. She was unreliable sometimes, too flamboyant, a thespian at heart. She took advantage of my boredom. I was her fond audience, and the dark spilling in through the window was her limelight. She was strong, too. Antipsychotics feared her. They stepped round her, respectfully, and obliterated everything else. And during morning rounds, she would cling to the florescent ceiling like a spider, and look down on me as the horn-rim, herring bone psychiatrist conducted his interrogation.

“Housekeeping says you’re destroying hospital property,” he’d said, the morning after the acid night. He said this tracing the cut lines on the walls with his fingertips. I was still tripping. It was the morning of Christmas Eve.

“So, evict me,” I said.

“Your next stop will be Isolation, Molly.” He paused for effect, still closely examining the wall. He was a thespian, too. “You don’t want to go there again.”

“Release me, then. Give me my shoes.”

“No.” He came and sat near my bed. “You’re still too vulnerable.”

“And the others schizos you cut loose, they aren’t? I’ll get along just fine on the outside, with a few pills.”

“And suicide…?”

“I hardly ever think of it anymore,” I said, “except at moments like these when I’m faced with your mania for it.”

“Are you having ideas? Are there voices encouraging you?”

“No. The voices are gone.” It was a lie, but fuck him. “You killed them all. It was a fucking slaughter. Now I’m stepping over bodies.”

He regarded me sternly for a moment, silent in saying the unsaid things of psychiatry.

Then I said, “It’s a trinket for you, isn’t it? Suicide, I mean. It’s a little paste jewel in your pocket. You finger it all day, worry over it, in with your coins and your keys. You even take it out occasionally, and gloat over it. Take an inventory, as you hold it, of all your patients devoured by the word.”

“Do you still believe in what happened in the photo booth?” he said. It was a quick unexpected thrust. Touché. He even allowed a trace of triumph to escape into the air, through his eyes. “You’ve only told us pieces of that story, but it seems very important to you. Central, even, to your being here.”

“You’ve made up your mind about it,” I said. “It doesn’t matter what I have to say.”

“You still associate the photos with Veronica, don’t you?”

“Leave her out of it.”

“Is she still lurking, a voice that I haven’t yet slaughtered?”

The photographs. Oh how the doctors had smirked when I tried to explain them. Veronica and I, the two us jammed into a midway photo booth and posing for the camera. Photographic evidence of her existence. Two friends at a summer fair. Her smiling, me looking tired and a little hopeless. Four small precious snaps in a strip. I’d kept them safe for so long, fiercely preserving them from the deep hole that inevitably swallows all of the meaningful property of the insane and destitute. But the psychiatrist said that I was imagining Veronica, that only I appeared in the pictures.

Now they were in a file, under lock and key.

“She’s real,” I said, ashamed of the confusion I hoped didn’t show. “You can’t drug-away what’s real.”

“You’ve certainly tried over the years,” he said.

“Yeah well, have a drink on me tonight, doc, and celebrate your reserve and resistance to all that’s mind expanding.”

“Tell me what the photo booth experience means to you right now,” he said. “What happened?”

“It would be impossible to describe to someone whose entire philosophy is based on doubt.”

“Then pretend I’m someone else.”

Veronica floated down now, from the ceiling like a leaf from a tree, and sat next to me.

“I don’t believe in the photos, anymore,” I said.

“You’re lying.”

I felt Veronica stroke my hair. “It’s okay,” she said. “Tell him again. He’s just a failed bully. Tell him ten thousand times, if you must. Destroy him with honesty.”

Outside, crows had noisily descended onto the hospital courtyard. I walked to the window to watch, glossy stones black on the snow. I’d take Veronica’s advice, if only to move another dull morning along.

“It was late August,” I said. The crows fought over something dead. “A Saturday. A crummy little town full of dented pickup trucks and dilapidated tractors. Everything a bit rundown and faded. I’d been hitching. It was where my last ride had dropped me.”

“How old were you?”

“Eighteen,” I said. “There was a fair in town, the kind that comes to a small town late in summer. It was rundown and faded too, but not as much as the town. Especially at night when it lit up.”

“And you were very sad,” said Veronica, putting her hand on my knee.

“Sad.” The word was too small. “I was very sad.”

“You’d raised a little money….”

“I’d begged on the street, and had gotten enough for admission into the fair, and a little besides. Seemed the whole town was there that night. I ate a hotdog, and watched the midway from a corner. Loud out of date music over the PA. Devout born-again farmers playing crown and anchor, and trying to toss dimes into milk jugs. There were rides, too. Nothing too big. Just what could be brought in on the carny trucks. It smelled good, in a greasy smoky sort of way, like childhood.”

“It was already getting dark,” Veronica said.

“It was dark when we went into the photo booth,” I said. “I still had a few coins in my pocket. Veronica asked me to sit on her lap, so we’d both fit, and then she said, ‘Smile’.”

“But you didn’t smile,” said the psychiatrist. He jotted notes.

“No, I didn’t smile. The camera must have been broken. The flash popped four times, without me pushing a button, before I could compose myself.”

“And those are the pictures we have?”

“Give them back.”

“No.”

“But they’re mine.”

“They only reinforce this delusion of yours,” said the psychiatrist. “I think you’re ready now to hear me say that.”

I wanted to be with the crows, to be unrecognisable in their strange order.

“Then the booth spit out the pics through a slot,” Veronica said, “and we stood in your corner on the midway looking at them, for a long time. You wept, a little.”

“Veronica and I looked at them for a long time, until the fair shut down for the night.”

“And the pictures were so beautiful, that you wanted to die,” said Veronica.

“I wanted to die long before we took the pictures.”

“What was that?” the psychiatrist said.

“All of the others,” I said. “The ones who’d followed me, everywhere since I was a kid. The voices and the faces that I couldn’t shake no matter how far I hitchhiked and doubled back. They wanted me dead. They harassed me until I bought the junk, enough to kill three people. I hid it in my backpack with the syringe and the spoon. Then they plagued me even more, to take it. Why aren’t you taking the goddamn heroin? End the pain, the pain. They wouldn’t let me sleep. I hadn’t slept for weeks, before we got to that shitty little town.

“Tell me more.” The psychiatrist was leaning forward, greedily. “Tell me how they wore you down, how they whispered and tormented, how they surrounded you and made it impossible to escape.”

“They didn’t,” I said. “Not like that.”

“Tell me, every detail.”

“Tell him that I wouldn’t let you take the heroin,” Veronica said. “That you’re too dear to me. That’s all there was to it. I fought the others off. I protected you. That’s what this fool refuses to understand.”

“Veronica saved me.”

“Nonsense!” The psychiatrist began to rapidly tap his pen on his knee.

“He’s fishing for something,” said Veronica.

“She told me to dump the junk down a storm drain, and I did. The others shrieked at me not to do it, but Veronica told me that death always comes on its own to the patient heart. She protected me because she loves me, and I love her.”

“That’s impossible,” the psychiatrist hissed. “No one can love a hallucination. Now don’t you see why it’s our goal to cure you of all your false perceptions? You can’t live a normal life loving something for which there is no actual stimulus.”

“Yes you can,” Veronica said.

“Yes I can.”

“I’m increasing your medication,” said the psychiatrist. “And introducing some others.” He wrote furious notes.

“I won’t take it.”

“Then you’ll be punished.”

“Punished?” said Veronica.

“Punished?” I said. “Did you just say I’d be punished?”

“No. Yes, but I meant placed in isolation, for your own protection.”

“Veronica can walk through walls, doctor. You’re throwing pills at a fortress, and they’re just bouncing off.”

“This is noncompliance.” He spit the word out like a curse. His most dreaded enemy.

On Christmas morning, as the other patients lined up for their medication and Christmas stockings of mean charity, I was escorted, with my backpack, out of the building, through the courtyard and left outside of the gates in the falling snow.

A sour nurse had given me back my strip of photographs, and had me sign my Release. Veronica and I stood together on the road for a moment, and looked at ourselves caught in that long ago August moment; her smiling, and me looking tired and a little hopeless.

Then she stroked my cheek. “Merry Christmas,” I heard her say, as she slipped away.

Virtue

You will see it, if you care to look, the sign over the broken wrought iron gate to his mind and marrow, that reads, Madness will Set You Free. He didn’t put it there. It just appeared one day, and it’s never gone away. Sometimes he looks up at it, as the crows fly by, listening to the whispered song of his dear choir, the voices holding their glorious, prolonged note that he has heard forever, and he wonders if the sign is true.

“Mr Virtue…?”

The bright white 2×2 metre isolation room had a telephone booth florescent ceiling light, and a yellow tile floor with a drain in the centre. In contrast, he wore a blue hospital gown, smeared with his own blood, and nothing else. They’d probably already burned his clothes, stinking like creation, of shit and sweat, as if he were his own primal season. But they hadn’t yet attended to his cut lip, or the scabbed over blows to his head. Earlier, as they restrained him, as they held him down with a mattress, someone had shone a penlight into each of his eyes, and had said, calmly, everydayishly, no contusion.

No contusion? The cops had tried and failed.

“Mr Virtue?”

It was a tall, obese male nurse, with another standing behind him. Either one would be difficult to move; escape was impossible. The nurse was calling him by his alias, the one he had thought up when he arrived cuffed, in a cop hammerlock — Mr Virtue.

“We need to draw some blood and take your blood pressure, Mr Virtue,” the fat nurse said.

“No more sedation,” Virtue replied, sitting up. “No more goons holding me down.”

“Just try to trust us, and maybe there won’t be any need.”

Trust was a greasy sloping floor he’d skidded down before.

“Fuck you,” he said, spitting up a brown metallic tasting substance, which might have been blood or half-digested Pentecostal soup.

The BP cuff went round his bicep, and was unpleasantly inflated.

“You had no ID when you arrived,” the nurse said. “Where do you live?”

Virtue only shook his head.

“Do you take street drugs?”

“No, but I need a drink. I need a fucking cigarette.”

“Do you have allergies?”

“People,” he said, fists clenching and banging his thighs. “People give me spots, man. I swell up and itch. Sometimes I can’t breathe when they’re around. I go anaphylactic. Especially cops and nurses. Just give me a pill for people.”

“Is there anyone we can contact?”

“No,” he said. “Everyone’s here.” And he knew as the words dissolved into the florescent air, that he’d said the wrong thing.

He looked around the room, and all were present. The bus driver who told him to get off of the bus, even when he wasn’t on the bus; Natasha, who said she loved him, and who had laid her soul upon his cutting board, but who remained untouchable; Raymond, with whom he enjoyed shouting obscenities in public library; Chico, with his bleeding eyes peeking out from between the elastic bands wound tightly round his face, who Virtue had loud quarrels with, who brought his rubber band face so close to his own that Virtue swung his fists wildly at what no one else could see. And the choir, whose members were harder to observe, fading in and out. Infants who never aged and the foul smelling spirits with their backward faces. They never stopped singing their endless note — Ahhhhhhhh — in E-flat major — for forty-five years, never stopping once to take  a breath.

“They’re all here, baby,” he said to no one. “I don’t know how they all fit, but they’re here.”

Shut the fuck up — Chico said — You always tell them too much.

“Kiss my ass,” Virtue yelled, and swung his fists.

The nurses stepped back.

“Have you ever been on medication, Mr Virtue?”

It was a new voice. He stopped swinging and focussed on the door, listening very carefully.

It was a woman’s voice this time. She was a tall one, too. He knew before he even saw her. The tall ones’ voices were as lofty as ceiling beams. He had to look up to see their spoken words melt like lemon drops. She walked into the isolation room, the nurses exiting, but standing nearby.

“Are you in charge round here?” Virtue said.

“My name is Dr Elizabeth Chang,” she said. “I’m a psychiatrist.”

“You say that like it’s Christmas,” Virtue said, running his tongue over his cut lip, “like I’m gonna get presents.”

“What about it?” she said. “Have you ever been on medication? For the voices, the hallucinations, I mean.”

“Hallucinations?” he said, looking round him.

Shit! Fuck! Motherfucker! Shit! Shit! Fuck! — Raymond screamed.

Virtue covered his ears with his too tight fists.

“Mr Virtue…?” Chang said.

“Yeah,” he hollered, banging his ears, gasping, clenching his entire body. Then, quieter, rocking a bit, he said, “Sure, they gave me pills once. Little white and blue things. They crawled around in my mouth like bugs, like beetles with switchblade feet and napalm in their bellies. Like drones looking for a Pakistani wedding party. I spit ‘em out, and the goons put us all in a room just like this.”

“Us? Who is us?”

“Me and the gang,” he said, looking round him. “We played cribbage for three days.” He saw Natasha smile. Maybe she remembered. “They slid my food under the door. I never won a single game. Chico cheats.”

You’re a fucking whiner — Chico said.

“How long ago was that?”

“Several centuries.”

“Well medications have improved since then.” Dr Chang said. “Would you like to try something now? Something that would calm you, take the voices away?”

He frowned at the idea. Was it sloppy disdain in her voice?

Get off the bus — said the bus driver.

“I paid my fare,” Virtue said.

Get off my goddam bus!

“Mr Virtue…?” said Chang.

The choir sang louder.

“Who else have I got?” he said. “If they go away…?”

You’re a pussy — said Chico, bringing his bleeding eyes close, closing them hard so that the blood dripped off of his chin. Virtue could see the outline of a smile beneath the elastic bands around his mouth.

“The police want to take you to the Forensic Unit,” Chang said. “They’ll force you to take medication there, and you’ll be placed in with some very dangerous people. If you consent to treatment here, you’ll be certified, and I can keep you in relative comfort, get you cleaned up, let you stay on the P5 ward.”

“Psyche ward,” Virtue said, repulsed.

“Yes,” said Chang.

“It’s a petting zoo.”

“Will you let a doctor look at your cuts and bruises?”

“You want to kill them with pills,” Virtue said. “Would you take a pill to kill your friends, your family?”

Don’t let her put me in the morgue — cried Natasha.

“They’re obviously causing you distress, Mr Virtue,” Chang said.

“And your family doesn’t cause you distress,” Virtue said. “Occasionally?”

“Yes,” Chang smiled, “of course. But I can take time away from them, when I want to.”

“Ha! No you can’t,” Virtue pounded the floor. “You can’t take time away from them, at all. They’re always in your head, aren’t they? The anxieties they cause, and their smothering conditional love? Don’t lie to me. All of what they’ve said to you, done to you. The passive aggressive acquiescence. The religion. Their platitudes and bizarre poisonous illogic. False memories. The counterfeit Christmases. The viral dysfunction. Their dissatisfaction and mock appreciation. Their doubts, your doubts. Fear for their safety. Your fear of death, of abandonment, of watching them age and perish before your very eyes. The madness children will bring with them out of the womb. How the wealth of generations is redistributed. All of that’s pulsing through you, right now.”

“No, Mr Virtue,” Chang said. She’d hesitated — barely perceptive uncertainty. He’d hit a chord.

Go for it — Chico yelled.

“Oh, I can hear it like a siren,” Virtue said, smiling for the first time since his arrival. “Like someone scratching at the door to a cell she’s wanted to escape from since the moment she first felt the hands grab her round the throat and squeeze. You feel those hands squeezing right now, don’t you! You see their mute faces and their unblinking eyes. Don’t tell me you can take time away from that, and I won’t tell you that it’s easy for me.”

Virtue struggled now, to get to his feet. He’d aimed a communication beam right into the psychiatrist’s brain, and poured on the power. He would draw her in. He would introduce her to Chico. Chico would thank him. Chico was lonely.

A nurse stepped in to hold him down.

“Word salad,” Chang said to the nurse. “Olanzapine, 20 mg intramuscular injection. I’ll draw up the order.”

“Twenty milligrams?” said the nurse. “Are you sure?”

“I’ll be at the desk,” she said, “writing it up. Restraints if necessary. Prepare him, and I’ll arrange for transport to Forensics.” She walked away.

“Sorry, dude,” the nurse said to Virtue. “Things are about to get nasty for you.”

Your body’s a fire, Virtue — Chico said — Let ’em send you into hell.

Virtue looked up and saw the crows fly by. He saw the sign over the broken wrought iron gate, and said, “I’ll burn the whole fucking place down.”

the dust bunny dark

I have stopped believing
that Edvard Munch &
Friedrich Nietzsche
live behind my refrigerator
whispering Übermensch
in the dim Plasticine shades
of the dust bunny dark

Edvard planning to paint me
sneakily grim
at the Cuisinart with celery sticks
&
Friedrich leaving his Superman
in the crisper with the cranberries
and all of the degenerate onions

psychiatry has won
I have stopped believing
& am wicked alone once more

holy day

it is easy to lie about your religion
with hunger in your pockets
people will only look and wonder
how you will be saved from their good gods
will it be pills or e.c.t? or a
disconsolate edict
with new heels on its boots

it’s just that the doctors are crazier
and have their own lunch to consider
and who will cross the Tees
crosses on a hill, yes
there was more than just one
religion again
socks and salty soup
dished out by the stolidly saved