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Chapter no 15

The Silent Patient

โ€œTHIS WILL STING A BIT.โ€

Yuri was tending to my bleeding scratches in the goldfish bowl. He opened the bottle of antiseptic and applied it to a swab. The medicinal odor transported me to the sick bay at school, conjuring up memories of playground battle scars, grazed knees and scratched elbows. I remembered the warm, cozy feeling of being taken care of by Matron, bandaged and rewarded for my bravery with a boiled sweet. Then the sting of the antiseptic on my skin brought me back sharply to the present, where the injuries I presented were not so easily remedied. I winced.

โ€œMy head feels like she hit me with a fucking hammer.โ€

โ€œItโ€™s a nasty bruise. Youโ€™ll have a lump tomorrow. Weโ€™d better keep an eye on it.โ€ Yuri shook his head. โ€œI never should have left you alone with her.โ€

โ€œI didnโ€™t give you a choice.โ€

He grunted. โ€œThatโ€™s true enough.โ€

โ€œThanks for not saying, โ€˜I told you so.โ€™ Itโ€™s noted and appreciated.โ€

Yuri shrugged. โ€œI donโ€™t need to, mate. The professor will say it for me.

Heโ€™s asked to see you in his office.โ€ โ€œAh.โ€

โ€œRather you than me, by the look of him.โ€ I started getting up.

Yuri watched me carefully. โ€œDonโ€™t rush. Take a minute. Make sure youโ€™re ready. Any dizziness or headaches, let me know.โ€

โ€œIโ€™m fine. Honestly.โ€

That wasnโ€™t strictly true, but I didnโ€™t feel as bad as I looked. Bloody scratches, and black bruises around my throat where sheโ€™d tried to strangle

meโ€”sheโ€™d dug so deep with her fingers, sheโ€™d drawn blood.

I knocked on the professorโ€™s door. Diomedesโ€™s eyes widened when he saw me. He tutted. โ€œPo po po. Did you need stitches?โ€

โ€œNo, no, of course not. Iโ€™m fine.โ€

Diomedes gave me a disbelieving look and ushered me inside. โ€œCome in, Theo. Sit down.โ€

The others were already there. Christian and Stephanie were standing. Indira was sitting by the window. It felt like a formal reception, and I wondered if I was about to get fired.

Diomedes sat behind his desk. He gestured to me to sit in the remaining empty chair. I sat. He stared at me in silence for a moment, drumming his fingers, deliberating what to say, or how to say it. But before he could make up his mind, he was beaten to it by Stephanie.

โ€œThis is an unfortunate incident. Extremely unfortunate.โ€ She turned to me. โ€œObviously weโ€™re all relieved youโ€™re still in one piece. But that doesnโ€™t alter the fact that it raises all kinds of questions. And the first is, what were you doing alone with Alicia?โ€

โ€œIt was my fault. I asked Yuri to leave. I take full responsibility.โ€

โ€œOn whose authority did you make that decision? If either of you had been seriously injuredโ€”โ€

Diomedes interrupted. โ€œPlease donโ€™t letโ€™s get dramatic. Thankfully neither was hurt.โ€ He gestured at me dismissively. โ€œA few scratches are hardly grounds for a court-martial.โ€

Stephanie pulled a face. โ€œI donโ€™t think jokes are really appropriate, Professor. I really donโ€™t.โ€

โ€œWhoโ€™s joking?โ€ Diomedes turned to me. โ€œIโ€™m deadly serious. Tell us, Theo. What happened?โ€

I felt all their eyes on me; I addressed myself to Diomedes. I chose my words carefully. โ€œWell, she attacked me. Thatโ€™s what happened.โ€

โ€œThat much is obvious. But why? I take it was unprovoked?โ€ โ€œYes. At least, consciously.โ€

โ€œAnd unconsciously?โ€

โ€œWell, obviously Alicia was reacting to me on some level. I believe it shows us how much she wants to communicate.โ€

Christian laughed. โ€œYou call that communication?โ€

โ€œYes, I do. Rage is a powerful communication. The other patientsโ€”the zombies who just sit there, vacant, emptyโ€”theyโ€™ve given up. Alicia hasnโ€™t. Her attack tells us something she canโ€™t articulate directlyโ€”about her pain, her desperation, her anguish. She was telling me not to give up on her. Not yet.โ€

Christian rolled his eyes. โ€œA less poetic interpretation might be that she was off her meds and out of her mind.โ€ He turned to Diomedes. โ€œI told you this would happen, Professor. I warned you about lowering the dose.โ€

โ€œReally, Christian?โ€ I said. โ€œI thought it was your idea.โ€

Christian dismissed me with a roll of his eyes. He was a psychiatrist through and through, I thought. By that I mean psychiatrists tend to be wary of psychodynamic thinking. They favor a more biological, chemical, and, above all, practical approachโ€”such as the cup of pills Alicia was handed at every meal. Christianโ€™s unfriendly, narrow gaze told me that there was nothing I could contribute.

Diomedes, however, eyed me more thoughtfully. โ€œIt hasnโ€™t put you off, Theo, what happened?โ€

I shook my head. โ€œOn the contrary, Iโ€™m encouraged.โ€

Diomedes nodded, looking pleased. โ€œGood. I agree, such an intense reaction to you is certainly worth investigating. I think you should keep going.โ€

At this Stephanie could restrain herself no longer. โ€œThatโ€™s absolutely out of the question.โ€

Diomedes kept talking as if she hadnโ€™t spoken. He kept looking at me. โ€œYou think you can get her to talk?โ€

Before I could reply, a voice said from behind me, โ€œI believe he can, yes.โ€

It was Indira. Iโ€™d almost forgotten she was there. I turned around.

โ€œAnd in a way,โ€ Indira said, โ€œAlicia has begun to talk. Sheโ€™s communicating through Theoโ€”he is her advocate. Itโ€™s already happening.โ€

Diomedes nodded. He looked pensive for a moment. I knew what was on his mindโ€”Alicia Berenson was a famous patient, and a powerful

bargaining tool with the Trust. If we could make demonstrable progress with her, weโ€™d have a much stronger hand in saving the Grove from closure.

โ€œHow long to see results?โ€ Diomedes asked.

โ€œI canโ€™t answer that,โ€ I said. โ€œYou know that as well as I do. It takes as long as it takes. Six months. A year. Probably longerโ€”it could be years.โ€

โ€œYou have six weeks.โ€

Stephanie drew herself up and crossed her arms. โ€œI am the manager of this unit, and I simply cannot allowโ€”โ€

โ€œI am clinical director of the Grove. This is my decision, not yours. I take full responsibility for any injuries incurred upon our long-suffering therapist here,โ€ Diomedes said, winking at me.

Stephanie didnโ€™t say anything further. She glared at Diomedes, then at me. She turned and walked out.

โ€œOh, dear,โ€ Diomedes said. โ€œYou appear to have made an enemy of Stephanie. How unfortunate.โ€ He shared a smile with Indira, then gave me a serious look. โ€œSix weeks. Under my supervision. Understand?โ€

I agreedโ€”I had no choice but to agree. โ€œSix weeks.โ€ โ€œGood.โ€

Christian stood up, visibly annoyed. โ€œAlicia wonโ€™t talk in six weeks, or sixty years. Youโ€™re wasting your time.โ€

He walked out. I wondered why Christian was so positive I would fail. But it made me even more determined to succeed.

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