This is the place Zelda died last week. Her room is the first on the right and the door stands open, a maintenance warning sign in the opening. The bed has been stripped and the curtains are open. Moonlight streams blue and vivid into the room. A paint roller in a tray is propped up against the wall. At morning and night, as the patients are led to and from the day area, they have to be encouraged to walk past the room without peering in – crying and shaking. Even AJ finds it hard to think about what’s happened here this month.
It started about three weeks ago. It was at ten p.m., and AJ had stayed on late to check through some staff returns records. He was in the office when the lights died from a power cut. He and the duty maintenance man rummaged for torches and soon found the source of the problem – a short-circuited dryer in the laundry room. Most of the patients knew nothing about it; many were asleep and those who were still awake barely noticed. Within forty minutes the lights were back on – all was normal. Except Zelda. She was in her room on the upstairs corridor in Dandelion Ward, and the yells she let off when the lights came on were so high-pitched at first AJ thought it was an alarm, jolted into action by the electricity.
The night staff were so used to Zelda screaming and complaining that they were slow about going up to her. They’d learned if she was given time to get it out of her system she was easier to deal with. The decision backfired on them. When AJ and one of the other nursing staff finally went up to check on her they found they weren’t the first. The door was open and the clinical director, Melanie Arrow, was sitting on the bed, cupping Zelda’s hands as if they were fragile eggs. Zelda was wearing a nightdress and had a towel draped around her shoulders. Her arms were covered in blood and she was weeping. Shaking and trembling.
AJ’s heart fell. They’d have been a lot quicker off the mark if they’d known this was happening. Especially if they’d known the director was in the building to witness it. From her face it was one hundred per cent clear she wasn’t happy about the situation. Not happy at all.
‘Where were you?’ Her voice was contained. ‘Why wasn’t anyone on the ward? Isn’t it in the protocol? Someone on every ward?’
The on-call junior consultant was summoned and Zelda was taken to the GP’s room next to AJ’s office to be checked over. AJ had never seen her so subdued. So genuinely shaken. She was bleeding from the insides of both arms and when the wounds were examined it was found they’d been gouged with a roller-ball pen. Every inch of her inner arms was covered in writing. Melanie Arrow and the consultant went into a conspiratorial huddle under the blinding fluorescent lights while AJ stood, arms folded, back against the wall, shifting uneasily from foot to foot. The consultant had been asleep twenty minutes ago and kept yawning. He’d brought the wrong glasses, and had to hold them about a foot in front of his eyes in order to scrutinize her arms.
‘Zelda?’ Melanie said. ‘You’ve hurt yourself?’
‘No. I didn’t hurt myself.’
‘Someone did. Didn’t they?’ Melanie let the sentence hang in the air, waiting for an answer. ‘Zelda?’
She shifted uncomfortably and rubbed her chest as if there was a tightness there. ‘Someone hurt me. Or something.’
‘I’m sorry? Something?’
Zelda licked her lips and glanced around at all the concerned faces peering at her. Her colour was high – spidery veins stood out on her cheeks – but her usual fight was gone. Completely gone. She was bewildered.
‘One hundred grams Acuphase,’ the doctor muttered. ‘And level-one obs until the morning – two to one please. Maybe bring her down to level two in the morning.’
Now, AJ puts his head into the room and glances around, wondering what actually happened in here. What did Zelda really see that night? Something sitting on her chest? Something small and determined – something that skittered away under the door?
A noise. He lifts his chin. It’s coming from the last room on the right – Monster Mother’s room. He crosses to it, knocks quietly on her door, and listens.
Monster Mother – or rather, to give her her legal name, Gabriella Jackson – is one of the patients AJ likes best. She’s a gentle soul most of the time. But when she’s not gentle it’s usually herself she takes it out on. She has slashes to her ankles and thighs that will never go away and her left arm is missing from the elbow down. She cut it off one night with an electric carving knife – standing in the kitchen of her million-pound home and calmly using the vegetable chopping board to rest the limb on. She was trying to prove to her dimwit husband how serious, how very serious, she was about not wanting him to have another affair.
This missing limb is the chief reason Monster Mother is in Beechway, that and a few other ‘kinks’ in her understanding of reality. For example, her belief she has given birth to all the other patients – they are all monsters and have committed vile deeds because they sprung from her poisoned womb. ‘Monster Mother’ is the name she has given herself, and if you spend long enough talking to her you will hear a detailed account of the birth of every patient in the unit – how long and troublesome the labour was, and how she could see from the first moment that the baby was evil.
The other kink in her reality is a belief that her skin is detachable. That if she removes it she is invisible.
AJ knocks again. ‘Gabriella?’
The protocol is always to use the patient’s real name, no matter what fantasy they’ve developed about their identity.
‘Gabriella?’
Nothing.
Quietly he opens the door and glances around the room. She is lying in her bed, the sheets up to her chin, her eyes like saucers, staring at him. AJ knows this means she is ‘hiding’ and that her ‘skin’ is elsewhere in the room – placed somewhere to draw attention away from herself. He doesn’t play into the delusion – though he’s permitted to express gentle doubt, he must avoid challenging it directly. (More protocol.)
Without making eye contact he comes in and sits and waits. Silence. Not a murmur. But AJ knows Monster Mother, she can’t keep quiet for ever.
Sure enough, eventually she sits up in bed and whispers, ‘AJ. I’m here.’
He nods slowly. Still doesn’t look directly at her. ‘Are you OK?’
‘No, I’m not. Will you close the door?’
He wouldn’t close the door behind him for most of the patients in this place, but he’s known Monster Mother for years and he’s a coordinator now, responsible, so he gets up and pushes the door shut. She shuffles herself up in the bed. She is fifty-seven but her skin is as unwrinkled and pale as an eggshell, her hair a red explosion. Her eyes are extraordinary – the brightest blue with dark lashes, as if she takes hours putting mascara on. She spends all her allowance on her clothes, which would look more at home on a six-year-old at a fairy party. Everything is floaty tulle in a rainbow of colours, tutu skirts and roses in her hair.
Whichever colour she chooses to wear is a reflection of how she sees the world on that particular day. At good times it’s pastels: pinks, baby blues, primrose yellows, lilacs. At bad times it’s the darker primary colours: dense reds, dark blue or black. Today a red lace negligee is draped at the foot of the bed, and that gives AJ an idea of her mood. Red is for danger. It also tells him that her skin is hanging on the end of the bed too. He directs his attention halfway between the negligee and her face. Somewhere on the wall above the bed. Neutral.
‘What’s happening, Gabriella? What’s on your mind?’
‘I had to take it off. It’s not safe.’
AJ resists the urge to roll his eyes. Monster Mother is sweet and she’s gentle and yes, crazy, but mostly kind of funny crazy, not aggressive crazy. He takes his time answering – again neither denying nor confirming her delusion. ‘Gabriella – have you had your meds tonight? You did take them, didn’t you? You know I’ll ask the dispensary if they saw you take them. And if they didn’t see you … well, I don’t need to search the room, do I?’
‘I took them, AJ. I did. I just can’t sleep.’
‘When’s your depot up again? I haven’t checked, but I think it’s got a long way to run.’
‘Ten days. I’m not mad, Mr AJ. I’m not.’
‘Of course you’re not.’
‘It’s back, though, AJ – it’s in the corridor. It’s been running around all night.’
AJ closes his eyes and breathes slowly. What did he expect coming up here? Did he really think it was going to dispel his nightmare? Did he imagine laughter and gaiety and people telling jokes to take his mind off things?
‘Look, Gabriella. We’ve talked about this before. Remember all those chats we had in Acute?’
‘Yes. I locked those chats in a box up in my head like the doctors told me I was supposed to.’
‘We agreed you weren’t going to talk about it again? Do you remember?’
‘But, AJ, it’s back. It’s come back. It got Zelda.’
‘Don’t you remember what you said, in High Dependency? I remember you saying: “it doesn’t exist. It’s just a made-up thing – like in the movies.” Remember?’
She nods, but the glisten of fear in her eyes doesn’t go.
‘That’s good, Gabriella. And you haven’t been talking to the others about this, have you?’
‘No.’
‘Great – that’s great. You did the right thing. You keep it to yourself – I know you can. I know you can do that. Now we’ve got your care-planning meeting in the morning – I’ll mention this to the consultant – see what he says. And I’m going to put you on level four obs – just for tonight – OK? I’ll look in on you myself. But, Gabriella … ?’
‘What?’
‘You gotta put that … that thing out of your head, my sweetheart. You really have.’
Safe
IT’S FUNNY, TO the Monster Mother, how AJ can’t see what’s happening. He can’t even say the words, ‘The. Maude.’ AJ is kind and he’s smart but he hasn’t got the extra eye – he can’t see the real things that are going on in this unit. He doesn’t believe her – that The Maude is out there. Scouting for someone else to hurt.
AJ can’t see the lengths Monster Mother has gone to, just to be safe. Maybe if he could he’d understand how serious it is. But he can’t see her stripped muscle and tendon. He cannot see the white of her skull or the glinting twin orb eyes without their lids. He is so blind to what is happening. ‘Good night,’ he says. ‘I’ll check on you – I promise.’
She slides the sheets back up over her. They rasp at her exposed nerves and skinless muscles. She lays her raw skull on the pillow and tries to smile – using just her cheek muscles. ‘AJ?’
‘Yes?’
‘Please be careful.’
‘I will.’
He waits for a few moments, as if he’s thinking, then he steps outside and shuts the door. The hospital is silent. She can’t close her eyes, she has no eyelids. But at least she is safe from The Maude. If it comes in it’ll go straight to her skin on the bedpost.
No one is going to sit on Monster Mother’s chest tonight.
Browns Brasserie, The Triangle
DI CAFFERY KNOWS everyone in the restaurant is monitoring him for signs he’s going to react to the woman throwing wine on him. He can sense their universal disappointment when he isn’t pulled that easily.
He takes his time with the hamburger – refusing to be harassed or hurried. Occasionally, as he chews, his eyes go casually to the door – to the backs of the two bouncers – legs planted wide, arms folded, facing the glass doors. Beyond them the woman – now on her feet – staggers around on the pavement, hurling abuse at the doormen.
Caffery has spent the dullest lunchtime and afternoon at a Criminal Justice Forum: discussing liaison practices between custody suites and mental health unit admissions ward – he’s fed up with talking about stuff he’s not interested in, schmoozing and being nice to people he doesn’t care about. But this woman – her name is Jacqui Kitson – this woman has, at the eleventh hour, kickstarted an ordinary day into something extraordinary.
Extraordinary. Not pleasant. It’s what he’s been half expecting for a long time.
She has given up hectoring the door staff and is sitting in the gutter, her head in her hands, crying. By the time Caffery has paid his bill the staff have opened the doors again – allowing in the customers who’ve had to wait outside. They shuffle in edgily, casting cautious glances at the woman – only pausing to stand aside for Caffery to make his way out.
He puts his wallet in his inside pocket. The bill was forty pounds. Extravagant for a meal alone – but he doesn’t have much to spend his money on these days. He’s always tinkering around for a hobby to take his mind off work, but it doesn’t come naturally and he knows dining alone isn’t going to be the answer. Maybe if there was someone to eat with? There’s one woman he’d prefer to be with, but the complications there are taller than a mountain. Jacqui Kitson doesn’t know it but she is deeply connected with those complications.
‘Jacqui,’ he says, standing over her. ‘You want to talk.’
She turns her head to check out his shoes. Then she raises her face – half blind. Her eyes are swollen and there are long streaks of mascara down her cheeks. Her head isn’t steady on her neck. She has been sick in the gutter and her handbag is lying half in the road, straddling the double-yellow lines. She’s a total mess.
He sits next to her. ‘I’m here now, you can yell at me.’
‘Don’t wanna yell,’ she murmurs. ‘Just want her back.’
‘I know that – we all do – we all want her back.’ He pats his pocket for one of the silver-and-black tubes he’s been hauling around for months – V-Cigs – trying to break his old bad habit, which, after years of pressure from the government and friends, he has at last done – replacing it with fake steel replicas. He clicks the atomizer into the battery housing. He is still faintly embarrassed by the gimmickry of the V-Cig. If he was sitting outside himself and watching he’d be tempted to make a scathing comment. The passing motorists and pedestrians let their attention brush briefly over the pair sitting on the pavement. A pink Humvee stretch limo crawls by, the blackened windows open. A woman in a pink cowboy hat and strapped on L-plates leans out and waves at Caffery.
‘I loves you,’ she yells as the Hummer passes. ‘I do!!!!’
Caffery sucks in the nicotine vapour. Holds it and blows it out in a thin stream. ‘Jacqui, you’re a long way from home. How did you get here – are you on your own?’
‘I’m always on my own now, aren’t I? Always on my fucking own.’
‘Then how am I going to get you home? Did you drive here?’
‘Yeah.’
‘All the way from Essex?’
‘Don’t be a fucking idiot. I’m staying here – in a hotel. My car’s …’ She waves her hand vaguely down the hill. ‘Dunno.’
‘You didn’t drive like this, did you?’
She focuses hazily on the V-Cig. ‘Can I have one of them?’
‘It’s not real.’
‘Gimme one out of my—’ She squints, searching for her bag. Then slaps her hands down – feeling around in panic.
‘Here.’ Caffery passes her the bag from the road. She pauses, scowls accusingly at him and grabs it – as if he was on the point of stealing it. She starts rummaging through the contents, but every time she lowers her head the alcohol sets her off balance and she has to put her head back and take deep breaths.
‘Oh,’ she says, ‘it’s all going round and round. I’m arsed, aren’t I?’
‘Close your bag, Jacqui. You’re going to lose all your stuff. Come on.’ He gets to his feet. Holds a hand out to her. ‘I’ll drive you back to your hotel.’
The Old Workhouse
AT BEECHWAY’S HEART are the remains of the workhouse – extensively redesigned to rid itself of the stereotypical asylum image: the old water tower – a common safeguard against asylums being set ablaze by inmates – was remodelled and given a huge clock, as if to justify the tower’s existence.
The layout of the wards, which deliberately or inadvertently had been designed to resemble a cross from above, was thought to have religious overtones, so some bright spark on the Trust came up with the idea of turning the cross into a four-leaf clover. Much more organic.
Each arm of the cross was extended, laterally, into the shape of a clover leaf to make Beechway the place it is today. Each ‘leaf’ is a ward, with two floors of bedrooms, glass-fronted communal rooms on one side, and managers’ offices and therapy rooms on the others. The windows are large and smooth and the walls rounded. There’s a ‘stem’ – a glassed corridor that leads from the wards in the clover, down through a central garden, known as the courtyard, to the long arced block that contains all the administration offices. Everything – every ward, corridor, room, bathroom – is named after a flower.
It’s definitely organic.
When AJ leaves Monster Mother he goes slowly into each leaf, patrols each ward, each corridor – Buttercup, Myrtle, Harebell – checking the other patients haven’t been disturbed. Most are fast asleep, or halfway there – off in the clutches of medication. Some he stops and speaks to quietly. He doesn’t mention Monster Mother and her skin.
He passes the nurses in their TV room, still laughing at Men in Black, and heads back to his office, through the stem and into the admin block. He’s about to open his office door when he notices, about twenty metres further down the corridor, one of the security guards. It’s the mountainous Jamaican guy they call the Big Lurch. He’s standing, hands in his pockets, quite preoccupied with a framed print on the wall. Something in his face makes AJ break step and stop. The Big Lurch glances sideways, sees him and smiles. ‘Hey, AJ.’
‘Hey.’
‘Fraggles asleep are they?’