It happened again today. One of the patients tried to escape. “Couldn’t take the devil for one more day,” she screamed over and over as she tried to squeeze herself between the broken shards of glass and the bars of her window. The hospital board will want to know what I’d call it. A suicide attempt? A condition of her psychosis? What can we file this under? “How doctor do you explain what is going on?” I can hear them asking me. Even as the staff rush to help her with her many wounds. Even as she is bleeding out all over the floor. How do I explain this?
How does one explain to someone who is not here to witness this behavior day in and day out? How does one justify this as a normal everyday occurrence? One doesn’t. That one who is me must lie. Make an excuse to how such a patient ended up with gashes all over her body. Because the truth in this matter is irrelevant. A broken brain, the devil made me, and feelings of sadness are not answers to the questions they will ask. The bleeding slows and the staff lift her up onto the gurney. She will have to spend sometime in the medical warded. Heavily sedated of course. Which is the only reason I have to even bother with any of these incestuous questions. Money is all the board cares about. Had she hit her head? Well who would have noticed the difference? I know I wouldn’t have.
Why is it always the low risk patients that cause the most problems? More restraints maybe? I have my own questions that need to be answered. When she heals up I will have to find time to ask them. Until then it is on to the next one and the next one after that. I’m locked in here with them. I know it seems as if I can leave the confines of this place but illusions often seem real. Every day is a repeat, a trap in which I can not break free. Each case, each patient, each dark secret of the mind only makes the nightmare that much worse.
A man of science is no more trapped than a man of faith.One in the same forced to go on two separate paths that no matter which is taken come to the same conclusion, death. They don’t teach you that in school. No life teaches you that over time. Holds your head down under the water and demands answers to questions you could not possibly understand. I envy the others here. The staff and the patients as they do not seem to notice the path they have chosen, or perhaps they have without ever really knowing? Too many questions. The mind is a locked box in which I am expected to pry open, expected to break, fix, and replace. Maybe in the end all I have broken is myself?