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Some time later I am vaguely aware of being pushed gently upright and something – the water jug, perhaps – being taken out of my hands. I am tucked into bed and the light is turned out. I feel very sleepy and in a way happy to be so, cosy in my wrapping of sheets and the feeling of dozing quietly off, while another part of me is shrieking with fury and terror, screaming at me to wake up and get away, do something, anything.

He comes for me again during that night. The drug still holds me, and it is as though everything happens through layers and layers of swaddling, through multiple bundlings of something insulating and muddling, making everything vague and fuzzy round the edges.

There is an impression of the quality of the light and sound around me changing somehow, of the door being opened and closed very quietly. And then there is the feeling that somebody else is here in the room with me. At first I feel no sense of threat. I have a vague, groundless and completely stupid feeling that this person is here to protect and look after me, to tend to me. Then I feel something happening to my bed. I still persist with the vague sensation that all is well and I am being cared for. They must be tucking me in. How nice. How like being a child, safe and warm and loved and quietly looked after.

But I am not being looked after, and the bed is being unmade, not made, untucked, sheets and blanket loosened, a way being made clear.

I feel the sliding, spiderly-creeping, probing hand slide into the bed and over my body at my hip. I feel my pyjamas being touched and investigated and then the cord that ties them being found, and – gently at first – tugged at. The knot does not give, and the tugging becomes harder, more impatient and aggressive.

In all of this it is as though I am watching everything on a screen, feeling it not as something that is happening to me but as something that is happening somewhere else to somebody else and the sensations accompanying the experience – the sensations that are the experience – are being transmitted to me through some technology or ability I have not heard of. I am dissociated from what’s going on. This is not happening, or at least not to me. So I have no need to react, to try to do anything, because what good would that do? It’s not happening to me.

Except, of course – as one part of my mind has known all along, and is still bellowing and yowling about – it entirely is happening to me.

The hand undoes the knot on my pyjama bottoms and pulls them forcibly down. There is a roughness and an urgency to the hand’s movements now that was not there before. I think that whoever is doing this realises that I am truly in a deeply drugged sleep and so am not likely to wake up and start resisting or screaming. And there is, too – horribly, horribly – a feeling of something like the uncaring passion that infects lovers, when they cannot wait to get at each other, when clothes are ripped off the self and the other, when hands shake, when bruises happen, unmeant, unfelt at the time, when shouts and screams and crashings and bangings ring out without a care who hears them, when we abandon ourselves utterly to something that is neither fully ourselves or them any more but something that lies between us, aside from us, beyond us. I think I can remember feeling like that: wanting somebody like that, being wanted like that. This – this single-handed furtiveness, this selfish, unmindful groping, however urgent, however needy – dear fuck, this is a sad, pathetic, petty thing in comparison.

Something inside me wants to cry, confronted with the memory of such wild and joyous passion, such fervently mutualised desire, contrasted with this sordid, sweaty feeling and grabbing and squeezing. I think I do feel hot tears in my eyes and on my cheeks. So I can feel, at least, if not react. Would I rather this than outright unconsciousness, until it’s all over? Is it better to witness such violation and know that it most surely happened, or better to know nothing until one wakes up sore, bemused, suspecting perhaps, but able to dismiss it, forget about it? I don’t know. Anyway, I seem to have no choice, either about it happening to me or about the fact that I am aware of it.

The hand tires of manipulating my genitals and starts trying to turn me over, onto my side, rotating my body so that my exposed rear is turned towards my violator.

What heat there is in tears of such frustration. How can I let this happen to me? How can somebody do something so base and selfish and debased to another person? My brain is still minutes behind events but my heart seems to be waking up to what is occurring. It thrashes and spasms in my chest, as though trying to wake me up through the sheer physical disturbance pulsing through my body. I feel something happening with my behind. I think my arms and hands might be flapping now, trying to move, to beat away, though I could be imagining this. I go with the feeling anyway, trying to reinforce and strengthen it, imaginary or not.

Something enters me. A finger, into my anus. Too thin and hard and jointed to be a penis. No worse than a doctor’s dispassionate probing, in theory, but this is not dispassionate, this is not for my own good, this is only for the pleasure of the person doing this to me.

Motherfucker. How fucking dare they. I summon one vast wave of disgust and fury and put it all into one arm, striking back at my assailant. Then I squeeze my lungs, contract my belly, throwing a pulse of sound out upwards through my throat, vomiting a scream that quickly turns into a cough and a terrible, squeezing, constricting pain all across my chest, imprisoning me.

The finger pulls roughly out of me. I heave myself onto my back, getting a glimpse of my attacker as they send the seat clattering to the floor and dash for the door.

I recognise him. It is the duty nurse from downstairs, the fellow who whistled, his uniform covered by a patient’s dressing gown. He puts his head down and hunches his shoulders as he makes his escape into the corridor outside. I hear the duty nurse on this floor, a female nurse tonight, saying something, then shouting. My door slams shut.

Outside, I hear running, but I am flat on my back, hardly hearing it for the noise in my chest, hardly caring about anything any more except the sensation that a ten-tonne iron giant is pinning me down, one knee planted firmly on my chest as he squeezes the life out of me. The band around my chest cinches tighter and the pain grows a little worse. The last thing I’m fully aware of is the nurse coming into my room, taking one look at me and running off. Is that the reaction of a seasoned professional health worker? I’m not sure about this, but somehow it scarcely seems to matter any more. This crushing, constricting pain beyond pain is all that matters.

An alarm sounds, not that I can hear it very well in the vast, over-everything silence that seems to be dropping onto me like some inky overcast, raining pain. Then I think the door bangs open and somebody starts thumping me on the chest. As though I haven’t had enough to endure this night.

They tear open my pyjama top and I want to protest. Please; passion, something shared, wanted, yearned for, not imposed, not this. Wrong. They put my head back, put their lips to mine, and kiss, blowing into me. I smell her perfume. Oh, that old sweetness. I will miss that. But still unasked for, still a sort of violation. Also, frankly, been eating garlic. More thumping and thudding against the hollow cavern of quietness that is my chest.

I drift away, despite the smashing and whacking and the regular, purposeful, breathful kissing trying to fill the void caged by my ribs. Then voices and lights and a feeling of crowding. Come all ye in. There is plenty of room here, my loves, in my empty chest and increasingly vacant mind, if nowhere else. So be at home, my guests; I’ll stay so long and then so long.