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#NaNoWriMo2016 - Day Twenty-Four

13 min read

Poste Restante

Contents

Chapter 1: The Caravan

Chapter 2: Invisible Illness

Chapter 3: The Forest

Chapter 4: Prosaic

Chapter 5: The Van

Chapter 6: Into the Unknown

Chapter 7: The Journey

Chapter 8: Infamy

Chapter 9: The Villages

Chapter 10: Waiting Room

Chapter 11: The Shadow People

Chapter 12: Enough Rope

Chapter 13: The Post Offices

Chapter 14: Unsuitable Friends

Chapter 15: The Chase

Chapter 16: Self Inflicted

Chapter 17: The Holiday

Chapter 18: Psychosis, Madness, Insanity and Lunacy

Chapter 19: The Hospitals

Chapter 20: Segmentation

Chapter 21: The Cell

Chapter 22: Wells of Silence

Chapter 23: The Box

Chapter 24: Jailbird

Chapter 25: The Scales

Chapter 26: Descent

Chapter 27: The Syringe

Chapter 28: Anonymity

Chapter 29: The Imposter

Chapter 30: Wish You Were Here

 

24. Jailbird

Her little car was buffeted by strong winds as she drove up the busy motorway towards Manchester. Steely grey skies drizzled just enough rain that her windscreen wipers juddered annoyingly as they swept the few droplets of water away. Huge lorries overtook each other, filling the inside two lanes. Lorries were speed limited to 60 miles per hour, but there would be 1 or 2% difference between the fastest and the slowest. Motorists sat in an endless miserable queue of traffic in the outside lane, travelling only marginally faster. The sheer number of vehicles meant it was bumper to bumper all the way from the Midlands to the North of England.

Night brought an orange glow: illumination from the lights above. Headlights reflected in the puddles and off every vehicle. Heavy goods vehicles threw up huge plumes of blinding spray, with the red lights of the driver in front as the only point of reference to keep on the road. Lara was in a trancelike state, just following in procession, watching out for brake lights as traffic ground to a halt.

Reaching the junction she needed, Lara pulled off the motorway and into the service area. A sign directed traffic to the right for fuel, straight on for refreshments and left for a hotel. She turned left. The car park was filled with shiny new fleet rental vehicles used by sales representatives and other businessmen and women who travelled all over the country, touting their wares. Row after row of medium-sized family cars from respected German manufacturers, in sensible colours: black, silver, grey and navy blue. Some had suit jackets hanging in the back, ready for business in the morning.

Parking her cheap French car that was nearly 10 years old, it looked worse than ever now that the spray from the long drive had given the white paint a thick coating of dirt up the sides. You could hardly read her back numberplate and her hands got covered with filth when she opened and closed the boot to get her overnight bag out.

After checking in to the hotel and finding her way to her room, she looked at herself in the mirror. She wouldn't need to do much to pretend to be exhausted and in a bit of a state tomorrow. Rounding off a long drive, the rooms had paper thin walls: a man snored loudly on one side while a woman made over-enthusiastic unconvincing sex noises on the other. She would have thought that it was somebody watching porn on TV except she could hear the bed thudding into the wall.

Dropping her key-card at the reception desk in the morning, there was no need for her to check out. The bland chain of traveller's hotels had no room service, minibar or other services for their guests. There was no bill to settle as she'd paid for her stay in advance.

Tired, hungry, stressed, without make-up: she was looking perfect for the day's goal.

Punching an address into her sat-nav, she was directed to an industrial estate on the outskirts of Greater Manchester, near a large satellite town. Many large corrugated metal sheds were spread over an area of several square miles, served by a warren of private roads. This was one of the largest warehousing and distribution hubs in the UK, handling stock for many national retailers as well as much smaller businesses too.

Lara knew precisely where she was going, having consulted a map of the estate at the entrance, but she left her car and continued on foot. She passed several bus stops and made a mental note of their route numbers and the bus company that provided the service. The large estate was divided into several different parts, with side roads allowing access to the units that subdivided the enormous sheds. Each unit had its own loading bay and a door into the reception and office areas.

Finding the unit she was looking for, the loading bay was deserted but there was a light on in reception. The red LED on a keypad showed the door was locked and there was an entryphone. A dog-eared piece of paper in the window of said: "Post/courier: *81#". Lara typed it into the keypad. The LED flashed green and the door lock buzzed. She stepped inside and there was a 'beep-bop' electronic noise.

She approached the unmanned reception desk. Part of the desk could be lifted up to get behind it and through to a short corridor with 3 doors. The door at the far end was open, but she couldn't see any further inside. One of the other doors opened and a man stepped out. He closed the door behind himself and walked up to the desk, looking quizzical.

"Can I help you? We weren't expecting anybody today." he said.

"Yes, I'm hoping you can help me. I've travelled a long way." Lara replied.

"Oh? Where have you come from?"

"London."

"You must have set off very early."

"I stayed in a hostel in Manchester last night and then got the first bus out to the estate this morning" she lied.

"You must be very keen to see us about something."

"Yeah, it's about an order."

"An order? We haven't sold anything for months."

"I know. That's why I'm here."

"Look. I'm very sorry but we've ceased trading. We haven't even got any stock any more. I'm just here doing some administrative work."

"My boyfriend and I are desperate. We've been going through hell since you shut down."

"You do know why we shut down, right?" the man asked.

"I heard something."

"What do you want?"

"I want to buy FRL." Lara replied

"That was a special order item." the man said, his eyes narrowing.

"Randy! I'll take it from here" said a female voice at the end of the corridor. A woman came from the left hand side of the open doorway, stirring a spoon in a mug. She walked down the corridor and set her drink down on the front desk, lifting up the part to allow access.

"Follow me, my love." the woman said, giving Randy a long look as she walked past him and down the corridor. She turned left into a kitchen with a metal sink, water-cooler and a round table with 3 chairs around it. "Take a seat" she said, gathering a few papers that were on the table and putting them upside down under a blue notebook. "I'm Pauline. Who are you?" the woman asked.

"My name's Lara."

"Lara what?"

"Lara Sutton."

"Do I know you?"

"You might know my boyfriend's name. He bought from you regularly."

"What do you want?" Pauline asked, firing off quick blunt questions with a blank impassive expression.

"FRL."

"You know all my stock has been seized. It's all been tested. My solicitor has got a copy of the results. You've got everything you need. What more do you want?"

"I don't know what you mean."

"Look. I need to speak to my solicitor. I've already been co-operative and everything is in my statements. I think it's time for you to leave."

"You think I'm a policewoman?" Lara asked, shocked.

"Or a journalist. I don't know. Either way, I'd like you to leave."

"Look you fucking bitch. My boyfriend's dead, OK. He's fucking dead. I want to know what the fuck FRL is and where you were getting it from." Lara yelled, anger suddenly surging up from deep inside. Her eyes blazed with rage and she stood up so fast that the chair she had been sitting on crashed over backwards. Randy leapt out of the office and stuck his head around the corner.

"It's OK, Randy" said Pauline. "Sit down and be quiet" she said with a smile curling up at the corners of her mouth. She looked like a predator toying with its prey.

Lara slowly pulled the other chair round the table without breaking eye contact, scraping the legs noisily across the concrete floor. She sat down and folded her arms, glaring ferociously back at Pauline.

"You're really clueless, aren't you?" Pauline asked rhetorically, chuckling to herself. "Is your boyfriend really dead?"

"You don't seem to care."

"That's not true. Everything we ever sold was marked 'not for human consumption' with a big skull and crossbones, but yet I'm probably going to end up in jail."

"Yes, but it will be for conspiracy to supply a controlled substance, not for manslaughter."

"Oh, so you do know something" Pauline feigned a shocked face.

"All I know are the charges brought against you. I don't know what FRL is or where you were getting it from."

"Ha!" Pauline suddenly laughed. "Nobody knows what FRL is. That's the fucking point. Do you want to know the little joke we had in the warehouse?"

"Tell me" Lara said, gritting her teeth. She desperately wanted to punch this woman in the face but she knew that she had to bottle her feelings or else she wouldn't get a single bit more information until the trial.

"Fuck Real Life. That's the joke. Do you know what the V part is?"

"No."

"Version. Whenever we used up a batch, we'd make up another lot using whatever we had in stock. A cocktail. We didn't know what we were selling any more than the junkies knew what they were buying."

"So you knew you were selling to addicts? You knew people were taking the drugs you were selling?"

"If an addict's not buying from us they're buying from a street corner or direct from China. I'm just a middleman. Supply and demand" said Pauline matter of factly.

"Your drugs killed my boyfriend."

"You don't know that though, do you? Be honest."

Lara's eyes betrayed her. She broke her stare for a fraction of a second and Pauline saw a flicker of doubt cross Lara's face.

"He stopped ordering from you 6 weeks before he disappeared."

"How much was he taking?" Pauline asked.

"I don't know. He was spending £25 each time."

"Different things cost different amounts. I don't remember all the prices of everything we sold."

"I've got an invoice here" said Lara, producing a photocopy with Neil's name and address redacted.

"Half a gram." Pauline said.

"Where does it say that?"

"Right there. 0.5g. That's 0.5 grams."

"Enough to kill him."

"I couldn't say. I'm not a doctor. But it's not enough to last a junkie for 6 weeks."

"He could have quit and relapsed."

"Well if he did, he didn't get his drugs from me. By your own admission he hadn't bought anything from us for 6 weeks when he disappeared. When did he die? What drugs did he have in his bloodstream when he died?"

"You'll find out when you're put on trial, murderer!" Lara spat. "I bet you've never had to look your victims in the eye, you heartless bitch."

Pauline sat calmly with icy coldness, looking at Lara, considering her.

"If your junkie boyfriend bought drugs directly from China, as I suspect he did, cutting out the middleman, then he would have been getting 99% purity."

"What do you mean?"

"We would add an excipient to the products we sold, to bulk it out. If your boyfriend was buying half a gram from us, that would be the same as buying 5 grams direct from China."

"So you're saying what you can get from China is 10 times stronger than what you sold?"

"At least. The Chinese chemists are always coming up with new stronger drugs too. He could have ended up with something a hundred times stronger than anything we were selling. A completely novel compound unknown to anybody here in the UK. He was a human guinea pig. If he only wanted half a gram, the Chinese labs would send him a free sample of their latest creation to get him hooked."

"You disgust me" Lara said, her eyes filling with tears. Her head swam with all this new information and she was overwhelmed. She didn't know who to be angry with, who to blame. It was all too much to process.

She'd had thoughts that she wanted to hurt Pauline, or at least scream abuse at her. She wanted her to know how much damage she'd done. She wanted justice. Lara couldn't think about that at that moment. She stumbled to her feet and out of the warehouse. Outside she sucked in gasps of cold air, hyperventilating.

The unit opposite was a garage and had its loading bay door open. Two cars were lifted up on inspection stands and were being worked on by mechanics. A man in dirty overalls came over.

"Are you OK?" he asked.

Lara looked at him but couldn't quite hold herself steady enough to speak.

"Do you need an ambulance?"

"No. I'll be OK. I just need to get away from here" she said, starting to walk off in the direction of where she parked.

The mechanic went back to the workshop, taking off his oil-stained gloves. A moment later, he emerged from the garage driving a car.

"Do you need a lift?" he called through the passenger window.

Lara stopped walking and thought about it for a moment.

"My car isn't far. Just by the entrance to the estate."

"Jump in anyway. It'll save you 5 minutes walk."

There was a moment of silence as they pulled away. The mechanic was sat on a clear plastic bag that protected the driver's seat. He kept his eyes on the road.

"What was that all about?" he asked as they pulled up behind Lara's car.

Lara looked at him, but she didn't reply.

"I work opposite. I've seen the police in there quite a few times, pulling out loads of stuff bagged and tagged as evidence. Everybody on the estate knows they're scumbag drug dealers. There are housing estates in Manchester where they beat the living shit out of any heroin dealers they catch. These 'legal high' places selling on the Internet seem to be getting away with murder."

"You're not wrong about that. Thanks for the lift." said Lara.

 

Next chapter...

 

#NaNoWriMo2016 - Day Twenty-Three

10 min read

Poste Restante

Contents

Chapter 1: The Caravan

Chapter 2: Invisible Illness

Chapter 3: The Forest

Chapter 4: Prosaic

Chapter 5: The Van

Chapter 6: Into the Unknown

Chapter 7: The Journey

Chapter 8: Infamy

Chapter 9: The Villages

Chapter 10: Waiting Room

Chapter 11: The Shadow People

Chapter 12: Enough Rope

Chapter 13: The Post Offices

Chapter 14: Unsuitable Friends

Chapter 15: The Chase

Chapter 16: Self Inflicted

Chapter 17: The Holiday

Chapter 18: Psychosis, Madness, Insanity and Lunacy

Chapter 19: The Hospitals

Chapter 20: Segmentation

Chapter 21: The Cell

Chapter 22: Wells of Silence

Chapter 23: The Box

Chapter 24: Jailbird

Chapter 25: The Scales

Chapter 26: Descent

Chapter 27: The Syringe

Chapter 28: Anonymity

Chapter 29: The Imposter

Chapter 30: Wish You Were Here

 

23. The Box

At the house, Neil's dad, Colin, was going through his son's stuff. There was a winter coat folded up at the bottom of the wardrobe on top of a pile of jumpers. Colin took the coat out, put it on a hanger and hung it up. He found some space in the chest of drawers and started to re-fold and put away the thick wooly jumpers. At the bottom of the pile, there was a shoebox shoved right to the back of the wardrobe. He took the shoebox downstairs and sat down with it at the dining room table.

The shoebox was nearly full to the brim with medication boxes. These were not plain white cardboard boxes that pharmacies gave out prescriptions in, but glossy retail boxes with logos of the pharmaceutical companies and drug brand names emblazoned on them in bright colours. The medications had smarmy names like Abilify and Effexor, suggesting they would confer abilities or be effective.

Some of the boxes had text that was predominantly in Arabic or Cyrillic script, and it was hard to tell exactly what the medication was.

As well as the boxed medications, there were also pills in blister strips that had their ingredients and dosage printed on the silver foil. Some of them had pharmacist's instructions printed in purple ink directly onto the unboxed strips, along with the price, in Indian Rupees.

Finally, there was a big plastic bag filled with mixed loose pills. Some pills were round, others were lozenge shaped, a few were in capsules and others were diamond or triangular shaped. All the pills and capsules had letters and numbers stamped or printed onto them. The pills were mainly white, blue, pale yellow, pink and aquamarine. The capsulses were half green and half yellow or half red and half white.

In a notebook Colin started to write down all the names and dosages of the boxed and blister packed medications. The boxed medications all had two names, but the pills in the strips mainly seemed to only have one ingredient printed on their foil. He then wrote down a description for each of the loose pills: "Round, light pink, GG925".

There were nearly 30 different medications in that shoebox, none of which looked likely to have been prescribed by Neil's doctors.

Going into the box room, Colin now located a small filing cabinet where Neil kept his old bank statements and credit card bills. He returned to the dining room table with a stack of paper that was dated within the last year. The bank statements mostly had recurring direct debit payments for things like mobile phone and Internet. A quick scan through the credit card bills found a few transactions in foreign currencies. It was wholly unclear what the payments were for from the various merchant names.

He went back to the filing cabinet and pulled out all the credit card bills for a two year period, ensuring he had every single one. Then, he found all the bank statements and credit card bills in a big pile of unopened mail. It was no surprise to find that there was no money spent on the credit card after Neil's disappearance.

Putting everything in chronological order, he marked any suspicious transactions on the statements. There were one or two foreign currency transactions on every statement for 6 consecutive months. Immediately after that, some payments to "Frog Eye Wares Ltd" caught Colin's eye. The transactions were all for the same amount - £27.90 - and there were 3 on one statement and 4 on the next: 7 in total.

The credit card transactions ended 6 weeks before Neil had disappeared. Going back to the bank statements, there were two payments to Western Union of circa £150 and daily spending that seemed to always be just over £55, as well as regular cash withdrawals for £50. In a little over a month, Neil appeared to have siphoned off nearly £2,500 from his current account, either getting cashback at local shops and pubs, or at an ATM.

Doing some quick calculations, Colin estimated that his son had spent about £1,300 in foreign currency transactions that he assumed must have been to buy medications from overseas. Neil also seemed to have diverted approximately £3,000 somewhere else, over a 6 week period. "Any problems with drugs or debts?" Lara and the family had all been asked by police officers and private investigators when he went missing. There was no way that this paltry sum of money suggested either. Neil's parents weren't rich, but they would have lent him a couple of thousand without a single question if he'd asked. Besides, Neil's bank account still had money in it and he only had a few hundred pounds of credit card debt.

When Colin was opening Neil's post, he'd made a pile for Lara, but he'd spotted another pile on a sideboard that Neil must have stacked up before he disappeared. Looking through the first few letters, they were all addressed to Lara, but he decided to go through the pile in case there was anything for Neil mixed in with it. He was questioning the futility of the exercise when he found a single piece of paper folded in half.

INVOICE

...

FRL-V4-0.5G £25.00

Postage £2.90

TOTAL: £27.90

Paid in full, with thanks.

...

 

A credit card card receipt for £27.90 was stapled to the invoice, with "customer not present" printed on it. There didn't seem to be a telephone number or an address anywhere on the invoice, just a website: For all enquiries go to www.frogeyewares.co.uk.

Back at the filing cabinet for a third visit, Colin pulled out Neil's mobile phone bills. Some really old ones were itemised with every number and how much the call cost, but the ones from recent years simply showed the amount for line rental and the total amount for call charges.

Unplugging Neil's laptop which was sat charging on a desk in the box room, he coiled the cables and took it downstairs. Returning the shoe box to the wardrobe upstairs, he turned off all the lights and left the house with the invoice tucked into his notebook, the laptop and its charger.

Back at the family home, Colin booted up the laptop and managed to log in using a password that Lara had suggested. She had suggested several of Neil's possible passwords, as well as some variations, but the first one on the list worked. Colin was no computer expert but his job in the civil service had required him to be reasonably IT proficient, so he was able to search for any documents on the computer, check Neil's email inbox and Internet browsing history. The laptop was completely blank, as if it had never been used from the day it was bought.

Using his own computer, Colin now started searching the Internet. The first thing he tried to do was to visit the website from the invoice.

"This website is now closed." was displayed in plain white text on a green background. Nothing more, nothing less.

Searching for "FRL-V4-0.5G" produced no results. Shortening the search terms to "FRL-V4" the Internet suggested a website about a seaport in France. This seemed unlikely to have been sold 7 times, and for less than £30. The acronym "FRL" turned out to have a multitude of uses, none of which offered any promising leads. It was a dead end.

Finally, searching for "frog eye wares" turned up two hits: one was a County Court website and the other was an article from a local newspaper from that area. The court website would not show the result when it was clicked on, displaying instead a "page not found" error message. The newspaper said that a local businesswoman and two of her associates had been arrested and were standing trial in connection with the frogeyewares.co.uk website. There were no details except the date of the article, which was 3 months old.

It was getting late and phoning the court or the newspaper would have to wait until Monday morning.

Now, searching for each of the names of the medications in his notebook, Colin found that the boxed ones were a mixture of antidepressants and atypical antipsychotics with antidepressant effects. The pills in the blister packs were medications more commonly prescribed for narcolepsy and attention-deficit disorders.

Finding out what the loose pills were was a much harder challenge, but there was a website with an excellent search facility that allowed the shape, colour and any markings on the pill to be input. For white round pills, the results were reliable, but for pills that were pinkish or greenish, or of more exotic shapes, there weren't any results. Searching for the markings alone found a lot of results, but Colin ploughed through the pages and narrowed it down to a likely set of candidates.

With a list of active ingredients from the pills, he then searched the Internet to find out what kind of medications they were. There were anxiety drugs, sleeping pills, painkillers, analgesics and more ADHD medication. There were also treatments for fatigue, lethargy and the promotion of weight loss through appetite suppression. A significant number of the active ingredients were listed as controlled substances.

Perhaps Neil did have a drug problem, but if so, why had he left these precious pills behind and how had he managed to hide and pay for an addiction so cheaply? Neil would have lied, cheated, stolen and gone into debt before he disappeared without a trace. Drug problems spiralled. The evidence was undeniable: Neil had been illegally in possession of a number of controlled medications with abuse potential. However, he didn't appear to have been buying them or taking them in great enough quantity to suggest drug abuse.

Not wanting to upset Lara and family with incomplete theories, conjecture and inconclusive evidence, Colin decided to keep quiet over the weekend and pick up his investigation again on Monday morning. He was frustrated and confused, but he was a patient and methodical man, calm and stoical in a crisis.

 

Next chapter...

 

#NaNoWriMo2016 - Day Twenty-Two

3 min read

Poste Restante

Contents

Chapter 1: The Caravan

Chapter 2: Invisible Illness

Chapter 3: The Forest

Chapter 4: Prosaic

Chapter 5: The Van

Chapter 6: Into the Unknown

Chapter 7: The Journey

Chapter 8: Infamy

Chapter 9: The Villages

Chapter 10: Waiting Room

Chapter 11: The Shadow People

Chapter 12: Enough Rope

Chapter 13: The Post Offices

Chapter 14: Unsuitable Friends

Chapter 15: The Chase

Chapter 16: Self Inflicted

Chapter 17: The Holiday

Chapter 18: Psychosis, Madness, Insanity and Lunacy

Chapter 19: The Hospitals

Chapter 20: Segmentation

Chapter 21: The Cell

Chapter 22: Wells of Silence

Chapter 23: The Box

Chapter 24: Jailbird

Chapter 25: The Scales

Chapter 26: Descent

Chapter 27: The Syringe

Chapter 28: Anonymity

Chapter 29: The Imposter

Chapter 30: Wish You Were Here

 

22. Wells of Silence

She had to leave him. She couldn't be certain that she was making things worse, but she certainly didn't seem to be making things better. It was so painful to see the man she loved in a steady decline. All her attempts to help seemed to antagonise him and make him more secretive and defensive.

But she couldn't abandon him. She almost immediately regretted making him feel rejected. She knew he already felt completely isolated and alone, and leaving only made it worse, but she'd had to protect herself.

She stepped into the bedroom, invading his precious private sanctuary. It was dark but the scene was still horrific.

His body.

Laying awkwardly, his naked skin was purplish and yellow in parts, as if covered with terrible bruises. There was a paleness to the rest of his body where the blood had drained away completely. The small amount of flesh covering his bony frame had swelled, leaving his skin tight and shiny.

He was undoubtedly dead.

She didn't gasp, scream or flee the scene. Her mind reeled with a sense of responsibility. How could she protect him now? How could she defend this undignified end to his life? How would she deal with the police, family?

She scanned the room. There were so many things lying around that she wanted to pick up and dispose of that it was completely overwhelming. How could she stay here and deal with a cleanup operation, tip-toeing around his dead body?

Having stood rooted to the spot, surveying the scene, the situation was clearly hopeless. She wouldn't know where to begin. She left to phone the police. 

She didn't feel guilty that she hadn't been able to do more after he'd died, but she wasn't able to forgive herself for leaving him.

"What if I'd stayed?" she sobbed.

It wasn't her fault, the police, her trauma counsellor, her parents, her brothers and her friends all told her. How could they be so sure? How could they know whether things might have turned out differently if she hadn't left him?

 

Next chapter...

 

#NaNoWriMo2016 - Day Twenty-One

9 min read

Poste Restante

Contents

Chapter 1: The Caravan

Chapter 2: Invisible Illness

Chapter 3: The Forest

Chapter 4: Prosaic

Chapter 5: The Van

Chapter 6: Into the Unknown

Chapter 7: The Journey

Chapter 8: Infamy

Chapter 9: The Villages

Chapter 10: Waiting Room

Chapter 11: The Shadow People

Chapter 12: Enough Rope

Chapter 13: The Post Offices

Chapter 14: Unsuitable Friends

Chapter 15: The Chase

Chapter 16: Self Inflicted

Chapter 17: The Holiday

Chapter 18: Psychosis, Madness, Insanity and Lunacy

Chapter 19: The Hospitals

Chapter 20: Segmentation

Chapter 21: The Cell

Chapter 22: Wells of Silence

Chapter 23: The Box

Chapter 24: Jailbird

Chapter 25: The Scales

Chapter 26: Descent

Chapter 27: The Syringe

Chapter 28: Anonymity

Chapter 29: The Imposter

Chapter 30: Wish You Were Here

 

21. The Cell

"If you don't mind, please empty everything out of your pockets into this plastic tray."

Neil put his wallet, mobile phone, house keys, loose change, used tissue and a folded piece of paper into the grey plastic tray, which had a sticky label on it with "Neil - Room 8" written on it in red marker pen.

"Do you have anything sharp in any of your pockets that could hurt me? I'm afraid we have to check we've got everything."

"No."

The nurse patted Neil's clothes down and checked the waistband of his trousers and underpants.

"OK, would you mind taking off your belt and your shoes, please. Just pop your shoes down on the table here next to the tray."

Neil complied.

"We have to keep your belt, sorry. I saw you brought a dressing gown and we have to keep the cord from that too. We're also going to have to take the laces from your shoes. We'll go through your bag from home in a minute but you can't have necklaces, cables - such as mobile phone chargers - razors, scissors, keys or anything else sharp."

"OK."

"If it's alright with you, we'll hang on to your mobile phone and keep your wallet safe here at the nurse's station. If you need something for any reason, you can ask one of the staff to get it for you, but we'd really like you to try and relax and get used to the ward for the first few days, so we'll be keeping your phone right here."

The nurse was now coiling the dressing gown cord and putting it in the tray, as he went through rest of Neil's belongings.

"We have to keep aerosols here. If you need your razor you can have it while somebody supervises you shaving."

"I'm not feeling suicidal" Neil said.

"OK, that's great, but there are other patients here who might be. The bedroom doors aren't locked so we have to keep all these high risk items here for everybody's safety."

The nurse showed Neil to his room. The door had a window with a blind which could be opened and closed from the outside. There was a single bed with a foam mattress, a writing desk, a plastic chair, an open wardrobe with drawers at the bottom, a sink and a plastic mirror screwed to the wall. A big window was secured with a wire tether so it could only be opened a few inches. There were no curtains. Across the hallway there was a wet-room with a shower. There was no shower curtain. There were no locks on any of the doors.

"Get yourself settled and then come and sit in the lounge. We try to encourage patients to not spend time in their rooms during the day."

Neil sat on his bed with his bag next to him for a few minutes. He thought about unpacking but he really didn't want to give the impression that he was OK about being detained in hospital against his will. He'd been told to bring a few essential clothes and toiletries. Visitors could bring him anything else he needed once he'd settled in.

In the main part of the ward, there was a lounge at one end with several sofas arranged around a big TV which was hung on the wall. At the other end of the room were a number of tables and chairs. There was a nurses' office and two rooms with sofas in, which had big windows so you could see in and out. There was a doctors' office and an examination room which were private. There was a door leading to the male bedrooms and another one leading to the female bedrooms. A recreation room had a pool table, table tennis table and books in it, as well as a number of patients' artworks displayed on the walls. There was also a small kitchen for the patients to be able to make their own drinks and snacks.

A noticeboard displayed a timetable of the week's events, which had many of the same things that Neil was familiar with from day hospital: art therapy, music therapy, drama therapy and community meetings. A whiteboard had the first names of the 18 patients who were staying on the ward, with their allocated nurse's name written next to it in green marker pen. The ward was at its maximum capacity, with 9 men and 9 women.

There was a dispensary hatch where patients would queue up to get their medication several times a day. There was a door that led out to a small courtyard surrounded by high walls on all sides. That was both the smoking area and the only place that patients were allowed outside without staff supervision.

CCTV cameras were everywhere, except in the bedrooms and bathrooms. The ward was secure but the patients were considered low risk. There was only one locked door between the ward and the main corridor of the hospital that led to the other wards and facilities. For a few days, Neil had to stay on the ward, but then staff members were allowed to escort him to and from the drama studio, art studio and music room.

Some of the patients had obvious scarring on their arms where they had cut themselves. A girl's neck was bandaged. Other patients had problems that were more subtle. A man with a big beard smelt of pooh and always wore pyjamas. Many were quiet and withdrawn and a few would shout randomly, talk or sing to themselves.

"BBC one, BBC two, ITV" a man started. "Channel four" he said, raising his voice an octave higher. He repeated this same phrase over and over in a lyrical and rhythmic way, like he was chanting a mantra. It was quite catchy and Neil found it stuck in his head too.

"I just want to be dead."

This is what Michael said loudly every single morning before breakfast. Neil was a late riser, but he could hear his fellow patient shouting all the way down the corridor.

"OK, Michael. Time for your morning medication" a staff member would coo, coaxing him towards the dispensary hatch. Michael would shuffle along in his slippers. By the time Neil got up for breakfast, Michael would be sat quietly at a table with a vacant stare and a half-eaten bowl of cereal in front of him.

"NEIL! What are you having for breakfast?" Nicole shrieked with excitement.

Nicole was young but some developmental disorder meant that she was even more childlike. Her eyes were always half-closed with her bottom lip protruding. Saliva dripped liberally from her mouth. However, despite her tenuous grasp on almost all aspects of reality, she had latched onto Neil, much to his annoyance.

"I don't know. I might have toast."

"I was going to have toast."

"Actually, I might have corn flakes." he toyed with her.

Nicole hesitated for a moment, looking crestfallen. Then her face lit up.

"I'm going to have corn flakes."

Neil swiftly poured himself some rice crispies and dashed out of the kitchen to find a table with only one spare seat.

"Those aren't corn flakes, Neil." said Nicole, coming out of the kitchen and looking with dismay at her own bowl. "Sit here with me" she gestured, standing by an unoccupied table.

"How's it going?" Neil asked a patient who he didn't know, sat at the table next to him, ignoring Nicole's entreaties.

"Not great" the man replied.

Nicole huffed and sat down to eat her breakfast. A staff member rushed over to join her, fearing there would be an upset outburst if the poor girl felt too overlooked.

In his first three weeks in hospital, Neil saw the psychiatrist three times. He had a few meetings with mental health nurses and a physical health check-up, but his life was one of ordered institutional hospital routine: medication, mealtimes, planned activities and lots of time spent watching TV.

Suddenly losing his liberty had been terrifying and his natural instinct was to yell for lawyers, demand his human rights and to complain about the arbitration that had led to him now being held under lock and key. However, he also feared the power of the state institutions. The police, the National Health Service, the government, the law: he was no match for these massive entities and he knew that he would only make things worse for himself if he made a fuss.

He now deeply mistrusted the system and regretted seeking medical help at all. He felt betrayed by his doctors, he felt that the medications had made him sick, he felt that the crisis team and Lara had conspired to lock him up. He was angry that the police were used for his "welfare" when he really felt they simply provided the muscle to drag him away from his home if he tried to fight for his freedom.

Neil's faith in medicine had been completely shattered, but now, as he lay contemplating his wrecked body he knew he urgently needed medical help. He was dying.

The can of cola that he had found in the shopping bag he'd left outside the caravan had worked its way quickly through to his bladder and he needed the toilet. Grabbing a half-full glass from a nearby shelf, he urinated into it. His urine had been getting more and more cloudy and smelled terrible, but now there was a copious amount of blood present.

His organs were failing. His lungs were flooding with fluid that he couldn't cough up. His chest was tight and his breathing was laboured. His ankles were swelling up as his heart struggled to pump blood around his body. His dehydration and malnutrition had reached the point where his body had start to eat itself and his muscles were wasting away. He was so fatigued that he struggled to move and he blacked out from low blood pressure if he raised his head too quickly.

Death in the filth and darkness of the caravan was nearly upon him.

 

Next chapter...

 

#NaNoWriMo2016 - Day Twenty

9 min read

Poste Restante

Contents

Chapter 1: The Caravan

Chapter 2: Invisible Illness

Chapter 3: The Forest

Chapter 4: Prosaic

Chapter 5: The Van

Chapter 6: Into the Unknown

Chapter 7: The Journey

Chapter 8: Infamy

Chapter 9: The Villages

Chapter 10: Waiting Room

Chapter 11: The Shadow People

Chapter 12: Enough Rope

Chapter 13: The Post Offices

Chapter 14: Unsuitable Friends

Chapter 15: The Chase

Chapter 16: Self Inflicted

Chapter 17: The Holiday

Chapter 18: Psychosis, Madness, Insanity and Lunacy

Chapter 19: The Hospitals

Chapter 20: Segmentation

Chapter 21: The Cell

Chapter 22: Wells of Silence

Chapter 23: The Box

Chapter 24: Jailbird

Chapter 25: The Scales

Chapter 26: Descent

Chapter 27: The Syringe

Chapter 28: Anonymity

Chapter 29: The Imposter

Chapter 30: Wish You Were Here

 

20. Segmentation

When Lara was working her day shift, she would get home at around 7:30pm and have an hour where Neil was vaguely compos mentis. He would take his medication at around 8pm and by 8:30pm his eyelids were heavy and he would be slurring his words.

"Time for bed, Neil."

Uncomplaining and compliant Neil would be led to the bedroom where Lara would help him undress and get under the covers. It was as if he was blind drunk: barely able to comprehend where he was or navigate the short distance to the bedroom on his own. It was alarming to see how heavily medicated he was, but Lara trusted the judgement of the doctors and had confidence that his health would soon improve.

During her night shift, Lara became aware just how little of the day Neil was awake and active. Sleeping until nearly 11am, he pulled on some clothes and lolloped down the staircase where she heard him collapse on the sofa. The sound of daytime television could be softly heard from the bedroom, but she knew he was half-dozing with glazed eyes, not taking anything in. Before she left to go to work in the evening, his mind seemed a little less cloudy, but he had little more than an hour before he had to take his 8pm dose of medication.

The change from his depressed demeanour was unmistakable. When he was depressed he was present, but also cold, withdrawn and a little passive-aggressive. He was hostile towards the world, fatigued, but his mind was still sharp. Now, he was a shell of a man: he shuffled around, slept and ate, but there was no living spirit within him. He was dead behind his eyes, which seemed more sad than the expression he wore when he said he didn't want to live anymore.

It was pretty clear when Neil skipped his medication. He would be wired: wide awake with manic eyes and an electric energy, restless.

"Did you take your meds?" Lara asked.

"Whose prescription is it? Mine or yours?"

"It's yours."

"OK. Good. You worry about your medications, I'll worry about mine."

He wore a fierce expression. He was upset, defensive, offended that she would question whether he was taking his drugs. It was obvious when he hadn't, but she couldn't press him further on the matter without an explosive argument.

At first, he only skipped doses sporadically. It was as if he wanted to occasionally remind himself what it was like to be unmedicated.

Returning home one day, Neil was not in the snug or in the bedroom. Looking in the box room and the spare bedroom, Neil didn't appear to be in either. As she walked through the hallway towards the kitchen, she heard a sound come from the cupboard under the stairs.

"What the hell, Neil? What's wrong?"

He was in the cupboard completely naked with a bright red mop bucket on his head.

"Get away from me! Shut the door!"

"What's wrong, Neil?"

"Don't let those bloodsucking bastards get in here. Keep the fucking bats away from me" he shouted, with his hands flailing in the air.

"What's wrong with your arms? They're covered in scratches."

This seemed to stir some memory in him that he had forgotten. He started attacking his skin.

"Insects. Ants. Under my skin. Look at them crawling under there!" he picked at something unseen on his arm. A little blood appeared where his fingernail dug in.

"Neil you're seeing things. There aren't any bats. There aren't any insects."

"Fuck off. Fuck off. Fuck off." he shouted, cowering in the corner of the cupboard and pulling the bucket down over his head as if it could protect his whole body.

"Please come out from there. You're covered in scratches. You're hurting yourself."

"Leave me alone. You're a liar. You're a fucking liar."

"What am I lying about, Neil?"

"You know what it is."

"What is it?"

"You know. You all know. Fuck off and leave me alone."

The crisis team convened an assessment with Neil's doctor, a psychiatrist, a social worker and a mental health nurse. Two police officers stood in the hallway. Lara hovered in the doorway of the snug looking extremely anxious. Neil was sat at one end of the sofa in his dressing gown.

"We know you've stopped taking your medication, Neil. You should have refilled your prescription a week ago."

"I told you. The side effects were intolerable."

"Yes, but the medication was controlling your illness. You need the medication to stay well."

"I wasn't unwell before I started taking it."

"That's not true. Your notes say you were very unwell. The crisis team have been in contact for quite a while now."

"I wasn't hearing things. I wasn't seeing things."

"That was because the medication was working."

"The problems started when I stopped taking the quetiapine."

"There you go then, see! The medication was working. Why won't you start taking it again?"

"I told you. I'm OK. I can't stand the side effects. I don't need the quetiapine."

"But you had a psychotic episode. You got very sick without the medication. You need the medication to control your illness, Neil."

"What illness? I was depressed. That was all."

"Neil. You're very sick. You're exhibiting all the symptoms of paranoid schizophrenia. We're all very worried about you. You're not safe if you're not taking your medication."

The social worker from the crisis team got up and took Lara into the dining room.

"Look, we're going to have to take him into hospital to look after him and to assess him."

"OK, when? How long for?"

"I think we're going to recommend that he stays for 28 days. He's really sick and we need to get to the bottom of this. He's clearly not coping at home. You've been doing a great job, but he needs to be looked after in hospital."

"So, you're sectioning him?"

"We need to make our final decision, but it's likely that he's going to go to hospital under section two. He's not well and it's the best thing for him right now."

"What happens next?"

"We'll find a bed for him at a local facility and then he'll be admitted. Once he's settled in you'll be able to visit. He might not have to stay for the full 28 days, but we need to make sure he's in a safe place where the doctors can properly assess him and help him get better."

"He's angry with me. He was furious that I called you guys."

"You did the best possible thing you could. He was a danger to himself. It's really great that you called us and we can start to get Neil the help he needs."

Lara wasn't able to get to the ward during visiting hours until the weekend. Neil didn't want to see her and refused to come out of his bedroom.

"I'm sorry Lara, he doesn't want to see you right now" a nurse explained.

After 3 weeks, Neil appeared back at the house.

"I didn't know you were coming home."

"They let me have some leave. Time off for good behaviour" Neil chuckled darkly. He avoided eye contact and he scowled.

"Are you OK?"

"Would you be OK if you'd been forcibly removed from your own home, bitch?"

Lara drew her breath sharply, as if she had been physically struck.

"Neil!" she sharply rebuked at the harshness of his language, but she was more hurt and shocked than anything.

"It wasn't like that" she said with a concillatory tone. "You were really sick. Do you remember what you were like? Do you remember? You were under the stairs with a bucket on your head. What was I supposed to do?" Lara asked, reaching out to touch his arm. Neil pulled away from her baring his teeth, his eyes flashing with rage.

"Stay the fuck away from me."

She knew she sounded patronising and he felt betrayed. He had been brooding in hospital and the situation was highly charged, but she wanted him to know that she hadn't meant to hurt him. It was painful to see so much anger and mistrust directed towards her.

"Look. I love you. I care about you. I just want to see you get better."

"You got all those people ganging up on me. You turned my own doctor against me. What right do you have to do that?"

"You were having a crisis, Neil."

"Stop using my fucking name. It's just me and you here. There's nobody else here. Fuck."

Neil stormed off. Lara heard the sound of shattering glass and then a yell of pain. She hesitated and then started to walk upstairs. Neil crossed the landing and went into the bathroom. Tentatively, she poked her head in the doorway.

"Fuck off. Fuck off and leave me alone."

Neil was wrapping tissue paper around his hand. There were blood spots on the grey tiles all over the floor around his feet.

"Why the fuck are you still stood there? Fuck off. FUCK OFF" he screamed.

Lara went into the bedroom where a full-length mirror was shattered. The glass was mostly clean but large dark red blood spots were soaked into the carpet, trailing through the hallway and into the bathroom. Neil emerged and walked into the spare bedroom.

"Are you OK?" she asked.

He slammed the door closed.

"FUCK OFF!" she heard him yell, muffled inside.

On Sunday evening Neil left the house without saying a word. Lara waited until about 9pm and phoned the hospital.

"Is Neil back?"

"Yeah he came back a couple of hours ago."

Lara was relieved. She had been torn, not knowing whether to phone the crisis team again or not, knowing that Neil would feel even more betrayed. She sunk into the sofa and convulsive sobs hit her before she'd even put the phone down.

 

Next chapter...

 

#NaNoWriMo2016 - Day Nineteen

12 min read

Poste Restante

Contents

Chapter 1: The Caravan

Chapter 2: Invisible Illness

Chapter 3: The Forest

Chapter 4: Prosaic

Chapter 5: The Van

Chapter 6: Into the Unknown

Chapter 7: The Journey

Chapter 8: Infamy

Chapter 9: The Villages

Chapter 10: Waiting Room

Chapter 11: The Shadow People

Chapter 12: Enough Rope

Chapter 13: The Post Offices

Chapter 14: Unsuitable Friends

Chapter 15: The Chase

Chapter 16: Self Inflicted

Chapter 17: The Holiday

Chapter 18: Psychosis, Madness, Insanity and Lunacy

Chapter 19: The Hospitals

Chapter 20: Segmentation

Chapter 21: The Cell

Chapter 22: Wells of Silence

Chapter 23: The Box

Chapter 24: Jailbird

Chapter 25: The Scales

Chapter 26: Descent

Chapter 27: The Syringe

Chapter 28: Anonymity

Chapter 29: The Imposter

Chapter 30: Wish You Were Here

 

19. The Hospitals

His first day in a psychiatric hospital had been spent as a day patient. The crisis team had arranged for Neil to get out of the house and see a different psychiatrist. They'd picked him up in a minibus from home and driven him to another local hospital that Lara had never heard of. It was surprising how many institutions there were in town, dealing with mental health patients.

A breakfast of toast and cereal was provided at the hospital in a large canteen with a huge bay window looking out onto a garden filled with mature shrubs and trees. The hospital itself was an imposing red brick Victorian building, originally built as a sanatorium. There were parquet floors and a grand staircase in the foyer. Otherwise, the hospital had been institutionalised, with fire doors painted glossy pale green, linoleum floors and lots of blue signs with white lettering.

After breakfast, the patients were corralled into a circle in the canteen. Tea and biscuits were served as a support worker went through the day's activities and asked who would like to do what. There was music therapy, art therapy and drama therapy. Neil said he would do all three.

There were long periods of time where nothing seemed to be happening and there was no sign of any staff members. Patients were hanging around in two rooms: the canteen and a lounge. The lounge had an array of different size and shape sofas around the edge of the room and a vending machine in one corner. A tall sash window offered a view out to the gardens on the opposite side of the building from the canteen. Nobody was talking to each other. Some patients sat completely still with glazed eyes, as if in a trance. Other patients paced around nervously, avoiding all eye contact and distancing themselves from others.

After a seemingly interminable wait - there were no clocks anywhere to be seen - a woman appeared asking for Neil.

"Are you joining us for music therapy?"

"Yes, I was going to."

"Well we're starting right now."

Neil followed the woman through a door. She seemed irritated as if he should know where to go and when. The music room was nearly full with about 20 patients holding instruments, sitting around a large square table. He didn't recognise anybody from breakfast. The room had a high ceiling and it was quite dark. The walls were covered with blue fabric covered cork-board and there were many crude paintings and drawings pinned up.

"Choose anything you want and we can start" said the music therapist, gesturing to a corner filled with an array of percussive musical instruments.

Neil picked up a tambourine and sat down in a free chair at the table. The music therapist sat at a piano and began to play a simple melody. Tentatively, a patient started to tap a bongo drum in a staccato rhythm that was not in time with the music. Another patient shook a pair of maracas at random intervals. Neil started to gently jangle the tambourine in time with the woman on the piano and she started to sing, presumably to amuse herself as nobody else knew the words or the tune. Everybody else in the room held their instruments motionless, except for sporadic flurries when they became emboldened enough to briefly make a noise.

Eventually, Neil got bored and started to beat time on the taut skin of the tambourine quite loudly. Following his lead, more and more patients started to join in with the rhythmic bashing of instruments. The sound built and built and the music therapist played louder and wailed badly out of tune. Finally, she stood up and gestured that everybody should calm down, gently shushing.

"We could wake the dead with that racket" she said, laughing at her own joke.

"OK that was a brilliant session. Please help me tidy away the instruments. Thanks everybody. I really enjoyed that."

The patients all disappeared in different directions and Neil made his way back to the canteen. Most of the people who he'd seen earlier were still there. Spotting the patient who had been shaking the maracas, walking through the foyer, Neil intercepted her.

"What happens now?"

"Well I'm just going outside for a cigarette. Get yourself a drink and have some cake. Then it'll be lunchtime."

A table in the canteen had been laid out with large plastic jugs of blackcurrant and orange squash. There was a chocolate cake and a victoria sponge that had been sliced into small portions on paper plates. Neil took a plastic beaker from a stack and was about to pour himself some squash when one of the catering staff rushed over.

"I'll pour that for you, dear."

"It's OK, I can do it" said Neil.

"No I have to pour it for you."

With his drink and a plate of cake, Neil sat down at a table with a girl who was fiddling with her phone. She looked up.

"Are you OK?" she asked.

"Yeah. Bit confused about what's going on. You alright?" he replied.

"No. I'm not good at all" she said, suddenly looking very worried. She studied the floor.

"Do you want to talk about it?" he asked.

She looked up momentarily, made a little half-giggle and then started fiddling with her phone again.

After about an hour of awkward milling around, a servery hatch was opened in the canteen and a trolley with knives and forks on it was wheeled out into the room. Patients started to line up at the hatch, where there was a hot plate and the catering staff were taking off the foil lids on a number of plastic containers. Neil took his place in the queue. There were a number of dishes to choose from including pasta and a meat pie. Neil chose meatballs in a tomato sauce, mashed potato and green beans, which were dolloped onto a large white plastic plate by a lady in a hairnet with a long serving spoon.

"Gravy?"

It seemed an unusual question, but the dish could certainly be improved with some kind of sauce. The lady poured thick brown liquid all over his food from a big aluminium jug. Lunch reminded him of school dinners, but not in an unpleasant way. There was a stodgy pudding with lashings of thick yellow custard to finish the meal and it was all washed down with tap water in tiny plastic tumblers, poured by one of the catering assistants.

As he was finishing his meal, Neil was approached by a camp man with a bright happy smile who almost danced into the canteen. Half lowering himself to table level but not sitting down, he laid his hand gently on the middle of Neil's back.

"You're joining us for drama today. Is that right?"

"Yep" said Neil, covering his mouth which was still half-full of food.

"OK perfect. There's only a few of us but we always have a lot of fun. We'll be in the drama studio in about 30 minutes, alright? Wonderful" he said, answering his own question.

Neil wanted to ask where the drama studio was but the man had skipped away before he could swallow his mouthful and call out to him.

"Oh good. You're here" the drama therapist said when Neil finally located the right room. There were four patients, arranged in a semicircle facing the therapist. Everybody was seated in the middle of a large polished wood floor. Around the edges of the room were chairs stacked up, boxes with hats, props and clothes rails with various costumes.

The session began with some icebreaker exercises where each patient had to say the name of another patient before throwing them a ball to catch. They then re-enacted the story of Goldilocks and the three bears several times, rotating the roles so that everybody played each character. The therapist prompted them with questions while they were doing this.

"How do you feel that your porridge has been eaten, baby bear?"

"Uh. Hungry?" Neil replied.

With more tea and biscuits there was a community meeting where everybody sat in the canteen and somebody asked a sequence of questions about whether anybody had any problems with the facilities or could think of any service improvements. The nurse and support worker who ran the meeting were met with stony silence.

Art therapy comprised colouring in with pencils or felt tip pens. Neil chose a picture of an orange tree and meticulously shaded every leaf. He had almost completed it when a man appeared at the door of the art room.

"Neil. Can I borrow you please?"

Led up two flights of stairs, the man knocked on a door.

"Come" came a voice from inside.

Opening the door, a young doctor held out his hand.

"Neil isn't it? Good to see you. Take a seat please" he gestured towards a plastic chair. "I'm Doctor Akinbole, a registrar psychiatrist here at the hospital. I'm hoping we can do something to help you today."

"Oh.. kay..."

"Now, I come across quite a lot of cases of young men. Fit and active. Productive and happy. Sometimes problems can materialise in your twenties. It's nothing to be ashamed of and I'm sure we can help you get back on your feet."

"Alright" Neil tentatively offered.

"So you've been working full time, you're engaged and you've been in a long term relationship with this lucky lady?"

"Yes, that's right"

"That's great. Great" the psychiatrist said, smiling.

"Well listen, there's a medication that's helped a lot of my patients in a similar situation to yours. It's an atypical antipsychotic, but it's very good with depression too and a whole host of mental health issues."

"Antipsychotic?"

"Atypical."

The psychiatrist reached for a book on his shelf and leafed through the pages.

"OK, what we're going to do is start you on 200 milligrams today, 400 tomorrow and 600 the day after. Then you'll be taking 600 milligrams every night. This medication is great because we can ramp up the dosage really quickly."

"What about all my other medications?" Neil asked.

"Well, we'd better keep you on those for now. We don't want you to have any nasty withdrawal effects. We can taper you off those gradually in future."

The psychiatrist was now scribbling in his prescription pad.

"Here you go" he said, standing up. "Any problems, just phone the hospital and leave a message for me."

"Thanks" said Neil, taking his outstretched hand and shaking it again.

"I'm sure you'll be feeling much better soon. All the best" the psychiatrist said, ushering Neil out of the door.

Descending the stairs and standing in the foyer, Neil felt very lost and shellshocked. After a slow and relaxing day, his consultation with the psychiatrist had been a whirlwind affair and he was shocked at how quickly he had now received a prescription for a third medication. There was also something scary and unpalatable about the word antipsychotic.

On the first day with his new medication he woke up with a very dry mouth and was very sleepy until late morning. On the second day, he struggled to brush his teeth and get into bed because he was fighting to stay awake. On the third day, he needed to go to the toilet during the night and found that he was confused and staggering like a drunk. The dry mouth was terrible, he felt tired all the time and his appetite for chocolate biscuits became insatiable.

After some weeks, the side effects had not abated. Neil's life consisted of taking his medication at 7 or 8pm at night so that he could be awake for a few daytime hours, where he sat semi-comatose watching trash TV. Phone-calls to the hospital and messages had not managed to raise any response from the psychiatrist but eventually he spoke to another doctor. He was told not to reduce the dose, but he could split it into two or three doses throughout the day. This meant that Neil was half-asleep the whole time and barely conscious of what was even happening from one day to the next.

Two months elapsed and Neil was comfortably numb but there was no change or improvement. There was no way he could ever work while so heavily medicated. He booked an appointment to see his GP and halved his dose the night before he was due to see the doctor.

"I want to come off the quetiapine."

"Ok, but you can't just stop taking it until I write to the psychiatrist and ask his opinion."

"I can't stand the side effects and I have no quality of life."

"I understand, but we have to be very careful when you stop taking medications like these."

"It's not helping me. The side effects are awful. I'm just drugged all the time. It's like a chemical straightjacket."

"Let me write to the psychiatrist. I'll get back to you as soon as I can."

 

Next chapter...

 

#NaNoWriMo2016 - Day Eighteen

12 min read

Poste Restante

Contents

Chapter 1: The Caravan

Chapter 2: Invisible Illness

Chapter 3: The Forest

Chapter 4: Prosaic

Chapter 5: The Van

Chapter 6: Into the Unknown

Chapter 7: The Journey

Chapter 8: Infamy

Chapter 9: The Villages

Chapter 10: Waiting Room

Chapter 11: The Shadow People

Chapter 12: Enough Rope

Chapter 13: The Post Offices

Chapter 14: Unsuitable Friends

Chapter 15: The Chase

Chapter 16: Self Inflicted

Chapter 17: The Holiday

Chapter 18: Psychosis, Madness, Insanity and Lunacy

Chapter 19: The Hospitals

Chapter 20: Segmentation

Chapter 21: The Cell

Chapter 22: Wells of Silence

Chapter 23: The Box

Chapter 24: Jailbird

Chapter 25: The Scales

Chapter 26: Descent

Chapter 27: The Syringe

Chapter 28: Anonymity

Chapter 29: The Imposter

Chapter 30: Wish You Were Here

 

18. Psychosis, Madness, Insanity and Lunacy

"How did it go at the hospital?" Lara asked.

"Dr Asref has written me a prescription for two medications and he's made the referral to the crisis team" Neil replied.

It was the third time he'd visited the small community hospital as an outpatient and the second time he'd met the psychiatrist. Lara had never even heard of the hospital, even though it wasn't far from their home. The hospital mainly dealt with mental health patients.

The first appointment Neil had as an outpatient was for an assessment with a mental health nurse, 8 weeks after his doctor had made the referral to psychiatric services. He'd spoken to the nurse for about 90 minutes, while a trainee listened in and furiously scribbled notes. The nurse was kind and easy to talk to. He seemed to know exactly what kinds of things Neil was going through and was able to second guess what Neil was about to say, which made Neil relaxed and chatty for the first time in months.

The second appointment was with the consultant psychiatrist. He was not particularly conversational and seemed to be almost rambling to himself about various diagnoses and treatment regimens. He had presented Neil with a stack of photocopies of information on various medications and the consultation was suddenly over. Neil was confused and a little cut adrift. Asking what happened next, he was told to wait for another appointment where he could say which medication he'd like to try.

"Did you get the mirtazepine?" asked Lara.

"Yeah, but the consultant said I should take venlafaxine with it"

"Two medications?"

"That's right" said Neil, rattling two boxes of pills at Lara with a grin.

He seemed happier but his behaviour was worryingly erratic and childish. He would say and do regrettable things with no care for the consequences, or he would burst into tears and leave things in a mess if anything didn't go well.

One day, Neil had suddenly decided to demolish the garden shed with the supposed intention of building another one, but he hadn't purchased any materials to construct a replacement. Lara found him in bed when she got home, dreadfully upset and stressed about what he had done. That evening, she had to move the contents of the shed that could be damaged by rain and store them in the spare bedroom, while Neil cowered under the duvet.

His energy levels had improved, but often he would stay awake all night on the Internet. When Lara came home he would want to tell her about all the things he'd found out about UFOs, conspiracy theories, quantum physics, stock market trading and chaos theory. Neil's eyes would be flashing wide with wonder and excitement, but his thoughts were jumbled up and he was talking so fast she could only pick up every third word. He would get frustrated that she wasn't understanding and storm off in a huff.

"Did you get a new diagnosis?"

"He can't make up his mind. He said he's still convinced that it's major depressive disorder, but he also mentioned borderline personality disorder and bipolar disorder. He wants to treat me as if it's treatment resistant depression" Neil replied.

"Who are the crisis team?"

"Well, it's a number to phone if I'm thinking about hurting myself"

"Are you still having suicidal thoughts?"

"Not really. I'm too busy with my project"

Since losing his job Neil had been obsessed with the idea of creating an out-of-the-box security system bundle that would include wireless CCTV and motion sensors. The house had become increasingly full of equipment from Far-East manufacturers that Neil was tinkering with. Lara worried about how much it was all costing. How did he intend to sell this system if he could even make it work?

"Can I have the crisis team number?"

"Yeah. I'm supposed to give it to you and family so they can phone if they're worried about me" he replied. "And to any employer, but I don't want work sending round their goons to spy on me" he spat.

Neil's employer had become concerned that he hadn't turned up for work and had called his emergency contact - Lara - to see if he was OK. Lara was working and hadn't been able to answer her mobile, so the police had been phoned out of concern for Neil's welfare.

Neil had ignored the knocking on the front door, hoping that the police would just go away. A neighbour let the police into the back garden and they jumped over the fence. Neil heard the officers shouting at the back of the house and knocking on the back door. Yelling from the back windows, the police had insisted he come to the door so they could see he was OK. Neil had begrudgingly complied.

Lara was weary from constant worry about how Neil. She was very much relieved that there was now somebody else to contact in an emergency.

"People care about you, Neil." said Lara.

"Why are you using my name?"

"What do you mean?"

"Is there anybody else here? Why have you got to refer to me by name?"

"I don't know what you mean"

"You're so fucking patronising" said Neil, storming off.

Lara could hear him go into the box room upstairs. She knew he would be pretending to fiddle with stuff, brooding angrily. He would probably sleep in the guest bedroom again, even though it was packed with junk and the bed was covered with stuff from his project. Perhaps he would be awake all night surfing the Internet, following some thread that captivated his interest. They were definitely not going to have any further cordial discussion tonight.

Picking up the tablet on the coffee table - an impulse purchase that Neil had made - Lara searched the Internet. Typing "borderline personality disorder" she wondered what borderline meant. Did it mean that it was a milder form of the illness? As she read the symptoms she decided that it didn't really seem like Neil at all. They'd been together for so many years and they were engaged to be married. The part about unstable relationships didn't seem to fit at all.

Searching for "bipolar disorder" she came across a number of symptoms that sounded much more like Neil's recent behaviour. Rapid speech and disordered thinking, irritability, spending money and risk taking. She read the word "hypersexuality" and felt a knot in her stomach. He'd shown relatively little interest in her recently, but she knew he was watching more and more pornography. With a kind of shamelessness she heard him masturbating at night and found discarded tissues littering the floor. He made little effort to hide his Internet browsing history.

"Delusions of grandeur" and "psychosis" were things that were a little hard to place. Lara had worked a night shift and she heard him on a phone conference call during the day with his boss and human resources. Neil had ended up yelling about how he knew more than "all of you put together" and how he would create a competitor company that would "crush you like a bug". She knew that he had become frustrated and enraged by the conversation which had been ostensibly about sacking Neil, but his crazed response was completely out of character. She put it down to the extreme stress of the situation.

He was withdrawn and distant. It seemed inconceivable that he would be hearing voices or suffering with hallucinations. In her eyes, Neil was still strong, rational, intelligent and in control. She trusted him. They had always been open with each other about household finances and shared the burden of balancing the books. Even though she was cross that he'd thrown away his job, she thought that it was necessary for Neil's health and that he'd easily get more paid employment when he was ready to go back to work. They had enough savings to cushion their loss of earnings in the short term.

Two days later, Neil had disappeared.

"What do you think I should do?" Lara asked on the telephone.

"Have you rung the crisis team?"

"No. I don't know what the best thing to do is"

"Well, he didn't like it when the police got involved" Neil's dad replied.

Neil's dad was a practical man and had become a useful person to phone when she didn't know who else to speak to. Lara's parents were very sympathetic towards Neil, but it meant that they tended to share and exacerbate her worries rather than offering simple clear-cut advice.

The crisis team had promised to arrive within an hour. That was early on a Saturday morning. Neil had returned home in the afternoon, but had barricaded himself in the box room and refused to talk to Lara. Some eight hours after she had originally got in contact, there was a knock at the door.

"Hello, Lara?" asked a balding man, slightly overweight and wearing rimless spectacles. A mousey woman waited nervously behind him in the darkness, clutching a bulging ring binder.

"Yes, Hi"

"I'm Dan. This is my colleague Sue. Can we come in?"

"Please. Please do. I've been waiting all day" said Lara, ushering the two visitors into the hallway. "Neil, there are some people here to see you" she called upstairs.

Dan and Sue stood awkwardly and Lara gestured towards the snug, where they entered and sat down.

"Sorry... Lara was it?" Dan said.

"Yes, Lara"

"We had a number of urgent calls come in."

"That's fine."

"I'm a social worker and my colleague Sue is a nurse. We're here to make an initial assessment and see how we can help. Can you tell me what's been going on? It's Neil isn't it?"

"Yes, it's Neil I phoned about."

Lara noticed that Neil was hovering by the door.

"Ah Neil. These people are from the crisis team. They're here to see if you're OK."

"I'm not" said Neil, half entering the room but not sitting down, surveying the scene with distrust.

"Hi, Neil. I'm Dan. This is Sue" said the social worker, leaping to his feet and offering his hand. Neil took it and shook it. Sue half stood up, but remained quietly in the background. "Can you tell us what's been happening with you?"

"I can't cope anymore. I feel desperate. Suicidal"

"I'm sorry to hear that, Neil. How long has this been going on for?"

"On and off for months. It got really bad this week."

"OK, I need to ask you some basic questions." said Dan, now looking at Sue. Sue opened her binder and readied her pen.

"Do you know what day it is today?"

"Yes. It's Saturday the 20th of August, 2016."

"Do you know who the Prime Minister is?"

"David Cameron. No, er, I mean Theresa May"

"OK, and where are we?"

"We're in my house"

"Are you hearing or seeing anything unusual. Any voices?"

"No"

"Are you receiving any instructions, do you believe you are able to make people say or do things you want?"

"No"

"Is there anything you're anxious or concerned about right now?"

"I'm worried I'm going to kill myself"

"OK. Thanks, Neil" said Dan, glancing at his colleague. "It says in my notes that you've never been in hospital, because of your illness. Is that right?"

"Yeah, that's right. I've never been in hospital in my life except as an outpatient."

"Well, I think the safest place for you right now is at home. Where your partner and family can keep an eye on you. The crisis team can come and check on you, to make sure you're OK. How does that sound?"

"I want to die"

"OK well psychiatric hospitals are pretty crazy places. You wouldn't get a lot of rest there. The staff don't have a lot of time to help everybody. You'll be much better looked after at home. Do you have anything to help you sleep?"

"I've got mirtazepine. That makes me really sleepy"

"That's great. Do you know where it is?"

"It's on my bedside table."

"Lara, do you want to get it for Neil? And a glass of water" Dan prompted.

While Lara was gone, Dan and Sue sat quietly smiling and then Sue's mobile phone rang. She stepped out of the room and let herself out of the house while taking the call.

Lara returned with the medication and a drink.

"OK, Neil. What you're going to do is take your usual medication and then we're going to come and see you tomorrow and the day after. We're going to come and visit you here at home every day until you're feeling better."

Sue now let herself back into the house and popped her head around the door.

"Dan, we've got to go."

"Alright, sorry it was such a flying visit, but we have to attend to an emergency situation" said Dan, standing up and smiling. Pausing for a moment and taking on a more serious expression he said "everything's going to be OK. Hang tight. We'll be back tomorrow."

"OK, thanks" said Lara, following Dan to the door. Sue was already outside, eagerly wanting to get away. Neil was sat on the sofa, a little dumbstruck by the whole experience.

The front door closed, Lara returned to the snug.

"That went OK. There'll be somebody coming to check on you every day. That's reassuring isn't it?"

Neil simply looked at her blankly and then went upstairs to bed.

 

Next chapter...

 

#NaNoWriMo2016 - Day Seventeen

12 min read

Poste Restante

Contents

Chapter 1: The Caravan

Chapter 2: Invisible Illness

Chapter 3: The Forest

Chapter 4: Prosaic

Chapter 5: The Van

Chapter 6: Into the Unknown

Chapter 7: The Journey

Chapter 8: Infamy

Chapter 9: The Villages

Chapter 10: Waiting Room

Chapter 11: The Shadow People

Chapter 12: Enough Rope

Chapter 13: The Post Offices

Chapter 14: Unsuitable Friends

Chapter 15: The Chase

Chapter 16: Self Inflicted

Chapter 17: The Holiday

Chapter 18: Psychosis, Madness, Insanity and Lunacy

Chapter 19: The Hospitals

Chapter 20: Segmentation

Chapter 21: The Cell

Chapter 22: Wells of Silence

Chapter 23: The Box

Chapter 24: Jailbird

Chapter 25: The Scales

Chapter 26: Descent

Chapter 27: The Syringe

Chapter 28: Anonymity

Chapter 29: The Imposter

Chapter 30: Wish You Were Here

 

17. The Holiday

"What do you mean you're not offering the service anymore?" Neil asked as courteously as he could, although he was aware that his question was put through gritted teeth and a fake smile that looked more like a grimace.

"It's not something this post office is doing anymore."

"But when we spoke, you said you were able to receive my mail."

"Yes, but then I discussed it with my manager and he contacted the regional manager and we decided that our branch was too small to offer the service."

"So what's happened to my mail?" asked Neil.

"We had to return it to the sender."

"OK. Thank you" Neil said curtly, tapping the counter top lightly as he turned and left. There was no way he could conceal his annoyance but he knew there was no sense in kicking off, creating a scene. He knew that if he pressed the matter further it was likely that the other post offices in the area would be told they couldn't accept poste restante mail.

It wasn't a complete disaster but having to wait a couple of weeks for two envelopes to wing their way around the globe would be agonising.

"Why didn't you deal with this earlier?" he muttered to himself under his breath on the street outside.

The town was filled with market day traders and shoppers and he was drawing unwanted attention to himself as he walked slowly along the pavement. His cheekbones stood out prominently on his face and his eyes were sunken in dark hollows. He'd been able to do little more than smear dirt around his face with a wetted rag and his baseball cap did little to hide his greasy matted hair. Now back in the open, his odour wafted away in the breeze, but the person who had queued behind him in the post office had left a considerable gap because Neil desperately needed a wash.

Neil had not planned on buying more than a plastic bag full of food & drink as soon as he had collected his third envelope. He hadn't really got a plan B. He'd been worried that there would be a problem at one of the post offices, but he was also desperate for things to go his way. Today, they hadn't. He was still dealing with his disappointment and annoyance. He wasn't thinking clearly.

Walking all the way back to the van, he cursed under his breath.

"Fucking hell. What a fucking shit. What a fucking pain in the arse. Shit. Fuck. Piss. Bollocks."

He'd started to walk more briskly now that he knew what must be done, but he had none of the energy and sense of urgency that he would usually have when returning with his envelope. He stared down at the pavement a little way ahead of him, blinkered to everything around him, lost in a world of his own.

"What an absolute shit. What a total fuck up" he muttered.

Finally reaching the van, he opened the back doors and got out a small blue rucksack. He slammed the door closed and locked it. He raised his eyes momentarily, realising he was drawing attention to himself on the quiet residential back street where he had parked. There didn't seem to be anybody around.

Jumping in the driver's seat, he got his laptop out and powered it up.

"Fuck. Fucking idiot country bumpkins. Fucking backwards cocksuckers" he said to himself, hitting the steering wheel and slamming the lid of the laptop closed.

Stepping out of the van and locking it, Neil now walked back into the town centre.

"What a waste of fucking time. What a waste of fucking energy" he muttered over and over again. He was passing people on the pavement again and held his tongue, knowing that a wild looking man talking to himself was liable to be alarming sight for the local people.

Entering a pub, Neil approached the barman.

"Excuse me. Do you have Wi-Fi?" he asked.

"Yep. For customers" the barman replied with hostility.

"Half a lemonade, please."

Unplacated, the barman poured the drink.

"And a packet of salt and vinegar crisps, please."

"That'll be two pounds fifteen. The Wi-Fi password is on the blackboard in the back by the pool table" the barman said, now satisfied that Neil had spent an adequate amount of money to be considered a customer. Too many people used the pub's toilets without even buying a drink on market day and he was not in a good mood.

Whipping out his laptop, Neil positioned himself with his back facing the corner of the room so that nobody could see the screen. Connected to the Internet wirelessly, he plugged in a memory stick and opened a password-protected document. Pasting links, usernames and passwords from his document into the web browser, he did everything that he needed to do within ten minutes. His lemonade and crisps were untouched when he left the pub.

The Chinese working day was over and it would take the postal service 7 to 10 days to deliver, which meant he had at least 8 days to wait. Envelopes usually cleared customs without any delays, but he was dreading the day when something went missing in transit or took much longer to be delivered than expected. 

Feelings of exhaustion and depression swept over him as he trudged along, walking the same route for the 4th time that day. He felt tearful. He felt anger and frustration. At times he would look up and glance at the people he passed. Was he angry with them? He was angry with somebody, everyone, anyone.

Driving back to the caravan he had the heater turned way up. He was sleepy and he wasn't concentrating. He got lost a couple of times on the back lanes.

"Stupid fucking time-waster. What a waste of fucking space" he yelled at himself.

Eventually he parked up in the forest. He didn't really want to turn the engine off because he was cosy and warm. He sat in the van as it got darker and darker and the warmth seeped away before stiffly easing his way out of the driver's seat and staggering back to the caravan. In the bedroom he wrapped himself up tightly in the sleeping bag and curled up in a ball. His hands and face were freezing and he was trembling. His whole body ached.

He woke up knowing he'd slept for a long time but he was still really tired. He was hungry and thirsty and he needed to go to the toilet. He felt cold but he really didn't want to get out of the sleeping bag because he knew it would be even more cold. He wasn't comfortable, but he wanted to lie there on the bed, curled up.

Eventually, the discomfort in his bladder drove him to get out of bed and go outside to urinate. He hopped lightly back into the caravan, hugging himself to keep warm even though he was fully clothed. Going to his rucksack, he went to the top pocket and pulled out a strip of pills. Popping two pills out of the blister pack he paused for a second and then popped out two more. He paused again and then popped out a fifth. Necking the tablets, he then looked around for a bottle with any liquid left in it. There was a water bottle with barely a mouthful left, which Neil snatched up, unscrewed the cap and tipped into his mouth with his head back, swallowing.

After a cursory glance around confirmed there was nothing else to drink in the caravan, he returned to bed. Soon, he fell into a comfortable drugged sleep. He woke up feeling groggy and hung over. His thirst and his hunger were now unbearable, but he slowly surveyed the scene of the caravan with one eye open, groaning as he rolled over in his sleeping bag. Eventually, he dragged himself out of bed.

Unsteady on his feet, he straightened out his clothes and sighed. Rummaging in his rucksack, he pulled out the black duffel bag and left the caravan.

In the car park by the convenience store in the first town he'd visited, he knew he was taking a huge risk, but he desperately needed supplies. He felt hot and cold flushes and his joints ached. He was weak and he shuffled along, but he didn't have far to walk to get to the shop and to drag his bag back to the van.

In the shop he bought a 5 litre bottle of mineral water, shower gel, deodorant, disposable razors, toothpaste and a toothbrush, toilet roll as well as 10 cans of caffeinated energy drink, a large bottle of cola and several Cornish pasties.

"Big night last night?" the young shop assistant chuckled.

Neil replied with a grunt. He swayed a little at the counter as he waited for the items to be scanned.

"Are you OK?" the young man asked.

"I'm fine. How much is it?" Neil replied.

Packing all his shopping into the black bag, Neil was slow and clumsy. Other customers were waiting to pay, but he didn't notice: his mind was cloudy; he was sick and exhausted.

In the van, he downed an energy drink which slaked his thirst. The brief boost to his blood sugar meant that he felt OK driving back and he managed to drag the duffel bag into the caravan. After three bites of a Cornish pasty, he curled up by the dining table and fell asleep.

For four days he felt too unwell to leave the bedroom except to eat, drink and go to the toilet. He had cold sweats and his whole body ached. Waves of nausea swept over him, but he managed to avoid throwing up and held his food down.

On the fifth day he felt a little better and he thought about going home, to his home town, his house. Maybe he could get in contact with Lara. Maybe she would come and look after him. He knew it would be a horrible journey on public transport when he was still feeling very unwell, but he could manage it. Perhaps his journey was at its end.

He ate his remaining food, drank the last of the cola and had a couple of energy drinks. With the help of a couple of sleeping pills, he managed to get a good night's sleep.

Waking up, he felt refreshed and a little energised. It was a cold day, but he knew that he had to wash. Rinsing the soap out of his hair with freezing water gave him an ice-cream headache, but it felt nice to be taking care of his appearance after so long. He flanneled himself with a soapy rag, getting rid of the worst of the dirt and smell from his body. Brushing his teeth and spraying deodorant all over his body, he felt like a new man. He put on his set of clean clothes.

There was no doubt in his mind about what he was going to do next.

"Hi. Is there any post for me?"

With the envelope in his hands, he wasn't going to make the same mistakes this time. He rushed to the hardware store and bought some self-adhesive plastic to obscure the caravan windows, a stanley knife, a staple-gun, a bolt for the bedroom door, a screwdriver, a hammer, some masking tape, insulation tape and duct tape. He drove to the supermarket on the edge of town and parked in the car park. He bought 6 large bottles of mineral water, 6 large bottles of cola, 5 tins of baked beans, 5 tins of spaghetti hoops and 6 packets of salted crisps.

Driving home, he was struck with the urge to stop outside the fish & chip shop and get a takeaway. He bought a large cod and chips and a pot of curry sauce.

"You're looking well" the woman behind the counter said.

"What do you mean?" he asked.

"I saw you in Axeton the other week. You looked like death warmed up"

"Yeah, I wasn't very well" he replied.

"Well, it's good to see you're on the mend. All the colour has come back into your cheeks"

Sitting down at the caravan's dining table with all his purchases, Neil unwrapped the paper of the first hot meal he'd had in over a month. The food had gone a little cold but delicious smells wafted up: battered fish, golden chips, salt and vinegar. He ate quickly and soon he felt uncomfortably stuffed, because his stomach had shrunk.

Why hadn't he just gone to sleep and then gotten himself away from there?

Now he lay contemplating his fate. He was a little appalled that he threw away such a great a chance to escape; to run for his life. For a brief moment, there had been a glimmer of hope, of redemption, but he hadn't cared at the time. He hadn't given it a moment's thought, but now he considered how close he had been to avoiding his current predicament, if only he had made a different choice that night.

 

Next chapter...

 

#NaNoWriMo2016 - Day Sixteen

9 min read

Poste Restante

Contents

Chapter 1: The Caravan

Chapter 2: Invisible Illness

Chapter 3: The Forest

Chapter 4: Prosaic

Chapter 5: The Van

Chapter 6: Into the Unknown

Chapter 7: The Journey

Chapter 8: Infamy

Chapter 9: The Villages

Chapter 10: Waiting Room

Chapter 11: The Shadow People

Chapter 12: Enough Rope

Chapter 13: The Post Offices

Chapter 14: Unsuitable Friends

Chapter 15: The Chase

Chapter 16: Self Inflicted

Chapter 17: The Holiday

Chapter 18: Psychosis, Madness, Insanity and Lunacy

Chapter 19: The Hospitals

Chapter 20: Segmentation

Chapter 21: The Cell

Chapter 22: Wells of Silence

Chapter 23: The Box

Chapter 24: Jailbird

Chapter 25: The Scales

Chapter 26: Descent

Chapter 27: The Syringe

Chapter 28: Anonymity

Chapter 29: The Imposter

Chapter 30: Wish You Were Here

 

16. Self Inflicted

"I should be upstairs saving lives and instead I'm here wasting my time here talking to you" the consultant harshly chided. "I'm needed in surgery helping patients who don't deserve to be here" he continued.

"We're picking up the pieces of your self-inflicted mess and that's not fair."

The staff and patients within earshot of the ward could not help listening in to the consultant's angry tirade. They cringed with embarrassment on behalf of the petite and ghostly white girl who looked the angry doctor straight in the eyes with a contemptuous stare. She seemed completely unmoved, which only enraged him further.

The consultant briskly walked off. Everybody in the vicinity had stood spellbound, watching the scene unfold and there was a moment of hesitation before anybody started to move around. It was deathly quiet before people resumed talking again. A male nurse who had been hovering near the girl's bed now came over to replace an empty drip bag. He studied her face.

"He doesn't know what he's talking about. I didn't choose to come here" said the girl.

"He's very good at his job. He's very respected in this hospital" the nurse replied.

"I don't dispute that. But I didn't want to come here and take up anybody's valuable time" she said.

The nurse stopped what he was doing and looked at her.

"The police brought me here. It wasn't my choice. I didn't want to come."

The nurse wanted to tell her to keep her voice down, but he knew that it would be hypocritical, given that the consultant had launched a loud verbal assault on the silent girl. She hadn't spoken a word to contradict him. In fact, they had never spoken. He had read her notes and marched into the ward to give her a lecture. The other staff were quite sympathetic towards this fragile creature who had been so apologetic that she had ended up in hospital.

Lara had to put two canulas into the girl's pale skin when she arrived on the ward. Inside the crook of her arm and down the length to her wrists, there were scarred track marks and pus-filled abscesses. Lara searched the back of the girl's wrists but couldn't find a single vein that hadn't collapsed.

"I'm sorry. That hasn't worked. We'll have to try again" Lara said as she pushed the thick needle of the canula into a vein in the girl's ankle.

"It's fine. Don't worry. I'm sorry it's so hard. I'm used to it" the girl said.

Lara knew that it must hurt, but the girl didn't make a sound, even when she slightly flinched with pain.

"I bet she can't feel a thing" muttered one of the other nurses to Judy, the ward manager. They were watching through the glass from the corridor.

"She detoxed in intensive care. She's probably in a great deal of pain and discomfort" said Judy with a stern look at her colleague.

The hospital was a fairly nonjudgemental place. Even when the radiographers would gossip about the strange objects that they had seen on X-rays, that had been inserted into mens rectums, there was still a lot of sympathy amongst the staff and sensitivity for the feelings of the patients. "Imagine shitting that out" Anne cackled, talking about a toy car that a man had "accidentally sat down on" and had been unable to remove himself.

On a general ward, those who stayed for any considerable length of time were the geriatric patients. The patients Lara looked after either got better and were discharged, or they got worse and were rushed off to surgery or intensive care. The old people took a long time to recover and had multiple health problems as their aged bodies slowly shut down and died. Young people were a relative rarity on the ward and there was something shocking about seeing somebody unwell when they had their whole life ahead of them.

The young girl on Lara's ward had been admitted with pneumonia, septicaemia - blood poisoning - as well as a number of infected abscesses. She had hepatitis B and C. She was HIV positive. Her blood borne diseases were not affecting her health but would severely shorten her life expectancy. This shocking prognosis was at odds with the defiant and beautiful patient who seemed so strong despite being critically unwell.

As an emergency admission, the girl was still wearing the same clothes that she had been when the police had brought her to hospital. Her thickly applied make-up was still plastered to her face. Her short skirt, boob tube, mascara, black eyeliner and bold lipstick unmistakably identified her as a sex worker. Her uncovered arms betrayed the fact that she was an injecting drug user, but the men who picked up street walkers wouldn't notice or care about such things.

"Do you want me to find you some pyjamas?" Lara asked, trying not to stare at the small scars all over the delicate flesh on the underside of the girl's arms.

"Only if it's no trouble" the girl replied with a grateful smile.

Rummaging in one of the store cupboards, Lara managed to locate some pale green pyjamas and a pair of beige disposable slippers wrapped in cellophane.

"Here" said Lara. "I'll put these on this chair and we'll get you unhooked from all this stuff when that drip bag is next empty" she said.

A drip fed into the canula in the girl's ankle. She had a blood pressure cuff and oxygen level monitor attached to her arm. A machine pumped fluids into her body. A catheter bag hung below the bed, half full of urine. The tentacles of cables and tubes spread out from the white sheets of the bed where she lay, to the surrounding machines and equipment.

Changed out of her clothes and into clean hospital-issued pyjamas, the girl had managed to quickly clean her face in the bathroom. Her complexion was unhealthy but she was clearly very young. Without her makeup, she was just a helpless sick child.

"Are you OK in there?" Anne asked. "Lara, is that you?"

Anne was stood outside the ladies' staff toilet. She had heard somebody sobbing inside. Lara emerged sniffling and dabbing at her eyes with toilet paper. Anne looked around to make sure nobody had noticed them, while Lara fussed with her handbag and tried to walk away as if nothing had happened.

"Whoa there girl! You're not going anywhere. We're going to mine. No arguing" said Anne.

Lara had stifled her sobs as they exited the building and headed to the nurses' accommodation block. It was the end of their shift but Lara had obviously been locked in the toilets for some time because the rush to leave the building had quietened down.

No sooner had Anne closed the front door of her studio apartment behind them, Lara burst into tears again.

"What's wrong? Is it that girl in ward D?"

"She.. she... she's so young" Lara snivelled.

"Yeah. Heartbreaking" said Anne in a flat tone.

"But she's got nobody. Did you hear the way Osborne spoke to her?"

"Well, he's got a point. Nobody forced her to start taking drugs" Anne said, pouring out two large glasses of white wine.

This made Lara sit up and stop crying, although her eyes were still filled with tears.

"That's such a cliché. You think she's to blame for her own problems? You think she chose everything that's happened to her?" asked Lara.

Anne sat down on the sofa next to Lara and handed her a glass.

"No. I'm sure she was abused as a child. I'm sure she was raised in foster care. I'm sure she's had a hard life. I just mean, some kids turn out alright and some don't. They're not born with a crack pipe in their mouths" said Anne.

Lara knew that her friend wasn't being harsh. It was no use for them to wallow in misery over every tragic case that crossed their path. Anne was being supportive and kind by looking out for her and giving her space to talk about this girl away from work, even though she was challenging Lara's sympathetic stance.

"I don't think it's as simple as Doctor Osborne makes out" Lara said, taking a gulp of wine, still unable to look her friend in the eye.

"He shouldn't have spoken to her like that. He was shouting. Everybody heard him."

"Yeah" said Lara weakly.

"I bet he feels bad about it now. He was just mad because it's so tragic that she's messed her life up so badly at such a young age."

"He's not her dad" said Lara.

"Yeah, but he probably feels a bit protective, like a parent. Like you say, she's got nobody."

"There were people from social services, the police, addiction support workers. They're all worried about her. Lots of people want to see her get better. She doesn't seem at all afraid about how sick she is."

"You know this is her third hospital admission this year? Doctor Osborne is as worried as anybody" said Anne.

"You can't lecture somebody like that" said Lara, catching her friend's eye now.

"You can't get so personally involved. I bet that's why you were crying, wasn't it? Because you didn't want to leave her and go home"

"Yeah. Everybody is judging her. Because she's a junkie and a prostitute" replied Lara, starting to cry again.

"It's not your battle. You can't save her. All you can do is make her as comfortable as possible while she's on the ward"

"During my shift" said Lara.

"Yes, that's right. During your shift. You have your own life too."

"Can I sleep on your sofa tonight? I want to get drunk" asked Lara.

 

Next chapter...

 

#NaNoWriMo2016 - Day Fifteen

12 min read

Poste Restante

Contents

Chapter 1: The Caravan

Chapter 2: Invisible Illness

Chapter 3: The Forest

Chapter 4: Prosaic

Chapter 5: The Van

Chapter 6: Into the Unknown

Chapter 7: The Journey

Chapter 8: Infamy

Chapter 9: The Villages

Chapter 10: Waiting Room

Chapter 11: The Shadow People

Chapter 12: Enough Rope

Chapter 13: The Post Offices

Chapter 14: Unsuitable Friends

Chapter 15: The Chase

Chapter 16: Self Inflicted

Chapter 17: The Holiday

Chapter 18: Psychosis, Madness, Insanity and Lunacy

Chapter 19: The Hospitals

Chapter 20: Segmentation

Chapter 21: The Cell

Chapter 22: Wells of Silence

Chapter 23: The Box

Chapter 24: Jailbird

Chapter 25: The Scales

Chapter 26: Descent

Chapter 27: The Syringe

Chapter 28: Anonymity

Chapter 29: The Imposter

Chapter 30: Wish You Were Here

 

15. The Chase

Ten days had elapsed since he'd collected his first envelope from the post office. He'd slept twice, eaten all the food and drunk all the water. He needed to restock but his mind was fixated on collecting one of the other two envelopes.

Checking his appearance in the mirror on the back of the bathroom door, Neil decided that he would look OK if he wore his baseball cap to hide his dirty hair. Giving himself a liberal spray of deodorant and donning his clean clothes, he set off for town.

In a convenience store, he bought a few snacks and some bottles of drink. The post office handed over his letter with minimal fuss and Neil started his journey home. He had planned to stop at a village shop on the way home, in order to buy more supplies, but he was in too much of a rush to get back to the caravan.

While he had been staying in the caravan, he had felt exposed with the gaps in the curtains and the lack of window coverings anywhere else. He wanted privacy when he left the bedroom. He started to make a mental list of things he needed from a hardware store in order to better obscure him from prying eyes.

He hesitated for a moment before opening the second envelope. Was he already too sleep deprived and hungry? Had he been careless in not drawing attention to himself on his visit to the other town? He felt perfectly awake and alert. He didn't feel hungry. He'd made a reasonably rational appraisal of his appearance and ability to drive, to interact with people. However, he knew that the small worries would soon mushroom as he got more tired and hungry. He knew that he should have taken the time to buy more food and drink, as well as making the caravan feel more private.

Feeling slightly nauseous and nervous, he tore open the envelope and pulled out a leaflet advertising soldiers made of pottery. With absolutely no interest in or ability to read the Chinese text, only the vacuum sealed foil packet sellotaped into the back of the leaflet was of interest to him. Tearing the foil, there was a resealable plastic bag inside. He grabbed a bottle of drink from the kitchenette worktop, went into the bedroom and closed the door.

Minutes later, he was flooded with worries that he might have been followed back to the caravan. He started to worry that there was no way to lock any of the doors and an intruder could walk right in. He picked up a pair of tracksuit bottoms and tied one of the legs to the bedroom door handle. Now where would he tie the other end? He was afraid to release the tension that he was applying on the door handle with the tracksuit bottoms, as if somebody was about to attempt to try and open the door at any moment. He fumbled in the darkness, trying to find something at the right angle to secure the door closed.

There was a small amount of hanging space in an open wardrobe on one side of the bedroom and Neil tried to make the untied leg of the tracksuit bottoms stretch to the flimsy metal rail, but it was just too far away. He could tie the leg onto the curtain rail, but it was only made of plastic. Neil wanted the handle to be pulled upwards, so it couldn't be depressed, as well as pulling away from the door so it couldn't be opened.

After a considerable amount of time battling with the different angles and options, the knot on the handle came undone and Neil tumbled back onto the bed. The caravan rocked slightly and made a loud creaking noise.

"Shut up! Shut up! Shut up!" he whispered to himself.

"Stupid. Stupid. Stupid."

Then, he reattached the tracksuit bottoms with a double knot - making them even shorter - and reapplied pressure to keep the handle pulled upwards. His heart raced and he was sweating profusely. Spying the tracksuit top, he tried to reach it while awkwardly trying to maintain tension on the handle. With his left hand held aloft while his right hand reached down to pick up the other garment, his muscles were tense and his body contorted as he struggled comically with a task that he had needlessly overcomplexified.

At the limit of his strength and endurance, his arm weakened and buckled and he accidentally pulled the handle down with the tracksuit bottoms. The handle sprung back up with a loud clunk. He picked up the tracksuit top. His muscles ached and he was breathing noisily.

"Stupid fucking idiot" he whispered very loudly.

"Shut up! Shut up!" he whispered more softly but with a very angry tone.

Now he knotted the leg to one arm of the tracksuit. The other arm he looped around the rail in the wardrobe and started to pull. The rail sprang from its mounting and there was a a metallic crash as a pile of coat-hangers tumbled onto the bed. Neil was suddenly unbalanced and stumbled backwards, having to steady himself on the opposite wall and disturbing the curtains. The caravan rocked, creaked and groaned.

"STOP IT. STOP IT. STOP IT" he breathlessly whispered, fussing over the curtains to make sure they were still closed. He returned to the bedroom door and held the handle, as if somebody was about to burst in at any moment,

Neil's heart was thumping in his chest with his pulse throbbing at his temples and in his throat. He was breathing rapidly and wheezily. Sweat was running down his forehead and into his eyes, stinging them. He tried to calm himself down while still holding the door handle with a vice-like grip. His legs and back ached from standing awkwardly. He was shaking.

He lay down on the bed and held the door handle up with his foot. He was more relaxed and comfortable than he had been and the change of position gave his aching muscles some respite. He started to relax and calm down a little bit, even though he maintained pressure with his foot to make sure that nobody could press the bedroom door handle down.

After a while, holding his leg in that position started to hurt. He moved his foot so that his heel was on the door and the underside of his foot was supporting the handle underneath. Then, his heel slipped and his toes pulled the handle down. The bedroom door banged open with considerable force.

"SHIT."

Neil leapt up, slammed the door closed and lay on the bed with fear coursing through his veins. He tried to calm himself down again. It was dark now but shadows danced on the ceiling above him, where the curtains didn't completely block out all the light. He was hyper-alert now, hearing every tiny noise of the forest and studying the shapes that he could see moving in the darkness.

As time wore on, he was convinced that there was a bluish tinge to the light he could see and it was flashing. He felt rising terror. The police had either followed him back from town or his noisy exploits in the caravan had alerted somebody to his presence.

There was nothing in the caravan to connect him with his real identity. He needed to hide.

Quietly he unknotted the tracksuit and put it on. Then he opened the bedroom door and slipped on his trainers. There was no sign of blue lights but he was now intent on escape. He was convinced that police officers were now fanning out in the forest, trying to find him. They had probably switched off their blue lights so that he didn't see them and try to run away.

Opening the caravan door there was an awful creak which panicked him. His pulse started to race again and he was breathing heavily as he pushed through the branches of the trees out of the clearing. He wasn't being quiet at all, because he was so terrified.

Sprinting through the trees, he realised that he had been heading towards the edge of the forest where it thinned out. He could see open fields lit up by moonlight. Hiding behind a tree trunk, he surveyed the landscape and tried to calm himself. Dark shapes seemed to be hugging the hedgerows and making their way towards the forest from that side of the hill.

Now with more self-control and purpose, Neil moved soft-footed between large trees and paused to put his back to the thick trunks while he caught his breath and decided which tree he would move to next. Making his way back deeper into the forest, it became darker and darker as the trees were more densely planted. He found a tree that had branches that almost reached the ground and made his way to the trunk, hidden in the gloom.

At first, he held his breath and tried to move noiselessly around the tree, checking all angles to see if he could see anybody. He couldn't see anything moving in the forest, but he decided to try and be as still and quiet as he could, and silently observe.

He intently watched the trees around him for any movement and listened for any sounds. He saw torches flashing and saw men wearing black uniforms, sweeping the forest several hundred metres away. Then, behind him, he heard twigs breaking as a man walked right past his tree. He tried to keep his breathing as shallow as possible and stood as still as a statue. He knew that it would be very unlikely that somebody would see him unless they approached from precisely the right angle. He turned his head away from the man so that his pale face would not light up in torchlight and closed his eyes so they didn't shine in the darkness.

Standing so still and tense became extremely uncomfortable and his muscles started to cramp, but he was calm and patient. The sounds and movement seemed to subside, but Neil was still very afraid. He decided to climb the tree.

The tree that he was stood by had a thick trunk and lots of branches that would support his weight. Climbing was easy and relatively quiet because most of the foliage was at the end of the branches. Provided he kept his weight close to the trunk, he didn't cause the branches to sway too much. The sound of his clothes brushing the rough bark was the loudest noise, so he would climb and then pause for a few minutes before resuming.

In the darkness he had little way of gauging how far up the tree he was, but he climbed until the branches felt dangerously thin. He imagined that the canopy would give him excellent cover and anybody searching for him would be likely to be looking at ground level anyway.

He was worried about falling to his death if he fell asleep, but he was wide awake and it started to get light sooner than he thought it would. As dawn broke, it became apparent that he was not particularly well hidden in the treetops and he was much higher than he had imagined. The climb down was going to be terrifying and he could barely bring himself to begin. Reaching the ground became a much bigger concern than evading police capture.

Neil's descent was noisy and destructive. He was exhausted and had little strength to lower himself down from each branch. His choice of where to put his feet was much harder going down and he snapped several dead branches, sending them crashing to the ground. If there was anybody within earshot, they would be in little doubt where he was, but he was concerned that he might lose his grip completely.

Dropping to the forest floor at last, he was covered with bark, moss and tree sap. His body was bruised and grazed; his hands were scratched and sore.

There was a thick mist of low-lying cloud making everything damp and cold. Not a single animal or bird stirred throughout the forest. Neil stumbled through the undergrowth and soon he saw the trees that surrounded the clearing. He was surprised at how little distance he had covered in the night. Everything looked very different in daylight and he wasn't sure if there had been any police at all.

In the caravan, he collapsed in bed and managed to fitfully doze, relieved to have made it back in one piece. He resolved to buy the things he needed to make things secure and private, when he went to the third town for his remaining envelope. For now, he had everything he needed. He just needed to be more careful so that his own mind didn't get the better of him.

 

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