Code of Disjointed Letters: ( Doomsday Will Arise From the Past (14 page)

Advantages

* The patient comes to the hospital voluntarily.

* No adaptation problems during the course of hospitalization and treatment.

* As a result of multiple personality disorder—if diagnosed, of course—there is an opportunity for a periodic eradication of pathological personalities (elimination from the competition) and easy acceptance by the patient.

Disadvantages:

* Similar therapeutic approaches haven’t been tested before; program and analogy might be difficult to maintain.

* The disease could possibly progress if the existing delusion is supported by thematic aspects.

* If all the additional personalities are destroyed, the patient could potentially create more defective personalities.

Detail 7:
If the patient divides his ill personalities, is he running away from his problems and/or rejecting a projection onto said personalities?

* Feeling his personality is not sufficient—is he dividing into personalities that he thought would solve the problems or face them?
The best/most positive personality will have to be identified. NOTE: this might not be Oktay’s primary personality.

‘The Labyrinth’, first therapy session (TV show / individual interview)

*
The patient perceives that he is literally in a show and doesn’t give any signs of logically questioning this situation (full acceptance).

* Date and time (+), cooperation (+ +).

* The relationship with the personalities he created is bland; so far no obvious signs of aggression or rebellion against authority.

[I asked the patient to tell me about the code he discovered in the holy book at length, in order to overcome cooperation problem and collect data easily. His findings are intriguing. The code he talks about even has logical aspects, and the patient talks about it with such belief that I am even impressed. I found myself taking some notes and thinking about asking a computer programmer friend of mine whether such things are possible (he is interested in such subjects).]

Detail 1
: The esoteric-astrologer personality seems to be the most facile/weak at the moment. I suppose we could accomplish the first stage of the treatment by eliminating her in a weekday session.

Detail 2
: Ms. Elif’s first scheduled visit for Wednesday is dangerous for the process and adaptation of the patient; pay special attention and observe. Collect data about Ms. Elif’s role in the progression of the disease—if necessary, propose for her a therapy session.

‘The Labyrinth’: Treatment Results

The session was more challenging than expected. There was even the danger of losing the patient’s main/primary personality, Oktay. The astrologer personality, however, was successfully eliminated. The other characters, especially Oktay, welcomed this situation very positively. (positive progress)

* Next week, I propose in treatment facilitating the elimination of the spiritualist/medium character (he is a dangerous character who is rapidly moving toward becoming dominant).

[Ref. Oktay's Research:
I had the opportunity to interview my computer-programmer friend. I explained the method of encryption and how it should be used in the three-dimensional planar structure. I explained to him that Oktay is my patient and that I’m going to use the findings to support a report for medical publication.

The programmer excitedly talked to me about Arabic text format converters, three-dimensional simulations, sequential interface connections, and a lot of mathematical processing modules. The only thing I clearly recall was the Cauchy integral formula. The programmer explained the importance of these things and how difficult his job would be. I encouraged him to continue.

The programmer has asked for me to acquire some of the missing data and methodology from the patient so that he can better complete the work.]

Observation Notes

This morning the patient engaged in self-harm and seriously wounded himself.

* Primary surgery consultation

Detail 1:
The patient seems to be getting pleasure from self-harm. He demonstrated an inexplicable level of joy.

Detail 2:
The patient is unaware of his wounds and the severity of his condition. (Possible Alienation/denial)

* It will be necessary to improve the security and precautions and make the treatment more aggressive.

Detail 3:
Spiritualist medium (evil) character has reached dangerous proportions. Focus on elimination of this character in this week’s session.

‘Produce Something’: Treatment Results & Subsequent Observation

* After the elimination of the character Fatin, the patient gave an unexpected response. The patient has entered a deep depressive period.

* The patient may have been pushed too much. Consider slowing the process and observe.

* The patient almost completely shut down communication (cooperation nearly zero). Eating and drinking have been completely cut off (catatonic phase transition?). Consider oral feeding alternatives.

[Note: Delay informing the patient’s brother and Elif about this sensitive situation and the newly formed symptoms as much as possible. Avoid any interventions that may affect the treatment process. Emphasize the “temporary” nature of the depression and its symptoms.]

Detail 4:
This week, postpone the elimination session, but if the opportunity arrives, look for an opportunity to eliminate the character Ender, the indigo boy.

‘Creating Something Together’ Treatment Notes

* The consultant-surgeon has interfered in my work. The patient’s condition and treatment is not his specialty.

* Oktay’s treatment has taken a bad turn.

* Surgeon questioned the existence of an organic primary. To appease him , ask for an MRI examination.

[Note: Emergency brain MRI appointment was scheduled for 19:00. Make sure to receive the results as fast as possible—at least before the next surgical consultation. Since it is after working hours, the results will be available the following morning.]

…..

Detail 5:
After the MR examination filming, the patient’s condition deteriorated. The patient was taken to his room, and a supportive treatment process was started. The patient’s physical examination findings are dire. In the morning, ensure the patient’s transfer into a general unit capable of internal medicine.

* Due to the possibility of patient self-harm, leather restraints have been administered.

[Note: Observations during visitation of the patient:

*The patient seems conscious but engages in almost no communication.

* Different personalities emerge alternately, and raucous and incomprehensible speech and lip movements quickly turn into delusions. Presence of a partial state of agitation.

* The patient has fixed his eyes on the drops of liquid flowing through the IV tube and follows them one by one. He is muttering and trying to say something. (For a moment, he focused on the serum vial and talked about the image it created and the magnificence of it (this is only one of the things I was able to decipher). I have decided to copy the camera recordings to understand the patient’s fictionalized world and what he said. If necessary, I will deliver them to the programmer (He has a program that converts lip movement to text). Nevertheless, this interesting case can surely be published with the help of such data.)

*The patient’s condition seems stable for now. I hope it won’t be long before his recovery.

……
.

* We lost the patient. Time of death: 22.12.2012, 03:14.

[Note: A lot of trouble is waiting for me tomorrow. Will have to come in early to deal with the relatives of the deceased, to complete his file, and do the morgue delivery report. It was an unexpected but, unfortunately, inevitable situation]

[Additonal Note:
Search whether this case still has potential for publication. (No matter what happened, we were able to eliminate at least three of the personalities during the treatment. Ironically, when the patient died, all split personalities were eliminated as well. Radical treatment!). I’m tired, I’m exhausted, and I’m talking nonsense; now get some rest!!!!]

……

Detail 6:
Informed Ms. Elif about the death of Oktay this morning (making her accept the situation was really difficult).

[Additonal Note:
On the morning of December 21, I said to Elif “everyone undergoes his or her own end, and this was Mr. Oktay’s end.” No matter the significance of the date, this was an unnecessary and idiotic thing to say to a patient’s next of kin. (Don’t let the fatigue and frustration get to you anymore!!!)]

* Life goes on; I filled my files, signed the documents, and the patient was sent to the morgue to be readied for his funeral

(Reminder: when cranial MRI report comes, add it to the file)

[Personal note:
I sent the camera records of the patient’s last night to the programmer and the programmer sent me back a file. At the first opportunity, I’ll examine it.]

Detail 6:
A terrible mistake. [Note: The result of brain MR examination: left frontal lobe epicanthal, grade III–IV, probably glioblastoma multiform (high-grade malignant brain tumor)]

[Personal Note: Multiple personality disorder, schizophrenia? How did I miss the thing before my eyes? Now that I understand, the patient demonstrated symptoms similar to that of John Travolta in the movie
Phenomenon
: a man of a middling intelligence and stature in society suddenly shows intelligence, solves amazing equations, and makes great discoveries. Sometimes a tumor in the brain can increase the capacity of function of the brain because it increases brain blood flow and metabolism. This causes a great flow of thoughts due to the additional neuronal connections. Still, such a mistake!

I now feel an obligation to publish a book about the code and multidimensional plane that Oktay helplessly described.]

* * *

I Can’t Take My Words Back

In the calm of the morning, cars whispered down the streets of the city and sleet blanketed the roads. Clustered gray clouds gathered in the sky, carrying wind. The silhouette of the mental hospital could barely be seen through the high walls of gray-blue pine trees. Along the sidewalk, near the entrance gate of the hospital, a line of yellow taxis sat idle. The taxi drivers huddled together in the cold, some smoking and some reading papers. The driver of the first taxi eyed the gate, scanning for possible customers. He was middle-aged with a black moustache and a brown sweater with a clean shirt collar sticking out from underneath. Bored, he flipped through the radio channels.

His windshield formed a thin boundary between the frozen water drops and the gray of the scene beyond. A hearse was parked a little farther from the hospital gate, drawing the attention of passersby. ‘
For Official Use Only’
the sign on the hearse read. Leaning against the half-open front door of the vehicle, the hearse driver drew on his cigarette nervously, exhaling bluish clouds of smoke.