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I have never met a mental patient, even the paranoid ones, who believed that double-dosing was a tactic to oversedate the ward deliberately. It is patently obvious that the nurses are dumb. The nurses have enough trouble figuring out which patient is which, and finding each patient's little paper cup. This is because a ward population constantly changes; new people arrive; old people get discharged. The real danger in a mental ward is that someone spaced out on PCP* ( * Also known as Angel Dust. ) will be admitted by mistake. The policy of many mental hospital is to refuse PCP users and force the armed police to process them. The armed police constantly try to force the PCP users onto the unarmed mental hospital patients and staffs. Nobody wants to deal with a PCP user, for good reasons. The newspapers constantly relate how a PCP freak, locked up in a ward somewhere, bit off another person's nose or tore out his own eyes.

Fat was spared this. He did not even know such horrors existed. This came about through the wise planning of OCMC, which made sure that no PCP-head wound up in the North Ward. In point of fact, Fat owed his life to OCMC (as well as two thousand dollars), although his mind remained too fried for him to appreciate this.

When Beth read the itemized bill from OCMC, she could not believe the number of things they had done for her husband to keep him alive; the list ran to five pages. It even included oxygen. Fat did not know it, but the nurses at the intensive cardiac care ward believed that he would die. They monitored him constantly. Every now and then, in the intensive cardiac care ward, an emergency warning siren sounded. It meant someone had lost vital signs. Fat, lying in his bed attached as he was to the video screen, felt as if he had been placed next to a switching yard for railroad trains; life support mechanisms constantly sounded their various noises.

It is characteristic of the mentally ill to hate those who help them and love those who connive against them. Fat still loved Beth and he detested OCMC. This showed he belonged in the North Ward; I have no doubt of it. Beth knew when she took Christopher and left for parts unknown that Fat would try suicide; he'd tried it in Canada. In fact, Beth planned to move back in as soon as Fat offed himself. She told him so later. Also, she told him that it had infuriated her that he'd failed to kill himself. When he asked her why that had infuriated her, Beth said:

"You have once again shown your inability to do anything."

The distinction between sanity and insanity is narrower than a razor's edge, sharper than a hound's tooth, more agile than a mule deer. It is more elusive than the merest phantom. Perhaps it does not even exist; perhaps it is a phantom.

Ironically, Fat hadn't been tossed into the lock-up because he was crazy (although he was); the reason, technically, consisted of the "danger to yourself" law. Fat constituted a menace to his own well-being, a charge that could be brought against many people. At the time he lived in the North Ward a number of psychological tests were administered to him. He passed them, but on the other hand he had the good sense not to talk about God. Though he passed all the tests, Fat had faked them out. To while away the time he drew over and over again pictures of the German knights who Alexander Nevsky had lured onto the ice, lured to their deaths. Fat identified with the heavily-armored Teutonic knights with their slot-eyed masks and ox-horns projecting out on each side; he drew each knight carrying a huge shield and a naked sword; on the shield Fat wrote: "In hoc signo vinces,"which he got from a pack of cigarettes. It means, "In this sign you shall conquer." The sign took the form of an iron cross. His love of God had turned to anger, an obscure anger. He had visions of Christopher racing across a grassy field, his little blue coat flapping behind him, Christopher running and running. No doubt this was Horselover Fat himself running, the child in him, anyhow. Running from something as obscure as his anger.

In addition he several times wrote:

Dico per spiritum sanctum. Haec verltas est. Mihi crede et mecum in aeternitate vivebis. Entry #28.

This meant, "I speak by means of the Holy Spirit. This is the truth. Believe me and you will live with me in eternity."

One day on a list of printed instructions posted on the wall of the corridor he wrote:

Ex Deo nascimur, in Jesu mortimur, per spiritum sanctum reviviscimus.

Doug asked him what it meant.

"' From God we are born,'" Fat translated, "' in Jesus we die, by the Holy Spirit we live again.'"

"You're going to be here ninety days," Doug said.

One time Fat found a posted notice that fascinated him. The notice stipulated what could not be done, in order of descending importance. Near the top of the list all parties concerned were told:

NO ONE IS TO REMOVE ASHTRAYS FROM THE WARD.

And later down the list it stated:

FRONTAL LOBOTOMIES ARE NOT TO BE PER FORMED WITHOUT THE WRITTEN CONSENT OF THE PATIENT.

"That should read 'prefrontal,'" Doug said, and wrote in the "pre."

"How do you know that?" Fat said.

"There's two ways of knowing," Doug said. "Either knowledge arises through the sense organs and is called empirical knowledge, or it arises within your head and it's called a priori."Doug wrote on the notice:

IF I BRING BACK THE ASHTRAYS, CAN I HAVE MY PREFRONTAL?

"You'll be here ninety days," Fat said.

Outside the building rain poured down. It had been raining since Fat arrived in the North Ward. If he stood on top of the washing machine in the laundry room, he could see out through a barred window to the parking lot. People parked their cars and then ran through the rain. Fat felt glad he was indoors, in the ward.

Dr. Stone, who had charge of the ward, interviewed him one day.

"Did you ever try suicide before?" Dr. Stone asked him.

"No," Fat said, which of course wasn't true. At that moment he no longer remembered Canada. It was his impression that his life had begun two weeks ago when Beth walked out.

"I think," Dr. Stone said, "that when you tried to kill yourself you got in touch with reality for the first time."

"Maybe so," Fat said.

"What I am going to give you," Dr. Stone said, opening a black suitcase on his small cluttered desk, "we term the Bach remedies." He pronounced it batch. "These organic remedies are distilled from certain flowers which grow in Wales. Dr. Bach wandered through the fields and pastures of Wales experiencing every negative mental state that exists. With each state that he experienced he gently held one flower after another. The proper flower trembled in the cup of Dr. Bach's hand and he then developed unique methods of acquiring an essence in elixir form of each flower and combinations of flowers which I have prepared in a rum base." He put three bottles together on the desk, found a larger, empty bottle, and poured the contents of the three into it. "Take six drops a day," Dr. Stone said. There is no way the Bach remedies can hurt you. They are not toxic chemicals. They will remove your sense of helplessness and fear and inability to act. My diagnosis is that those are the three areas where you have blocks: fear, helplessness and an inability to act. What you should have done instead of trying to kill yourself would have been, take your son away from your wife -- it's the law in California that a minor child must remain with his father until there is a court order to the contrary. And then you should have lightly struck your wife with a rolled-up newspaper or a phonebook."