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#NaNoWriMo2016 - Day Twenty-Eight

7 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

 

28. Anonymity

When Neil's work, the crisis team, the police and Colin first called Lara, she was shocked and worried. As time wore on, she became exhausted by the ups and downs of Neil's mental health. When Neil had disappeared, she compulsively checked her phone for any missed calls or messages, desperate for any news. Months later, the nervous energy dissipated and she became emotionally distant and withdrawn; numbed.

Lara had a voicemail and few missed calls on her mobile phone when she finished her shift. It was Neil's parents' home number. She listened to the message.

"Hi Lara, it's Colin here. I appreciate you're probably at work but phone me when you get a chance. Also, see if you can take the weekend off. You might want to come away on a trip."

Spying Anne going to her locker, Lara walked over to her.

"Can we swap shifts this weekend?" she asked, in a hushed tone.

"What the hell, Lara? You were supposed to be coming out with us on Saturday night."

"I know, but it sounds like something important's come up."

"Important how? Is this about Neil? You know how upset you were last time you got mixed up in trying to find him. You only had the memorial service a few weeks ago. Try to take your mind off everything for a while."

"It's not like that, Anne. Neil's dad sounded... different this time. I think he's made a big breakthrough."

"Well find out and let me know. It's going to take a lot to convince me though. I think it's a bad idea."

Sat in her car in the hospital car park, Lara phoned Neil's parents' house. His mum answered.

"Oh hello, dear. I expect you want to speak to Colin, don't you?"

"Yes. I'm returning his call. He left a message."

"The phone has been going crazy this week. Since the service, quite a few of Neil's old friends have been in contact. We met some of them at the service, but it seems there was something in the news and... well, I'll let Colin explain. Here he is."

"Hi, Lara?"

"Yes, Hi Colin."

"Great. Did you meet Neil's friend Anthony at the memorial service?"

"No, I don't remember meeting him, but there were a lot of people there."

"Well, he phoned us up a week later and said he'd seen something in a local newspaper. Said he didn't want to mention it because it was probably nothing."

"Umm, OK."

"Well, he posted us a newspaper clipping. It's a grainy black and white photograph of a man in a hospital bed, but I'll be damned if it isn't a dead ringer for Neil."

"But it isn't Neil?"

"Well, the newspaper says it's an Eastern European man who's lost his memory. He seems to have forgotten how to speak."

"How do they know he's from Eastern Europe?" Lara asked.

"He had an ID card in his wallet. He's from Estonia and he's called Romet Kukk. Did you speak to Matthew at the service?" Colin asked.

"No, why?"

"Well, Matthew knows Anthony. They were all at school together. Matthew phoned up and asked about Neil's disappearance. He reckons he knows somewhere Neil might have been staying."

"Staying?"

"Yeah, like a secret den from when they were kids."

"Where's this?"

"Well, the hospital is in Exeter in Devon. The den is in the same county."

"Sounds like we'd better go down there and see what we can find out."

"Good. That's exactly what I was thinking."

The memorial service had stirred up a lot of emotions and it had been very upsetting to finally let go of Neil. Friends, colleagues and family members had spoken about his life, which was moving. However, Lara had already been to the funeral of an ex-boyfriend. She was tough and she had emotionally shielded herself to some extent. Lara's parents and brothers had helped her move out when Neil was getting seriously unwell and she'd kept things at arms length as best as she could. She couldn't possibly imagine that this doppelganger would be her missing financée. She had no idea what use it would be, going to a place that Neil and Matthew used to visit years ago. It all seemed too co-incidental.

Leaving messages with the local newspaper and the hospital, nobody had been able to answer any of their queries. Lara left early on Saturday morning to pick Colin up, then the pair continued to Bristol to pick Matthew up. They drove straight to the hospital.

"Hi, we're here to see Romet Kukk. Can you tell us which ward he's on, please?" Lara asked.

"Friends or family?" the receptionist asked.

"We're family."

"Are you listed as next of kin."

"I don't think so."

"Does the patient know you're coming? Are they expecting a visit?"

"No."

The receptionist's expression was icy cold. Lara casually flashed her NHS security pass, pretending to rummage for something in her handbag.

"Let me just check where they are. Kukk was it? Mister or missus?"

"Mister." said Lara, relieved that the receptionist was going to help them.

"Oh. It says here they're not at the hospital anymore."

"Discharged? Transferred?"

"The system doesn't say."

"Which ward was he staying on?"

"The system doesn't say. I'm not allowed to see information like that. I'm sorry, that's all I know."

"That's alright. You've been really helpful, thanks." said Lara.

Spying an unmanned reception desk, Lara could see a phone number for the hospital's main switchboard on a piece of paper. She punched the number into her mobile phone but didn't dial it. Grabbing Colin, who was lingering nearby, they went back into the car park where Matthew was waiting with the car. Lara got inside and phoned the switchboard.

"Hi, can you page the bleep holder for psychiatric liaison, please?"

"Sure, no problem" the operator said.

After a few minutes wait, the operator came back.

"Connecting you now."

There was a click on the phone line.

"Psych liaison" a different voice said.

"Hi, my name's Doctor Sutton from UCLH. I was trying to find out who'd been dealing with a patient of ours at your hospital. Name of Romet Kukk" said Lara, lying.

"Yep, I was handling the case with a couple of my colleagues. Piers Cowley. How can I help?"

"Well, to be honest, we were wondering where he was. He doesn't seem to have been referred back to us."

"Yes, that's right. He wasn't discharged. He just disappeared."

"Disappeared? When?"

"About a week ago. Look, can I phone you back in about half an hour. What's your extension at the hospital?"

"Can I give you my mobile number?"

"I'd really rather phone you back on your extension if we're going to discuss the case notes in more detail. What was the number?"

"I'm in a bad signal area, we might get cut off. It's 1-3-5..." Lara hung up. "Shit."

"What's wrong?" Colin asked.

"I think he just rumbled me."

"Did you find anything out?"

"That patient isn't at the hospital anymore. Romet Kukk disappeared."

"OK, Matthew. You'd better show us where this den of yours is" Colin said.

"It's about an hour's drive from here" said Matthew.

 

Next chapter...

 

#NaNoWriMo2016 - Day Twenty-Six

11 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

 

26. Descent

She could hear the car crawl to a slow and follow her at walking pace. She had grown accustomed to the sensation of being stalked, stared at. She could feel a pair of eyes burning a hole in the back of her head. With the subtlest of movements she looked out of the corner of her eye at the road. She didn't recognise the vehicle or the driver. There seemed to be somebody in the passenger seat too. The car drew level with her and the passenger wound down their window. She glimpsed short hair full of styling gel, a white tracksuit and prepared herself for unwelcome sexual advances from a dimwitted numbskull.

"Hey!" came a surprisingly hushed call.

"Psst!"

This was not how things usually went. Normally lecherous creeps would lead with their best line, full of false flattery and often beer-induced bravado.

"Hey you!"

It was irritating, but a different and more measured approach from what she was used to. She was sure that as soon as she even acknowledged their existence, they would launch their full chat-up offensive. This was just the preamble.

"Hey!"

She was sure that their patience would quickly evaporate and she would be loudly cursed as a "stuck up bitch" and the car would roar off into the distance with its loud exhaust and bass-heavy music thumping out from their souped-up boy-racer chariot.

"Nah, she doesn't want to know" said the passenger. It looked as though he was addressing somebody in the back seat. Lara risked another glance backwards and sure enough, there was another passenger, slumped low with their coat pulled up high around their face as if they were trying to hide.

"He says he knows you" the passenger tried again.

"Who?" asked Lara, now looking in through the car window and surveying the scene, while keeping walking.

"Sam" said the passenger, pointing his thumb at the back seat. "He's sick. He needs some help getting into his flat."

"Why can't you do it?"

"We're just giving him a lift home. We've got to be somewhere else, pronto. We ain't got time."

"Some friends, you are." Lara mocked.

"Look, just help make sure he gets in OK, can you? We could just dump him nearby, but there's no telling if he'll get into his place on his own in the state he's in."

"What's wrong with him?"

"He's just had too much to drink."

"That's a really shitty thing to do to your friend. To just dump him like that."

"He's not exactly a friend. We hang out, but it's not like that. We're doing him a big favour driving him home."

"Yeah, BIG favour" said Lara sarcastically.

She couldn't help herself peering in the back windows at Sam. He was very dimly aware of what was going on. His head drooped and his eyes were closed, but he wasn't asleep. He didn't look boisterously drunk or like he was going to throw up. He was just intoxicated.

"Alright how far away is it?"

"Just down in the town centre. Jump in."

Sam was reasonably well co-ordinated and not slurring his words. He didn't even smell of alcohol. He could walk and talk without staggering, but he kept slipping into a catatonic state. His sentences would tail off and he would be half-asleep on his feet. As long as she kept repeatedly reminding him where they were and what they were doing, she could coax him towards his front door.

"Come on, Sam. Nearly home!"

"What? Eh? Oh" he said, as he seemed to remember what he was doing and take a few more steps, opening his eyes a fraction. He leant on the front door, dozing.

"Get your keys out, Sam. We're at your flat. This is where you live, right?"

"Yeah, uh. Right" he fumbled in his pockets and unsteadily directed his key at the lock.

With the door flung wide open, Sam made a bee line for his day bed and collapsed on it face down, before rolling into a slightly more comfortable position. Lara was still stood at the threshold, gazing into the large loft apartment, taking it all in.

"OK, I'm going to close this door and go home now."

"Don't go. I need you" Sam said, holding up a hand and beckoning her in.

Lara took a few steps towards the day bed.

"What do you need me here for? You're home now."

Sam patted the bed next to him. Lara didn't get the sense that he was trying to get her to sleep with him, but that he wanted her to sit. She sat awkwardly on the edge of the futon.

"You're home safe now. You can go to sleep. You'll feel better when you wake up."

Sam now opened his eyes much wider and tried to look at her. There was a kind of fear that played across his face.

"You can't let me sleep. I'll die" he said.

"What are you talking about."

"If I fall asleep, I'll stop breathing."

"If that's true it sounds like you need an ambulance."

"No!"

"Why not? What's wrong?"

"Overdose." he said, with the effort of his honest admission seemingly causing him to slump. He relaxed. His face was tranquil. Lara leant over him. He was breathing, but very shallow.

"I'm going to go phone 999. You need to go to hospital" Lara stood up and walked towards the door.

"Nooo! Stay with me" Sam called out, reaching towards her from where he lay. She hesitated at the door and looked back. "I'll be OK soon. Just stay with me a little while."

Babysitting him while he fought through a near-fatal overdose, Lara was torn. She could see his lips getting slightly purple as she fought to keep him conscious enough to keep breathing. In waves, he would get so relaxed and comatose that he would sleep peacefully and could barely be roused. She would be close to running for help. Then, he would come round a little, gasping for air and she would plead for him to stay alert and keep breathing. She knew instinctively that in the time it took her to go away, find a phone and give the address, he could very easily slip away. It took little more than an hour before he started to come round, but it felt far longer.

The experience shook them both and Sam said that he never wanted to risk dying like that again. At first, he was resolute that he needed to quit heroin and that the close call was the wake-up call he needed. He was so grateful to Lara for keeping him alive and for avoiding a hospitalisation. Then, he explained that his body would start to go into a painful withdrawal and he would feel like he "needed" his next fix. Quitting wasn't so easy and he'd need to wean himself off. Would she help him?

He genuinely meant everything he said.

In reality, Lara became his regular babysitter, so that Sam could shoot up big doses of heroin, knowing that there was somebody there to keep him safe if he overdosed. At first, Lara didn't know it. She felt that she was helping him to get cleaned up and off the dope, but after months going round to his apartment almost daily, it was clear he wasn't giving up any time soon.

She adored his tortured soul and his fascinating life. She loved their asexual relationship, which still had a kind of comfortable intimacy. Sam's first love was heroin, but Lara didn't mind being his mistress. She felt like she could make a difference.

Eventually they quarrelled. He had no intention of ever quitting, she said. He did, but it was hard, he explained. He said he'd try harder, but he started to be more secretive. He hid his habit and Lara knew it.

"You'll always keep using if I stay with you" were the last words she ever said to him. He didn't even reply. His eyes were filled with tears, but he knew the truth. Perhaps he would quit one day, but that wasn't the path that their relationship had followed. He used and she was there to keep him safe. That was the way it had been since day one and that was the way it was always going to stay.

She'd gone back to the apartment on the pretence of picking up some things she'd left there, but really she was checking up on him. Making sure that he was OK. He was so alone. His mum had left when he was little and his dad had died leaving him the inheritance that paid for his apartment and his drug habit, but he had no real friends: only drug dealers and addicts hoping to mooch off him. He was no fool, so he didn't indulge the parasites. He had nobody.

Lara knew right away that it was different from the other overdoses that she'd witnessed. There was no life left in his body. He'd been dead for some time.

Poor little rich boy. He had a kind of infamy amongst the local drug users, with many plotting to rob and cheat him out of money. He was even known to the police as a tragic addict: a dead man walking.

By the time she had left him, she was prepared for the worst. Or at least, she thought she was. Of course his death was more traumatic than she could ever have imagined, but she knew that the burden of his life was more responsibility than she should ever have been asked to shoulder. She could forgive herself, but always wondered if things could have turned out differently.

Neil's behaviour was completely different. He seemed in control, even though he was unhappy. It was Neil's desperate wish to be happy and productive again that made him so different from Sam. The addiction that she'd known had no end to it. Without a doubt, Sam would take heroin forever, given an unlimited supply and no consequences. Neil was different. He only ever took his pills begrudgingly and always talked about "recovery". His mental health problems were just a blip, in his eyes. Medication was a means to an end: like a plaster cast on a broken limb, helping it heal.

It seemed unthinkable to Lara, the idea that Neil had lost control and was slumped somewhere, dead from an overdose. She'd known so many years of him being steady and dependable. She'd seen him go through depression and psychotic episodes. However, he didn't seem to be hiding a drug habit and it seemed unimaginable that he could have been consumed by an addiction so quickly that she would never have seen it creeping up. The evidence suggested that somebody flicked a switch and her fiancée went insane. It was impossible to know somebody so well and for them to hide a whole other side of their personality. She knew what addicts were like when they hid their habits.

She confronted Colin.

"You're not telling me everything."

He sighed. "What you don't know can't hurt you."

"If there's stuff you've found out, I want to know."

"I think we just need to let Neil go and keep our best memories of him intact."

"What do you know?" asked Lara, now looking horrified.

"It's a lot worse than we thought" replied Colin with a grim expression.

"I really do want to know absolutely everything."

"He was taking some highly addictive drugs. I'm sure he's gone now. We should probably talk about some kind of memorial service."

"I guessed as much. I've been reading about those legal highs and they're nasty. Not many deaths though."

"Yes, but he was getting some really dangerous ones direct from China at 99% purity. I'm almost certain he overdosed."

"How do you know?"

"I found some traces at the house. I'm so sorry, Lara. I've been waiting and hoping that the body will be found, so we can grieve properly, you know?" said Colin, his eyes pricking with tears.

"You're a good man, Colin. I don't blame you for not telling me" replied Lara, hugging him.

 

Next chapter...

 

#NaNoWriMo2016 - Day Twenty-Five

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

 

25. The Scales

The crisis team - part of the community mental health team - social services and the police had all been quite helpful when Neil had originally gone missing. The police had quickly discovered that Neil had left his phone, wallet and passport behind. All the services were very concerned about Neil's welfare and had attempted to establish his last known movements as well as searching for him. Because Neil was considered a vulnerable person at risk of suicide, there had been a lot of initial effort, focus and attention on helping Lara, Colin and the family to make sure he was found safe and well.

With all avenues exhausted, there was little more that any of the services could do unless new information emerged. Lara and Colin were main points of contact, liaising with a police detective who was in charge of the ongoing - but parked - investigation.

Frustrated with a lack of progress, two highly regarded private investigators were contacted by Colin. After initial discussions they decided that there was insufficient evidence for them to be able to pursue the case. The truth was that nobody really wanted to touch the case, because of the number of government bodies already involved: National Health Service, mental health services, the police and social services.

Colin had eventually taken matters in to his own hands and gone to the house to look for more clues, when he found the transactions that had led him to the ongoing prosecution of the businesswoman and her associates. Once he'd found the names of the defendants, it was a simple case of searching the register of directors and finding the trading address of their company in the public records.

Now, he was back at the house once again. He regretted involving Lara so closely, but she wanted to play an active role and had discovered vital information that he himself - a grey-haired man in his sixties - would have been unlikely to have been able to extract from anybody embroiled in the court case.

Colin had sounded out friends - retired police officers, solicitors and even a judge - about bringing their own case to court. "Not a hope in hell" were the exact words of one former Justice of the Peace. His sentiments were pretty much echoed by everybody else Colin consulted informally.

"Imagine if a person was selling rat poison as heroin" said Bill, the retired judge. "Now, if that person was to sell rat poison in place of sugar, they might be convicted of murder or manslaughter. But as soon as they sell it as heroin, they'll be convicted for supply of a controlled substance, even though rat poison is not illegal to sell per se."

"But that's insane! Surely the charge of murder should take precedence over the charge of supplying a controlled substance" protested Colin.

"Well, it's about the buyer. If the buyer thought they were buying heroin, then nobody really cares whether that junkie dies. The seller will be convicted as a drug dealer, not a murderer."

"So the law really doesn't care whether you sell a junkie sugar, caffeine, heroin or rat poison?" asked Colin.

"Yep."

"What if the buyer didn't know what they were getting?"

"What did they actually buy?" Bill asked.

"A controlled substance."

"What was it sold as?"

"A chemical for laboratory research."

"There's no chance it could have been confused for a foodstuff? Was it marked as hazardous? Unfit for human consumption?"

"Yeah. It's not like it was sold as sugar or anything" Colin replied.

"Well then, the only conviction you could possibly get would be for supply of a controlled substance."

To make matters worse, everybody advised Colin not to mention the drug use to the police. One whiff of drug abuse and the case would be filed in a dustbin marked 'lost cause junkie'.

Back at the house searching for more clues, he looked high and low before finally he decided to search the attic. Boxes of Christmas decorations and long-neglected exercise equipment, the attic contained very little else except for a disused hot water cylinder and a galvanised metal cold water tank. There was a chipboard lid on the tank and Colin noticed that it was an inch or so out of place, overhanging on one corner. Lifting the lid, there was a green plastic box floating inside with a black plastic handle.

In the kitchen, Colin towelled off the green box so it was clean and dry and took it through to the dining room. Unclasping the two black plastic latches, the lid was stuck tight until the airtight and dust proof seal released the pressure. Inside the box was grey foam to protect the delicate instrument contained within: a laboratory-grade weighing scale.

Normal kitchen scales might tell you the weight of something in grams, but not very accurately. If you needed to weigh 10 grams - approximately the same as a one pound coin - then your kitchen scales would be woefully inadequate. Even fine balance scales with small weights would struggle to weigh anything lighter than a gram. Some digital scales could weigh one tenth of a gram with reasonable accuracy: 0.1g. The scales that Colin had found could weigh at a sub-milligram accuracy. Less than 0.001 grams. Even breathing on the instrument or standing too near the table on a wooden floor would cause measurement fluctuations, so there was a special stand, cover and calibration weights to ensure the readings were accurate. The "quick reference" instruction manual inside the case was a hefty pamphlet.

There were some spatulas and a metal dish inside the green box. A tiny amount of light brownish powder residue was visible on the foam that held the dish and the spatulas. There was also a very small plastic resealable bag which was almost empty except for the tiniest residue of powder in the corners.

Colin spent the whole next day searching the Internet and phoning testing facilities, before he finally located a laboratory that would be able to swab and test the tiny traces of drugs that he had found. Using gas chromatography mass spectrometry, the lab was able to then search the 'signature' of the chemical compounds and to find a match in their database.

After sending the scales by courier to the lab in the Netherlands, it took 3 weeks before he got the results emailed to him. There was no conclusive match, but there were several compounds that were 97% similar to chemicals that were held in their database. He had been warned that a 99% match was the highest that he could expect anyway, so it was a good start.

Searching the Internet, he found detailed online encyclopedia entries for two chemicals, as well as a brief summary of a third. The compounds were stimulants from three different families of drugs. Two had been developed and patented in the 1950's and 1960's, but had never been marketed to the public because of serious side effects. Colin found a shorter acronym form of the full chemical name of each of the three compounds and started to search the Internet for more information.

Quickly, Colin was immersed in a world of online discussion forums. Thousands of Internet users from around the globe were talking about their experiences of self-experimentation with chemical compounds that had been abandoned by pharmaceutical companies or not even patented. Some of the chemicals had only been thought of as theoretically possible, but a laboratory somewhere in the world was cooking up these drugs for people to buy and try on themselves.

He couldn't read any more. What he saw was immediately horrifying. Hundreds of stories of addiction and horrible psychotic episodes, health damage and hospitalisations. Internet users were swapping stories about how awful these chemicals were and that they were the most addictive drugs they'd ever tried. Many lamented the day they ever first experimented. One message stood out as clearly as the obvious warning to never take these substances: accurate measurement was the difference between desired effects and overdose.

Perhaps Neil had two sets of scales, but one set alone was worth almost £1,000. If he had overdosed at home, surely he would have been found there along with his scales?

From what Colin had read, a powerful dose of those drugs was just 0.005 grams. If Neil had half a gram delivered from China, that would be 100 doses. The effects would last well over 12 hours. That meant Neil would have been on a nonstop drug binge for 50 days with just one free sample, assuming he was measuring accurately.

He felt sick. His son had got mixed up with something so dangerous that it had overwhelmed him and taken his life in the blink of an eye. There was no way to sugar coat this. Was there even any point in telling Lara and the family that Neil had been completely consumed by addiction and stimulant psychosis? In less than 6 weeks these powerful Chinese drugs caused him to flee his home to his final resting place.

 

Next chapter...

 

#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 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 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...