Head and Neck Surgery
Head and neck surgery is a specialized branch of medicine focused on the surgical treatment of conditions, diseases, and disorders affecting the head and neck region. This area encompasses the throat, larynx (voice box), nose, sinuses, mouth, salivary glands, and lymph nodes, as well as structures such as the thyroid and parathyroid glands.
doctor for robotic surgery for head and neck cancer in East Delhi

Conditions Treated by Head and Neck Surgery

1. Cancers: The most common conditions treated in this field include cancers of the oral cavity, throat, larynx, nasal cavity, sinuses, and salivary glands.
2. Benign Tumors: Non-cancerous growths in the head and neck region.
3. Thyroid and Parathyroid Diseases: Including cancers and benign conditions.
4. Chronic Infections: Such as recurrent tonsillitis or sinusitis.
5. Congenital Conditions: Structural anomalies present from birth.
6. Trauma and Injuries: Requiring reconstruction and rehabilitation.
7. Voice and Swallowing Disorders: Conditions affecting the vocal cords and swallowing mechanisms.

Techniques and Approaches

• Traditional Open Surgery: Involves making larger incisions to access the affected areas.
• Minimally Invasive Surgery: Uses smaller incisions and endoscopic techniques to reduce recovery time and complications.
• Robotic Surgery: A state-of-the-art approach using robotic systems to perform precise and minimally invasive surgeries, enhancing precision and reducing recovery times.

Head and Neck Cancer Surgeon in East Delhi

In East Delhi, specialized medical services for head and neck cancer are available, focusing on providing comprehensive treatment that includes surgical intervention. A Head and Neck Cancer Surgeon in East Delhi is trained to handle the intricate anatomy of this region and is equipped with advanced skills to manage both benign and malignant tumors.

Doctor for Robotic Surgery for Head and Neck Cancer in East Delhi

Robotic surgery has become a cutting-edge technique in the treatment of head and neck cancers. A doctor for robotic surgery for head and neck cancer in East Delhi uses advanced robotic systems like the Da Vinci Surgical System to perform complex surgeries with higher precision. This method offers several benefits, including:

• Reduced blood loss
• Lower risk of complications
• Faster recovery times
• Minimized scarring

Dr. Sowrabh Arora

Dr. Sowrabh Arora is a renowned name in the field of head and neck surgery, specifically focusing on head and neck cancers. He is highly regarded for his expertise in both traditional and robotic surgical techniques. Practicing in East Delhi, Dr. Arora provides cutting-edge treatment options for patients, utilizing the latest advancements in medical technology to ensure the best possible outcomes.

Services Offered by Dr. Sowrabh Arora

1. Comprehensive Cancer Care: Diagnosis, staging, and treatment of head and neck cancers.
2. Robotic-Assisted Surgery: Utilizing robotic systems for minimally invasive surgical procedures.
3. Reconstructive Surgery: Post-cancer reconstruction to restore function and appearance.
4. Multidisciplinary Approach: Collaboration with oncologists, radiologists, and other specialists to provide holistic care.

Dr. Arora’s commitment to patient care and his proficiency in advanced surgical techniques make him a leading figure in head and neck cancer treatment in East Delhi. Whether you require traditional surgical methods or the latest in robotic-assisted procedures, Dr. Sowrabh Arora offers expert care tailored to the needs of each patient.

Frequently Asked Questions (FAQs)

1. What conditions does a head and neck surgeon treat?

• A head and neck surgeon treats a wide range of conditions, including cancers, benign tumors, infections, trauma, and congenital deformities affecting the head and neck region.

2. What are the advantages of robotic surgery for head and neck cancer?

• Robotic surgery offers increased precision, smaller incisions, less pain, shorter hospital stays, and faster recovery compared to traditional surgery.

3. Who is Dr. Sowrabh Arora?

• Dr. Sowrabh Arora is a renowned head and neck cancer surgeon based in East Delhi. He specializes in both traditional and robotic surgical techniques to treat various conditions affecting the head and neck.

Website: https://drsowrabharora.com/head-neck.php
Website: https://drsowrabharora.com/tors.php
Website: https://drsowrabharora.com

Here is one for you all and its a long one. 44M here, been with my significant other for ~20 years, married for 11 years. At this point I don't feel like we are going to make it much longer. I don't think she wants to be with me anymore but needs me for financial support so she is trying to string me along.
Background:
I want to say right off that I know I am not perfect, have never pretended to be nor have I overlooked my shortcomings and have done everything I can to address and deal with my issues.At first things were good. We did things together, went out, hung out with friends together, bowled leagues together, had a lot of fun. We also had a good, sex life. We were having cuddling times, regular sex, great foreplay, she was pretty open to positions and trying things.
When we first got together she was working miscellaneous retail jobs. She had a 4 year college degree at this point as well but never even tried to find a job utilizing it. I was fine with her working whatever made her happy. I work in IT/Tech. I have always been the higher earner, making almost double her salary up until a couple years ago. I never once said anything about this, never gave her crap for making less or the job she worked. I only encouraged her to find a job she enjoyed. I went years, never saying anything that might hurt her, even when I was working 50-60+ hours of work in a tough field at a job I hated while she worked maybe 20-30 hours a week in a super easy job of her choosing. After about 10 years of us being together she finally decided to go back to school for computer science. To support her doing this we lived in a couple places and worked jobs I absolutely hated to make sure she could finish school without any pressure. Again, I never said anything to her about this, I did it so she could be happy. She ended up finishing and getting an extremely good paying tech job after a few years, around the time that I noticed the biggest changes about her. Prior to her latest job and changes, we were OK for a few years. We starting doing well together as we were both earning well and have no kids.
Start of problems:
After we were married for a few years she started changing. She stopped wanting to do things together, we went out less and less. Stopped watching shows and movies together, stopped gaming together. She started treating sex like a burden, made me feel bad for even trying to initiate it. She became more of a prude, stopped wanting to do almost anything sexual, stopped wanting cuddling/petting, lost almost all interest in foreplay that wasn't directly for her, she lost all interest in any type of intimacy, cuddling, foreplay, or really anything that isn't about her getting off.
I feel that I have been extremely patient over the years about all of this. She has some back issues (self inflicted, she was having soreness and pain but continued a workout regimen that was obviously not right and causing issues. I have tried to be understanding and accommodating since she had these issues. Sex was never really a big issue, even with the back problems we had a decent sex life until the last 5 or so years. She started wanting to do less and it really felt like she was just trying to get it over with (outside of when I was pleasuring her and getting her off. Once that was done it was like hurry up and finish.
More recently, last couple of years she has had 0 interest in sex or even anything physical. I mean I can barely kiss her, cant touch her at all without some excuse that it tickles or some other BS. No cuddling as she says I always pressure for sex, BS, I love foreplay and am happy with mutual getting off. I have mentioned the lack of intimacy, mentioning that is had been months since we did anything and it is always some excuse or a suggestion it may happen this weekend (going on 20+ " this weekend" without anything) . She has almost every excuse in the book as to why she doesn't want to without really having a good reason. She will blame her back bugging her but will then do a lot of work that is physically punishing, especially to someone with back issues and despite the fact that I said I would do it or try to help. I have also gotten several different things to help, wedge pillow to help with her back, tried it once and had some random complaint that I forget. She had mentioned trying a swing so she could have support in different positions. I found several options and she then made excuses about all of them, the primary one being support for the swing. I eventually called her on this being BS when the new house we got had a chain mount in one of the bedrooms ( looked like it was possibly for a heavy punching bag) that would be perfect for a swing and I tested it holding my full weight. I again mentioned getting a swing to make things better to only get additional excuses.
Further Issues:
We had always talked about wanting to move back to California and get a house there when we had the chance. We had also talked about houses we would like and things like that. When we started seriously talking about getting a house, she said she would check with work ahead of time about being able to move to another state as we had discussed, she did not. I don't think she even talked to her boss about it. She just refused to move outside of this state as she said her job required her to be her even though her boss lives in a completely different country.
When the time actually came to find and buy a house it did not work out the way I guess I had expected. Eventually, we purchased a house here after several fights as she decided she wanted a cheaper house to fix up. Not even considering the amount of work and money it would take to do so. One of her "options" was a run down ranch house that had a surprise renter (9 months left on a lease) in a very obviously water damaged basement. She picked out this house so she continued to try to justify buying it for about 100k over what it should be sold for. After about a week of looking at shitty houses and fighting she finally agreed to look at one of the houses I had chosen, the house we eventually purchased. It was a bit more but had almost all of our wants without the need to fix it up.
For the purchase, she provided the down payment from her inheritance and jointly financed the house. Once the purchase was finished and we moved in she changed, a lot. Things became more about what she wanted, she would mention things to me but completely ignore any input and just talk like what she wanted is what I chose too. Her dad then decided to visit and this was the largest wake up call I think I have had. I saw him doing all of the things that she does that annoy and frustrate me. I then realized that if I stay with her, dealing with this is my future. He took over the house and she treated me like an asshole for just wanting a bit of space that I could have to myself. She refused to deal with him or reign in his behavior. I think it was around this time that I realized that it felt like I didn't even have a home even though we just bought one, that I was just a wallet to help pay bills.
We ended up having a fight about this and I ended up leaving and staying at a hotel for a few days. This is where it got really eye opening as I considered this fight as something we would think about and get over. However, the first thing she did was talk to her friend and then reach out to divorce lawyers. She mentioned that she was talking to them about post nuptials to make sure she got the house and money. This was a signal to me, that she did not consider nor seem to appreciate all of the years that I spent working jobs I hated to supplement our income and cover for her while she went back to school. All it seemed she saw was that she got money now so the house and all of it was hers. She made a comment about how she felt the money, stocks, and house were hers. She added that she wanted a post nuptial to define this so I shouldn't be surprised if I get one to sign. Unsurprisingly, she never actually got this done, never mentioned it more so I am assuming she just got lazy and never followed up. One thing that stood out to me was that she mentioned that she could not afford the house by herself. She rambled off several things about us just being roommates and me continuing to pay for the house and bills. She came up with something about me paying and her giving me money back later or something, I ignored most of it as it was dumb, I.E. me leaving my checks going into our shared account and continuing to pay like I have been but doing so knowing she plans on keeping the house and that I might get some money later if she ever sold it. She also made a comment that I did a good job with the stocks so I should keep doing that for her and she would give me like a 1k in a few years. Since I started working with the portfolio and diversified the stocks I have made over 40k in gains for it so yeah I ignored this as I felt like it was insulting. This whole fight and conversation hit me hard, especially after 15+ years of me working hard, shitty jobs, to provide for us just to get slapped in the face by greed.
We ended up talking a bit after that fight after I ended up stopping by the house. She had mentioned previously about going to marriage counseling. I told her I didn't think it would help with our situation considering what the issues were but if she was willing to go and actually participate, I would be too. We ended up seeing a marriage counselor as she had suggested it previously and I wanted to try everything to make this work. I had previously mentioned that I didn't think it would work as she refuses to open up or discuss her issues with anyone and if she wont do that, it is a moot point. She said she would so we found a counselor and we went for a couple of months. During this time I was very open about my thoughts and feelings and gave the counselor details on my issues. She however, did not provide anything ahead of time, participate much, would not open up, and eventually said that we might as well not go as she didn't feel like we were gaining anything.
Turning Point:
I think the f*ck it point, straw that broke the camels back for me is that about a month ago, around 10 months or so since we had any kind of intimacy we had a fight. During the fight she admitted that she actually masturbates fairly regularly which really, really pissed me off as she knows the lack of sex and any kinds of intimacy was a big issue for me and was causing a lot of frustration. I was quiet about it as what I would have said would have started a big fight. I am now struggling because I cant really get over the fact that she shows me no interest, wont let me touch her, we haven't had sex in months and she admits to masturbating instead of having sex with me when she knows I am extremely sexually frustrated. To me, this shows her lack of caring about me and shows that she only really cares about herself and what she wants. This is furthered by conversations with her family I have overheard because she talks super loud on the phone and I guess she didn't realize I could hear her in the other room. This last conversation was essentially her talking about the money again and additional money she may get when her dad passes. She made the comment to them that in hindsight she would have made me sign a prenup as all of the money she has gotten and will get belongs to their family and she wants to keep it in their family. This was another moment when I was like what the hell, I am not your family?
I am torn, I have been with her for a long time, I do care for her, but she shows no interest in being with me. No interest in a relationship, doesn't want to do things together (she even said that if I want her do more things with me I have to do things she wants to do first), nothing for how I feel, what I want, no cuddling, no touching, nothing. It came down to the fact that she essentially wants a roommate that pays for her to have the house, help with chores, and helps take care of the dogs without expecting anything in return. She does not seem to get how she is, care how I feel, what I want, or really care about anything that does not benefit her.
I am at my breaking point, I have tried for years to give her everything and now as thanks, I get nothing from her. I am getting to old to keep wasting time in a loveless, sexless relationship but am also having a hard time walking away from a relationship I have been in for so long. After writing this out I am also realizing, well more wondering, what the f*ck I am doing as it seems pretty obvious I am bailing water out of a sinking boat.

“Incredible!”
The rebel reeled from the punch, the fist slamming through his protective helmet and cracking his jaw. He choked out a sob at the pain and the feeling of several of his teeth being knocked down his throat.
“This? This is what you send to try and rebel against the Imperium?! THIS?!”
A harsh kick was sent into the rebels stomach, making him cough up the rations he had that morning and a few of the once missing teeth. He grabbed his stomach and his body made to tilt forward and lay in the dust.
Only he was stopped as an armored gauntlet grabbed him by the throat and forced him to stand. His hands came up and grabbed at his attackers wrist as he stared into his own grim reaper.
Said killer wore the helmet of the Macraggian Auxilia, his faceplate being that of a stylized skull. His rank was shown proudly in the form of a centurions plum, blue and white horsehair picked out atop a gilded mount on the top of his helmet.
“Incredible. It’s truly incredible what passes for rebellion these days hm?”
The soldiers behind the centurion laughed or smiled as they watched their leader hoist the rebel up as if the rebel was some game beast that was just recently hunted. Pressure in the form of steam shot out of the centurions wrist, betraying the hidden augmented limb under the armor. The rebel tried to speak, scratching at the Centurion’s arm.
“What? Speak up damn you, and speak clearly. I have no time or patience to hear some long speech about tyranny or whatever else. We have your city to burn insurgent.”
And burn it would. Two large tanks with massive flamers could be seen in the back, protected by infantry and assault vehicles. The main force would break the walls, the infantry would kill the people, and the tanks would burn the rest to ashes.
“Aghh….thill….you….thasard!”
The rebel said, spitting blood and bone fragments from his shattered jaw through what was left of his faceplate.
“Ah. Nothing interesting to say. Oh well.”
The rebel tried in vain to speak again but was silenced as the centurion forced a power gladius through his mouth. He was then unceremoniously dropped to the dust, choking on blood as he watched the Macraggian soldiers march on his home. The last thing he saw before dying was his killer, taking his helmet off and smiling in a wide, cocky manner. ————————————————————————
“Don’t spare the body men, he was a rebel. March over him.”
Tiberius Victor, Centurion of the 3rd Macraggain Legion, yelled as he wiped the grim that had built up over his helmet. He scowled at the filth that adorned his armor and sighed.
“Bloody rebels will pay for more than just rebellion. Look at this! They scratched my faceplate! And that bastard I just killed dared to spit blood at me! Oh they will pay tenfold.”
He chuckled and shrugged as he replaced his helmet. He rolled his head and drew the lapistol he had holstered at his side. He examined it for a moment before shaking his head.
“Ugh….to easy.”
He holstered the pistol again and flourished his gladius as he grabbed the handholds of a Leman Russ tank that was about to pass him by. He climbed up until he stood on top of the tank and crouched down, using his newfound height to look over his army and the objective.
The city was massive….but so were the last three he had burned. Both Imperial Army and even Ultramarine Legion Command had told him he was too far ahead and that he needed to slow down. But where was the fun in that? Besides, the campaign has been far too easy thus far. He had suffered very few casualties, his men were never hungry and his tanks never ran dry on fuel, and the enemy bled. Oh how they bled.
He sighed.
“Easy. Far too easy. Captain?”
The command hatch the tank he rode popped open and a woman in the dirty coveralls and goggled helmet of a tank commander. She looked around, rubbing her eyes before turning and smiling widely. She gave a crisp salute, one which he lazily returned, before nodding.
“Aye my Centurion?”
“Do we have any more wine about? I’m parched from all these victories we keep piling on.”
The captain cringed then turned towards the city.
“Uh….my centurion? Wouldn’t you rather have some water?”
Tiberius turned his head towards the captain, the tilt of his head betraying the cocky smile hidden beneath that the captain and the rest of the army had come to love and hate.
“Captain….are you questioning me?”
“I-no! No, of course not my centurion! But uh….well….”
He made a ‘go on’ motion with his hand, not bothering to stand up from the relaxed position he had taken. He had laid down on his side, his sword hand having sheathed his gladius to prop his head up.
“Well….shouldn’t uh….shouldn’t wine be saved for victory?”
The centurion stared at her for a moment. A very long moment. Perhaps….to long of a moment.
“I….I apologize my centurion! I will-“
Laughter. The centurion was laughing, something he rarely did outside of combat or when around the campfires at night. He laughed loudly and caught the attention of several other Auxilia soldiers.
“True! Haha! I knew I kept you around for something Captain. Fine, me and you shall share the first bottle of wine after that….excuse for a city burns. Return to your duties captain.”
He waved the captain off then turned his head back to the city, not moving out of his relaxed position. She knew better then to consider him lazy or incompetent, she had seen him in action.
She saluted and quickly went back down into her tank. ————————————————————————
He held his helmet in the crook of his arm. He breathed in deeply, smiling as he watched the city burn. Something grabbed his boot and looked down, only to scowl in disgust.
A woman, her lower half aflame with one leg missing, held onto his boot and shin guard.
“Please….mercy! We surrender!”
He raised an eyebrow and followed the trail the rebel left in the dust to see several more wounded and scared rebels. One held up a white rag on a piece of rebar as a white flag.
Several of his auxilia aimed their rifles at the rebels as a sergeant began to moved forward with a pair of restraints.
He was stopped by Tiberius’s sword.
“Sergeant? What are you doing?”
“Uh…taking prisoners sir?”
The centurion tilted his head and smiled widely.
“Prisoners? I don’t recall ordering anyone to take prisoners.”
He lifted his boot and stomped on the wounded woman’s head, smiling wickedly at the crunch he heard under his foot.
“Uh….no my Centurion but legion command has-“
“Legion command? You are taking orders from Ultramarines instead of telling me that such orders have come through?”
“There was no time sir! The orders came fro-“
Tiberius put his helmet on and shoved the sergeant to the side, ripping the rifle from the soldiers hands.
“I see no space marines here soldier. I see soldiers and I see rebels. We kill rebels because we are soldiers.”
He took aim at the closest rebel, put his finger on the trigger and-
“Thats enough Centurion.”
He stopped. He slowly turned his head towards the new, feminine voice behind him.
“Excuse me troo-“
He stopped again and stared. She had to have been 10 feet or at least close, this goddess in blue and gold. Her short, cropped hair was golden blonde and a green, metallic laurel wreath was wrapped around her head to add to her noble features. She came with several ultramarines as an honor guard in tow but he was sure she could handle anything thrown her way with ease.
“The Lady of Macragge.”
He whispered in awe before looking around. Those under his command had shared his awe but where he shook himself free, the rest still stared.
“Damn you all, our Lady is here! Bow damn you! All of you bow!”
He paced up and down the line, ensuring his auxilia bowed. He then turned towards the rebels and pointed at the guards who stood over them.
“Them too, cmon now. Bow!”
The rebels resisted the guards orders and movements. The centurions rage grew as he stormed over and pulled his gladius from its sheath.
“I command thee BOW.”
He sliced the back of the knees of one of the captives, the man yelping in pain before yelling in agony from his nearly cut tendons. The rest fell in line quickly.
Tiberius marched towards the Primarch, her honor guard bringing their weapons to bare only for him to kneel down and stab his gladius into the dirt.
“My Lady. Centurion Tiberius Victor of the 3rd Macraggian Legion reporting.”
The Primarch stared down at the Centurion before her eyes went up and around. She took note of the rather large number of prisoners and the burning cityscape around them.
“A good campaign Centurion?”
Tiberius nodded, smiling widely under his helmet.
“Yes my Lady. I only wish it weren’t so boring, so easy! But it is done.”
It took every ounce of self control to not scowl at his arrogant and cocky nature. He spoke as if he had stomped on a bug rather than a rebels skull. Yet….something about him caught her attention.
“Remove your helm centurion.”
He did so without delay, removing his helmet and setting it at her feet. His hair was cut in the traditional military ‘high and tight’ fashion and he was mostly clean cut save for a well trimmed mustache that went no further than the corners of his mouth.
“I recall telling my command staff to recall you back as you had pushed to far ahead. Yet we stand here at the city we were meant to take, the one we were meant to hold. The one….that is currently burning to ashes around us. What do you have to say for yourself Centurion?”
He said nothing for a long time. Then, to her surprise, he laughed. The auxilia around them slowly looked at each other, their faces hidden beneath their helmets but all were worried or tense.
“Hahah! Ah….I say mission accomplished my Lady. I also say that this light really brings out the color of your eyes.”
He laughed again and slowly stood up while extending his arms out wide.
“I say I give you the best gift this galaxy can offer to someone like you from someone like me.”
His smile grew into the same cocky, full of himself grin those under his command knew so well.
“I give you victory, my Lady Juno.”
He held his gladius up and flourished it, letting the blade catch the firelight of a dying city.
“Victory.”

My husband and I have been trying forever for a baby. And a few months ago I finally got the two lines that indicated our dreams were becoming a reality. I knew it would be high risk but I didn’t care about the risk, this was a dream I would regret not at least trying absolutely everything to fulfill.
The first few months my husband was extremely supportive. Waiting on me hand and foot, massages even though I wasn’t even showing yet. As the second trimester marched on his excitement only grew, slowly watching the baby grow at doctor’s appointments with me.
On the way out of a doctor’s appointment I tripped and landed terribly. Luckily we were right outside the doctor’s office so we could get help immediately. I faint at the sight of blood, so I don’t remember much after touching between my legs and finding crimson stains on my fingertips. When I woke up I was dazed but was so happy to feel my baby still doing gymnastics in my stomach.
My husband, however, must have become frightened that something would happen and slowly started to detach himself from my whole pregnancy. He only offered grunts in support as I picked out colors for the nursery. We had a late term pregnancy loss before so he was just scared of losing a baby again. It was easier to detach than accept something may happen. But you can’t live in the what if’s.
As I began to unpack the furniture for the nursery and set up the cameras for the baby monitor, I could see my husband's discomfort grow. His physical demeanor only got worse the more I progressed with the furniture.
Finally he stood up and shouted what he apparently had been holding in the last two months. “You aren’t pregnant anymore Liv! You lost the baby with the fall, there was nothing the doctor could do! A therapist told me to let you grieve how you saw fit but I can’t do this anymore! It is torture to watch you decorate our dead child’s nursery.”
I didn’t say a word, and just put his hand on my stomach because as I explained to him, I don’t care what the doctor says. I know my body and my baby. As he began to roll his eyes and was just about to lift his hand the baby kicked hard. My husband's face went from disbelief to horror.
All he could mutter as tears of true depression and fear began rolling down his cheeks was, “Liv, I saw them remove our poor sweet baby with my own eyes.”
As his last word slipped out, I could feel a searing pain. I was going into labor, and for the first time I was worried what that meant.
When I wake up I realize I am no longer home. In between bouts of unconsciousness, I take in the scene around me. The doctor screaming “WE HAVE TO SAVE IT!” and it all comes rushing back. I got told I was not pregnant by my husband and immediately went into labor. Which in my haze is a very hard sequence of events to process, hell even in my right mind that would be a difficult one.
I start stirring and the doctor notices and looks down at me, beaming with pride. My husband in a chair clearly drugged also is starting to rouse and try and piece together what happened. All he can keep repeating is, “what is it?” in a stupor. Like he truly couldn’t process what happened and what was currently happening.
As I become more aware, I try and find my voice. While raspy I am able to gasp out the words, “Where is my baby?!”
The doctor looks at me the pride evaporating and a cold expression taking over his face. “Your baby died months ago. Your husband watched us remove it. However, he did not see that I went on to take advantage of your willing and ready womb by implanting something much more important than you or your child would ever become.”
I blink taking in this information. I felt this thing grow in me, thought it was a part of me, loved it more than I loved myself. But that’s when I thought it was my child, my stomach begins turning and bile begins to raise into my throat.
“Would you like to hold what you brought to life, what you birthed?” The doctor said with a look of pure curiosity crossing his face.
“Yes..” I gasp before I can rationally consider his proposition.
Walking over with a bundle, he places it into my arms, and I look down with severe trepidation. Even though I have never seen it, I know it’s the thing I felt so connected to and somehow still do. Pulling the blanket away I see what could only be described as an abomination.
It was three different children stitched together to almost become one but not quite. Clearly in pain and not meant to exist. As a look of horror crosses my face the doctor sighs.
“I was hoping for a better reaction, that maternal instinct may win out. Too bad. Considering one of those babies IS yours. These three babies couldn’t make it on their own but together they could. I tried many times, but you are the first one to actually be able to last full term and have the baby survive. I hoped maternal instinct would have won over, it would have been easier.”
The bile rises again and I listen on in terror.
The doctor continues, “Since you’re the only one this has been successful with, there will be many more attempts we will require your hospitable womb for.”

First/Previous
The travel took on a less gloomy quality in the day that passed since Gemma’s self-reflection and although there remained a queer distance in her eyes, she seemed in better spirits in losing the weight of the words.
It was a night just beyond Wabash Crevasse that we pushed on till sunset was almost upon us and we were each tired and the food stocks ran low and so we found harbor in a half collapsed cellar where a home once stood; it was only after examining the slatted, rotted boards of the old place, fallen over, tired with decay, that we spied the cellar doors intact; sheets of door metal plied us with safety from the outside world and the interior of the place stank of mold and the deeper recesses were collapsed, but there was a cradle to crossbar the stair hatch and I put my prybar there for the night. We finished the water and canned tomatoes, and I smoked a cigarette, staving off the inevitable doom which would come with the dwindling of our supplies.
I’d peeked through the space where the doors met at the cellar’s entry and watched the full darkness there while the youngins spoke of life and the trivial pursuits of it and I hardly said a word besides.
Sitting on the lowest step with Trouble dumbly maintaining her station by me, by the low glow of the space in the threshold, I saw they’d pushed their bedrolls together and Andrew had fallen asleep with his arm over Gemma’s shoulder and her eyes glowed with shine from the crack, blinked a few times while seeing me; she too eventually drifted to sleep, and I spent time by the secured door.
Gunshots rang across the stillness, and they stirred from their quiet slumber and Gemma asked, “Harlan, is it alright?”
I moved to the space there at the doorway again and listened and watched what I could through that crack and nothing beyond came. “It’s safe. I’ll be up a bit longer. I’ll watch.”
Andrew asked, “Can’t sleep?”
“I’ll sleep in a bit. Don’t worry about me. Rest. Sleep good and we can put more behind us.
They sat up, legs crossed triangle-wise, and Gemma spoke again, “Why do you have such a hard time sleeping? It seems I’m asleep after you and only awake after you too.”
“Yeah,” said Andrew.
“It’s cool at night. I can listen to the wind.” I shrugged.
“You should be the one that tries to get some sleep,” said Andrew.
I said nothing.
They reached out their arms and I shook my head.
“Here,” Gemma said, “Move your bedroll closer.” She reached across the dirt floor of the cellar and dragged my splayed roll so that it sat beside hers.
“I’ll sleep later.” I turned my attention back to the door and ignored them till their sounds of sleep could be heard. The Alukah was nowhere and did not tap on the door that night and when I moved to sleep, I shimmied onto the roll beside them, facing away on my shoulder; the dog followed, laid on the bare dirt beside me and I held the mutt.
Though I refused a noise as they stirred in the absolute darkness, I felt Gemma’s arm fall over my own shoulder and felt Andrew’s hand touch my back, and water traced the bridge of my nose and I slept deeply thereafter.
There was no breakfast without food, and the water was gone; I felt the eyes of the dog on us as we packed up our belongings that next morning and I tried not to imagine the poor animal skinned over fire. I smiled at Trouble, patted its head, scratched its chin; she sniffed my hand like she was looking for something that wouldn’t be found.
We went west again, ignoring roads and pushed through straight wasteland where nothing was and no one was, and with every dry footfall on the dry hard ground, I wished for rain, and I wished that when it had rained, as infrequent as it was, that I had been wise enough to save what we could from the sky; that sky was red and swollen and refused to burst. We pushed on through strange dead thickets where grayed and twisty yellow branches lurched from the ground into the sky like even they too wished for an end to all the suffering. It was days more till we would see Alexandria and though I could stave off hunger (thirst too, if necessary), I was not so certain that the children would be able to push on without it; they did not complain and watched the ground in our march and maintained higher spirits than I could’ve imagined from them.
Early in the day, they spoke often, and I listened and as they wore on, their words came less and even the dog seemed in a lower mood for the unsaid predicament; me too.
Gemma broke the silence on the matter by saying, “What are we going to do about food? Water?”
“We’ll push on.”
“We could turn back?” asked Andrew.
“The more time we spend out in the open, outside of a city, the more likely it is that the Alukah will catch us unawares. Tighten your belts.” Our feet took us around a dilapidated truck, an old thing with a rusty hook which dangled off a rear arm. “Save your urine.”
They made faces but did not protest.
“Does that work? You ever drink pee?” asked Andrew.
I laughed, “I thought we’d be there by now. I took us too long by trying to drop the scent of the Alukah. That thing’s hunted us for days—last night was the first time it ain’t bothered us. It’s got me wondering why.”
Gemma piped up, licking her dry lips before speaking, “Do you think that monster ran into those scavengers we saw?” Then I caught her shooting a look at Andrew, “At least we warned them.” Her smile was faint and almost indiscernible as one.
I shrugged. “Can’t say. Don’t think it’s smart to turn back. Won’t be long and we’ll touch the 40 and then it’ll be a straight on to Babylon—couple of days—can’t turn back though. Maybe without food; that’s doable. Water’s the worst, but if it comes to it,” I paused and looked on the weathered faces of the children, on the lowered head of Trouble which followed her nose across the ground (it searched just short of frantic), “Like I said, ‘save your urine’.”
The first pains of hunger held within me brought up some reminiscence and I wished for nothing more than to hold Suzanne; I could nearly smell them and in the swaying walk which took us on past toppled townships, I held long blinks where I could nearly make out their face and if I really pushed the limits of my imagination, I could feel them. In those moments, as we passed dead places, rotted pits of despair, I could think of little more than their presence. Though I knew it was a dangerous game, hoping for more than I was worth, I hoped for Suzanne then and I wished that I’d taken them up on their offer to travel to Alexandria with them; it could’ve been home—it never was in all the times I’d gone there, but who knows? The thoughts of Babylon brought forth their gardens; the wild gardens and the water which flowed freely through their pipes. I wished I was a different person entirely and that too would’ve been better for Suzanne; how it was that they’d seen anything in me, I don’t know. How it was that they could stoop to the level of being with someone like me—I warded off that thought, because to place the blame there would certainly be unfair. I thought of my love plainly and wanted a different life more suited to them.
Imaginations played more furiously, and I remembered the evening when Dave stopped me from leaping from that roof—it’s doubtful that he even realized that he’d slowed my demise; perhaps he did know—I wished then that I could ask him. Too kind for the world. People too kind for the world were scarce and hardly worth the trouble. Yet, there I was, chaperoning those two across the wastes.
Gemma was a broken person when I’d found her, tortured in Baphomet’s well; Andrew was a dullard boy who’d lost his hand. What a silly predicament.
I stopped in my movements and swiveled on my heel to catch Andrew by the shoulder. “You still got your hand, don’t you?”
In good humor, the boy grinned, lifted the nub on the end of his left forearm to show me, “Nope.”
“Dammit, no! The hand in the jar!”
Andrew raised his eyebrows. “In my pack.”
“Stop,” I commanded Trouble; the dog hardly recognized my words and continued a way then circled back, sad eyes looking up from where she took to sit by my side. Gemma, both arms dangling loosely from her own pack’s shoulder straps, took into the circle we’d formed.
The girl asked, “What about the jar? It’s nasty, but I guess it’s his.”
“I think that’s it,” I said. I took Andrew by his shoulders, looked him in his eyes, “We could use it!”
“What?” The boy almost laughed in the display of our concern. “What’s that got to do with anything?”
“I think I’ve got it! It’s good for a trap.” I shook him; maybe too hard. I almost smiled. “It’s worth a shot!”
“It’s mine.” He bit his top lip, withdrew from me.
“You’ll feel differently about that,” I said.
Gemma placed a hand on Andrew’s pack and tried ripping it open. “Give it to him!” shouted the girl.
The boy whipped from her grasp, and he spun on his feet, and panic stood on his face. “It’s mine, isn’t it?”
I took a step forward, “No, not anymore.” I put out my palm, “Give it.”
Andrew nearly flinched at the thought of it and shook his head a little. “Why?”
“I told you why,” I said.
“You don’t even know if it’ll work, do you?” his words were long in protest.
The girl started again, “Andrew, please.”
He locked eyes with Gemma and once again, his bottom teeth came up to meet over his top lip and he moved his jaw methodically with contemplation.
“What does it even matter?” she asked.
“It’s mine. You don’t know what it’s like.”
“Don’t be ridiculous!”
“C’mon,” he said, but his pack straps fell from his shoulders, and he hunkered down on the ground and opened his bag; his right hand plunged into the recesses therein and withdrew the jar with his severed left hand. He held the object up, refusing to come up from his open pack, keeping his eyes on the ground. “Take it then.” He shook the jar; its contents sloshed with liquid decay.
I grabbed the thing, held it to skylight; the remains within had congealed and rotted and lumps nearly floated in the brownish liquid which had formed in the base of the container. I shook it and stared for a moment at the miniscule debris which floated alongside the hand; each of its digits had swollen and erupted to expose bone; some had come away in pieces. “Tomorrow,” I said and nodded.
We gathered ourselves and Andrew pulled his pack on again and we moved, Trouble still looked sorry and the boy remained quiet while the girl chattered on with questions while we took through the dying ground in a formation with the dog on point then me then the children.
“What will you do with it?” she asked me.
“Not sure yet.”
Andrew made a noise like he wanted to say something but didn’t.
“You think it will work?” asked Gemma.
“Nothing’s a guarantee. They’re smart—Alukah.”
“Smart enough to figure out a trap?”
I shrugged. “We’ll find out.”
“We could put stakes in a pit.”
“Keep on the lookout for a building. Something with multiple floors.”
With that, we moved on, found a worn, mostly destroyed road and we fell into a travelling quiet and the thought of hunger or thirst arose again, and I pushed it down—though I knew the uneasiness could only last so long before savagery would overtake the human condition; the kids seemed strong enough, but I kept an eye on the dog too. Savagery belonged not only to humans, after all.
The ground of the wastes was harder when it was quiet, and it was flatter further west. The sky—red and full of thin and transparent drifting clouds—seemed an awful sight when stared at for too long; it was the thing which stretched as if to signal there wasn’t an end in any direction, as if to declare we had much more to go till safety. Wanderlust is a thing that I believe I’ve felt before, but under that sky, with those two and the dog, I didn’t feel it at all. It was doom that I felt. Ignorance and doom. And it was all because I was certain I’d made all the wrong mistakes, and it was coming back to me. I was experienced. We should’ve had food and water. Perhaps there was some deep and nasty part inside of me that had intended to sacrifice them along the way. The words of the Alukah might have rung true: You say you make no deals, but I smell it. I think you’d deal.
Surely, I felt differently. Surely.
“Getting darker,” called Andrew as we came to where signposts—worn and bent and barely legible—told us of a place once called Annapolis and the buildings were nearly gone entirely; places, maybe places that were once homes, were leveled—I was briefly caught in imagining what it might’ve been like all those ages ago. As are most places, it was haunted like that and when we came to a long rectangular structure of metal walls—thin walls—we took it as a place for rest for the night.
It once served as an agricultural station, for when we breached its entry, there were a line of dead machines—three in all—cultivators or tillers which stood higher than any of our heads and Gemma asked what they were, and I told her I thought they were for farming. The great rusted bodies stood in quiet shadow as we came through a side passage of the building and the great doors which had once been used to release those machines from the building stood frozen in their frame. I approached the doors, lighting my lantern and motioning for the children to shut the door we’d entered through.
Upon closer inspection, it seemed the doors would roll into the ceiling and the chains which held the doors in place were each secured with rusted padlocks—I removed my prybar from my pack and moved along the wall of doors, giving each old lock a smack with the weapon; each one held in place, seemingly fused there through years of corrosion, and I rounded the cultivators once more, back to the children, near the side door where they’d discovered a rickety stair frame which crawled up the side of the wall to a catwalk; along the catwalk, a levitated box stood at the height of the structure, stilted by metal legs, and we took the stairs slowly with the dog following close behind; the poor mutt was mute save the sound of its own shuffling paws.
The metal stairs creaked under our weight and Gemma held her own lantern high over her head so that the strange shadows of the place grew longer, stranger, and suddenly I felt very sure that something was in the dark with us, but there was no noise except what we made. My eyes scanned the darkness, and I followed the children up the stairs till we met the overhang of the catwalk and I peered into the shadows, the blades of the cultivators—far extended on foldable arms—struck up through the pool of blackness beneath us and I felt so cold there and if it were not for the breath of my fellow travelers, I might have been lost in the dark for longer than intended—lost and frozen and contemplative.
“There’s a room,” said the boy, and he pushed ahead on the hanging passage, and he was the first to the door. “Boxes,” he said plainly.
Upon coming to the place where he stood, Gemma pushed her lantern over the threshold, and I saw what he’d meant as I traced my own lantern to help; the room was crammed with plastic totes and old metal containers of varied sizes. There seemed to be enough empty space to maneuver through the room, but only if one watched their feet while they walked. Carefully.
We moved to the room, and I found a stack of crates to place my lantern then motioned for Gemma to douse hers. In minutes, the place was rearranged so that we could sit comfortably on the floor; crates lined the walls precariously and we breathed heavy from the work done, but we began to unpack and upon watching the children while I rolled a cigarette, I felt a pang of guilt, a terrible summation—all choices in my life had led me here and with them and perhaps it would have been a better world for them without me.
Mentally shrugging this thought away, I lit my cigarette, inhaled deeply, and then withdrew the jar which Andrew had handed over. I held it to the lantern to examine it. The grotesqueness of it hardly phased me and I watched it more curious and hopeful than disgusted.
“I hope it’ll work,” said the boy, “Whatever it is that you plan on doing with it.” He grimaced and maintained a further silence in patting his bedding for fluff. The dog moved to him, and she pushed her forehead against him where he squatted on floor. The boy scratched Trouble’s chin and whispered, “Good girl,” into the top of her head where he’d pushed his own face.
“I’m hungry,” said Gemma; she placed her chin in her arm while watching Andrew with the dog. She sat on her own flat bed there on the floor and stated plainly the thing that I’d hoped to ignore for longer.
“I know.” I took another drag from the cigarette and let the smoke hang over my head. “The dog?”
Andrew recoiled, pulling Trouble closer into his arms.
I smiled. “It was a joke.”
Andrew relaxed, but only a moment before Gemma added, “Maybe.”
The boy narrowed his eyes in the girl’s direction, and she shrugged. “If it’s life or death.”
He didn’t say anything and merely continued stroking Trouble’s coat.
That night, we slept awfully and even in the complete darkness, I felt the cramp of the storage room and the angled shapes of the tools that protruded from the containers on all sides remained permanent well after we’d turned the light off and it felt like those shapes were the teeth of a great creature like we were sitting inside of its mouth, looking out.
Trouble positioned herself partially on my chest, her slow rhythmic breathing brought my thoughts calm and I whispered to her in the dark after I was sure the others were asleep, “I promise it was a joke.” And I brushed the back of her neck with my hand and the animal let go of a long sigh then continued that deep rhythmic breathing.
Still without food or water, the following day was the true indication of the misery to come. Gemma’s stomach growled audibly in waking and Andrew—though he kept his complaints to himself—smacked his lips more often or protruded the tongue in his mouth in a starvation for water. The room, in the daylight which peered through pinpricks of its half-decayed roof, seemed another beast altogether from its nighttime counterpart; it was not so frightening. Again, I admonished myself for the lack of preparation, but there was another thought that brought together a more cohesive feeling; we had a possible plan, a trap for the demon that’d been following us.
We went into the field to the west of the building where there was only dirt beneath our feet in the early sunlight and in the coolness of morning air, I nearly felt like a person. The sun crested the horizon and brought with it a warmth that would quickly become overwhelming—in those few minutes though—it felt good enough. I wished for the shy dew and saw none. The weirdness of holding Andrew’s rotting hand in a jar momentarily caught me and I almost laughed, but refrained and the dog and the children looked on while I held the container up and suddenly, seeing the congealed mass of tissue floating in its own excretions, I was overcome with the urge to run, the urge that nothing would ever be right again in my life, and that I was marked to be that way.
I blinked and tossed the jar to Andrew. “Say goodbye,” I said. He fumbled after it with his right hand and caught it to his chest.
“It’s strange you care so much anyway,” said Gemma, shrugging—her eyes forgave a millisecond of pity and when Andrew looked at her, still holding the jar in his right hand, she smiled and stuffed her hands into the pockets of her pants.
“We’ve enough oil, I think,” my voice was raspy from it being early, “Enough for good fire, but if we use it, it’ll mean a few more dark nights on our way.”
“We’re going to set it on fire?” Andrew pondered, keeping his eyes to the contents of the jar. “It worked good enough last time. It’ll work,” I nodded, “I has to, doesn’t it?”
His dry lips creased into a brief smile, and he tossed the jar back to me and I caught it.
“Let’s dig,” I said.
Without much in the way of proper tools, we began at the ground under us with our hands, then taking turns with my prybar till there was a hole in the ground comfortably large enough to conceal a human head and I uncapped the jar and spilled it contents there and we covered it back and I lightly tamped it with my boot. My eyes scanned the outbuilding we’d taken refuge in the night prior and then to the street to the north then to the houses which stood as merely rotted plots of foundation with frames that struck from the ground more as markers than support. “I’ll take up over there across the street when it gets dark. I want you two in that storage room before anything goes off.”
“We can’t help?” asked Gemma.
“You can help by staying out of the way—the mutt too,” I said; the words were harsh, but my feelings were from worry.
“Wouldn’t it be better if we stuck together?” asked the girl.
I shook my head. “You stay in the room and keep quiet. No matter what you hear, you stay quiet and safe.”
“That’ll put you at a bigger risk,” Gemma furrowed her brow at me and shifted around to look out on the houses across the street, “There’s hardly any cover over there.”
The boy nodded, smacked his lips, and rubbed his forearm across his mouth then audibly agreed with her.
“Doesn’t matter,” I said, “No matter what you hear happening outside, no matter, you don’t open the door and you don’t scream—don’t make a noise at all. Alright? Even if you hear me calling you, you don’t do it.”
“Pfft,” Gemma crossed her arms and kicked her foot against the ground. The way her eyes seemed hollowed with bruising showed that the irritation would only grow without food. “Alright,” she finally sighed.
Andrew looked much the same as she did in that; he swallowed a dry swallow then stuffed his hand into his pocket and looked away when our eyes matched.
We gathered our light oil. Altogether, it seemed enough; rummaging through the room of the outbuilding we’d earlier taken refuge within, we managed three intact glass containers—the only ones found that wouldn’t leak with liquid; two were bottles and the third was the jar that’d once kept Andrew’s hand. With that work done, we sat with three Molotov cocktails within our huddled circle of the storage room.
“Is it enough?” asked Gemma.
“We’ll see,” I began rolling a cigarette to ignore the hunger and the thirst.
Andrew took to the corner and glanced over his shoulder only a moment before a steady liquid stream could be heard and when he rotated from the wall once the noise was finished and he held a canteen up to his nose, sniffed it and quivered and shook his head.
As the sun pushed on, I scanned the perimeter outside, and they followed. Far south I spied a mass of shadow inching across the horizon and Gemma commented, “What’s that?”
I pushed the binoculars to her and let her gaze through them.
“A fiend—that’s what we called it back in the day anyway. A mutant.”
She held the binoculars up and frowned. “A mutant? So, it was once human?”
“A fiend was once many humans.” I pointed out to the horizon though she couldn’t see me doing so and continued, “If you look at the edges of its shape, you’ll see it’s got limbs galore on it. Sticking up like hairs is what it’ll look like at this distance. Those are arms and legs. It’s got faces too. Many faces.” I shuddered.
“I can barely see any details,” she passed the binoculars to Andrew, and he looked through them, “What’s it do?”
“What?” I asked.
“What’s it do if it catches a person?”
“It pulls people into it. Makes you apart of its mass. Nasty fuckers.”
Andrew removed the lenses from his eyes and held them to his chest and asked, “It won’t mess up your trap, will it?”
“We’ll keep an eye on it,” I said, “You don’t want to mess with a fiend unless you have to.”
First/Previous
Archive

First/Previous
Gemma was right about the sky’s open night, and I could sympathize with her recollection of the beauty, but for me it must’ve been a greater tragedy—the young woman had only ever enjoyed the stars in the pits of Golgotha; I could, long before, drink in the sky at leisure. Cruel memories.
The night the Rednecks died was one of viscera, but before that it was coolness on the breeze, a warmth by the fires while John played his guitar and we had only just taken two dozen kegs of lager (personal reserves) from the Atlanta despot—the man that kept his subjects as slaves and not a person among the camp was left without budding intoxication. No matter the age, everyone was invited to be merry; if it was that children too faced the plight of a bad world, then so too should they reap the moments of plenty—or so the camp figured.
John had taken a group by the fires where wagons were drawn in interlocking semicircles for cover and Jackson sat beside the picker. Jackson was a man which normally preferred quiet reflection over boisterous singing and nearly never wore the band on his throat, and yet there he was belting out the chorus at the top of his lungs, tankard in hand, red cloth blazed around his neck—it was a contagion and those drunk enough for easier embarrassment sang proudly along:
“There is power, there is power in a band of working folk!
When we stand hand in hand,
That’s a power, that’s the power,
That must rule in every land!”
I’d taken to the outlying shadows with my back pressed against the gas-powered caleche, my own tankard in hand. I loved the warmth of that great big family, truly, but even in those days—and maybe it was that queer youthfulness which longed for individualism that made me that way then—I remained as distanced as possible when I could. I sipped the lager, it was a fine drink and my brother Billy, nearly as old as I was when I’d first taken up in the infantry, swaggered to stand beside me just as quiet for minutes and we looked at the stars and he asked me what it was like to kill a man.
“Is it hard?” he asked.
I nodded, “Sometimes.”
“Killing monsters ain’t so bad. Don’t know if I could do it to a person.”
“You could if they meant to kill you; or if they meant to do it to someone you cared about,” I promised him. In those days, spry, energized, I held no time for staring into abysses; though I still wasn’t a man fully, I pretended as one. It was about family, and it was about doing what was right—what’s right seemed to change, or I changed. The world felt stark with good and evil and even later I’d feel that sentiment well up in me, but if that’s true, I know I stand more on the latter and so I intentionally obfuscated it—this I know. If not, it might be too much to bear. I was required to lie to myself and even in knowing I lied, it was better.
Billy tugged on the red kerchief around his throat and asked me how it looked on him.
“Looks good,” I said.
“Don’t think I look stupid at all?”
I smiled over my drink, “You always look stupid.” I sipped. “The neckwear’s fine.”
“Give me a break,” said Billy; he investigated his own cup, gave it a swish with his wrist, watching its contents swirl. “Aren’t you ever afraid you’ll die?”
“Sometimes—nights like this—I wouldn’t mind it.”
“Really?” my brother asked.
“There’s always a chance of it. Every moment, I guess.”
He smiled. “I wish I had that confidence.”
“You’ll get it,” I returned his smile; it was true that he would gain the fighting spirit. It came to us all with time and reminiscing on the early days, I recall the grit and the hatred—there was learning there too though. Besides, I’d seen the squalors of a stationary man. The stagnation of a place, an unmoving home.
John put his guitar away and laughter erupted from the crowd from something said and Sibylle, cowboy hat cocked funny, traipsed across the camp to the open keg for a refill; the man there, tending the cylinders, was a man named Tandy (a foreigner and one unknown besides the way he smoked a skunk pipe and told wild stories). My mother leaned over while Tandy opened the spigot mouth on the keg, and she froze there, and I could see her there cut out forever against the light of the fires; I watched, and it came so suddenly that I couldn’t be sure what’d happened at all. It was so sudden that I couldn’t find my weapon and I couldn’t find even the courage to fight because in those moments it wasn’t courage I needed, it was grounds to understand.
Sibylle came apart in two pieces immediately, torn completely through and dust erupted as her legs struck the ground while her torso spun through the air like a top, a trail of liquid trailed after, caught in the blue of night so it shone as black; she couldn’t scream. Tandy was a statue. Before anyone could react, more flesh, other bodies, went up and there was all manner of limbs which filled the ground, and it is astounding how quickly a red mist forms across the ground during a massacre. Perhaps the wails of my comrades started before, perhaps others fell before Sibylle, but I could not comprehend the goings-on till I saw her drop the way she did.
Frail human screams rose on the night; I slammed to the ground, tankard gone away and hands scrambling in the dirt; I reached up blindly and yanked Billy to my level and his expression was one of innocence, panic, tears even. Glancing around, I saw the demons bolt from the pitch-black darkness on the edges of camp, mutants taking the fore while greater creatures lurked further back, some hurled whips of gliding metal which writhed over their heads when they stretched them out for a strike—alien—and they sliced directly through soft human bodies. Not even a cry escaped me, but Billy let go with it and I slapped my cupped hand over his mouth hard to hold the screams. His voice would not have been alone anyway, not alongside that startling cacophony. Amidst the cries of people, there were the cries of horses, of our hounds.
We rolled across the ground, slipped beneath the raised body of the gas-powered caleche, remained quiet in the dark, peeked out between the wheels.
“What’s happening?” Billy whispered through my fingers; I removed my hand from him and caught a glimpse of him framed in a square of firelight through the wheels—we lay there on our bellies and the left side of his face was glazed with dirt where I’d pulled him down.
“Shh,” I told him, “Shh, please. Please.” Not another word came while I pleaded with him, pleaded with the world to make this all a nightmare.
Through the haze and the running silhouettes painted black, I saw what might have been Jackson; he stumbled and in the moment that it took me to gasp, his head was gone from his body, his torso slid on as he collapsed, came to rest mere feet from the motor wagon. I told myself that it wasn’t him, but it probably was.
Some mutants lumbered through the camp like animated corpses, some leapt with wild energy or sprayed noxious fumes which lingered in the air; others still were amalgams of humanlike limbs themselves—fiends—exhausting terrible sounds, producing smells of sulfur, glistening with whatever liquids excreted from their oblong alien orifices. Demons ran amok, chanted in devil tongued languages, laughed madly at the destruction—others still, those which displayed some greater intelligence, broke into a song I could never hope or want to replicate; it seemed a unified damnation.
“Please,” I repeated in a whimper and Billy hushed me this time and I realized we were holding hands, squeezing for dear life as figures walked the camp, speared those half-alive, elected others for twisted carnality.
In darkness, in fright plainly, we scuttled from the recess of our hiding place, kept quiet, held to each other, and went into the wasteland where nothing was—every shadow was a potential threat, every second could’ve been the last. We were holding hands; then we weren’t.
Only a glance—that’s all I afforded my brother and nothing more—what a joke of a person I am! What a coward I was. Always.
Something got him in the dark and instead of dying alongside those I cared about, I went on, heartbeat driving me till it was all that I heard in my ears and my muscles ached and my chest heaved and sweat covered me, chilled me in the breeze of the night—it was only once I’d accepted the dark completely, crawled into a hollowed space of rocks along a squat ridge that I watched the demolished camp; it seemed no larger than a spark, but the creatures, fiends and others continued their war cries; never before had I witnessed demons participate in such an attack.
I watched till the sun came, till the fires became smoke, then I watched the band of hell creatures disband. The smell of sulfur remained in the air—copper too—and I stumbled back to the camp in a dreamlike daze, totally unbelieving of the things I saw. Among those dead on the ground, I could recognize none; among those piked from rear to shoulder, standing like morbid scarecrows where they’d been steadied against the ground, I could not want to recognize.
Many of the wagons were overturned, including the gas-powered caleche and I went to it; the metal of its body was warped but I fell to the ground by it and pushed my back against the exposed undercarriage, remained frozen there while examining the bodies, the terrible strips of skin which rested places like wet sheets of paper, the piles of bones removed and smashed and piled.
I cried so deeply that oxygen became a memory, and the shakes couldn’t be contained.
It was like that for so long, knees pulled up, face pushed between, and the wails came unafraid of whatever attention they might garner; there was no rationale, but I imagine if there had been, I would’ve welcomed death in that misery. It was a deep wound that not even my own cowardice would overcome for the sake of survival.
Unaware of my surroundings, not wanting to look up from the ground between my legs, the noise which had started out as imaginary became real and I raised my head then to listen better and wipe my sore eyes; it was the sound of clip-clop horse hooves and I mildly wondered if any of the animals had been spared. I stood and pivoted around the dead camp and there it was, a man on a painted horse with golden hair; he leisurely drove the mount through the place, maneuvering around pools of blood, clumps of body parts and upon seeing me, he smiled and offered a languid wave, keeping one of his gloved hands on the reins.
The man wore white and swished his hair back upon arriving directly in front of me. Ahoy, he offered kindly, Did you happen to see the other riders?
I shook my head, feeling numb.
Ah, he said, I could have sworn four other riders, at least, passed me on my way. His gray eyes examined the carnage. Shame. He shook his head. You are?
“H-harlan.”
He nodded and nearly offered an expression of genuine condolence before descending from the horse; the animal gave a gentle grunt and wandered away from its master to inspect a nearby group of the dead. The man offered his hand, and I took it in a shake. Mephisto, said the man. He flashed a smile again before his face grew serious. I’ve come to you to deal.
I shot him a questioning look, one of bafflement.
I heard your calls from far off. He nodded, removed a white handkerchief from his breast pocket and swiped it down his face. Hot out. He shrugged then replaced the cloth in his pocket. This, he motioned to the disarray of vehicles, of bodies, I can’t fix all this—it’s too much—but there’s a person you love, I know. I could bring them back.
“Doctor?” In retrospect it was such a naïve question.
He shook his head.
“Angel?”
He grinned and nodded, Sure.
“Demon?”
Undoubtedly. His eyes—pits of gray in that radiant face—nearly expressed solemness; he daintily shook the hair from his face and looked at his steed which sniffed a corpse. What’s the word, Harlan? There are others calling and I must be on my way soon—I can’t dally. There was a sharpness to the words. Can’t dally. We must convene soon, or I’ll mosey on.
I snorted back the clog in my nose from the tears and wiped my eyes with my sleeves. “Okay.”
Deal?
I nodded, “Deal.”
Sleep tonight, said Mephisto, Sleep and you’ll be rewarded in the morning.
“You said it’s a deal.”
He nodded and scanned the carnage before we matched gazes and then he said, Yes?
“What is it you want from me?”
Nothing you need now. He called the horse, and it came, and he swept his feet quickly from the ground and settled into position atop the animal. Sleep, Harlan. You won’t be bothered. There are worse things still over the horizon.
I watched him go till he disappeared and once he was gone, I couldn’t cry anymore and instead rummaged through the wagons for what I might carry; along the way I found John, face twisted but corpse intact. The body from the previous night that I’d guessed was Jackson couldn’t be determined but I found him nowhere else. I slid Sibylle’s holster from her hips, fell hard onto the ground and found that I could sob more. I took her cowboy hat, placed it on my head and held her pistol in one hand and the belt holster dangled from the other while I searched the other bodies; there were so many, but I could not find Billy.
Waiting for darkness, I took the spot where I rested, back against the caleche’s undercarriage, watched the sky and felt the gun in my hand; it was heavy. I put it to my head, closed my eyes, and whispered affirmations to myself then I put the pistol between my splayed legs, watched it still in the dirt, and pulled the hat down over my eyes but it did little for the smell. Though the brim of the hat cut the sky out, I watched the ground and saw circling shadows form overhead and heard calls of turkey vultures; they came to pick over the bodies. I withdrew my knees to my chest there again and laid my forearm across them and bit into my arm while closing my eyes. I had thought I was a man and for a time, maybe I was, but there in that miserable pit of despair I became a child again and if I’d become more delirious, I’m sure I might’ve called out for Jackson like it was a bad dream.
Into a fading stupor of sleep in the sun I went and when I awoke again it was dark and chilly and I was tired and hungry but too sick to eat and hardly strong enough to move; I looked at the gun and put it into its holster and left it there by the caleche. In the light of the moon and stars, I moved to gather a bolt of canvas; I unfurled the fabric and created a leaning shelter against the overturned vehicle and crawled into it. There was a hole in the canvas, and I peeked out at the stars.
Weeping came again, but not so uproarious; I was stuck there letting go of whimpers, lying on my back, feeling the tears trace in lines from the outer corners of my eyes to collect along my earlobes. In time, I fell to sleep again on the hard ground because the mourning had taken all else from me.
A pinpoint of sunlight broke my eyelids and I jerked awake and reached for the holster, but it was gone. So was the hat. I crawled from the leaning shelter and there he was.
Billy stood plainly among the dried, congealed blood-soaked field and he looked on to the horizon and all shadows were long in the midday sun which hung up there in a soft blue sky. Whether it be a dream or a spell, I couldn’t care—I charged to him and spun him so he faced me and though his face was plain and expressionless, I wrapped him into a forceful hug. He placed his hands on my back and gave a gentle squeeze; when I pulled from him, my hands on his shoulders, I saw he held Sibylle’s hat in his left hand, pinched by the brim; he’d already tugged her holster belt around his hips—he could have it all. I shook while holding him then let go to wipe my face.
“You’re alive,” I nodded.
He nodded without speaking then looked at the hat in his hand and placed it on his head and firmly pressed it down.
“Billy! Hell, you’re alive!”
The corners of his mouth twitched upward for a moment then he nodded again. “Yeah.” His eyes curiously searched our surroundings like he meant to take each detail in forever.
I slapped him on the shoulder and almost squealed. “Goddammit.” I wiped my eyes again and could do little to keep the excitement from exploding from me. “Oh, we should go. We should go on and get somewhere safe.”
He nodded toward the horizon, “’Lanta?”
“Sure.”
We packed and it was a like an ethereal phantom remained among us beside the quiet dead; turkey vultures cawed to break the silence, pecked where they pleased on the bodies, and I couldn’t want to fight them. I kept sidelong eyes on Billy with the ever-present worry that he’d vanish. Perhaps he was the phantom.
From the rear of the caleche, I removed a few sentimental books Jackson liked, essential cookware, and sparse rations for the trek. The last thing I grabbed was my shotgun and a bit of ammo.
As we set from the dead place, the terrible silhouettes that were cut from there on the horizon behind us grew in my mind with every backward glance—I wanted to fall to pieces, but I saw Billy walk alongside me and although contented is not the right word, it is the nearest. The steps of our boots were all that was heard because I could not fathom to pierce the space between us with words for fear that it would all end. It was a dream, surely. I’d lost my mind. With my hands thumbed into the straps of my pack, I saw I my hands still shook, and they would shake a lot longer—years and with memories too. The crunch of earth underfoot became a rhythm and instead of looking at my brother, I watched his shadow on the ground.
“Everyone’s dead?” He asked.
“Yeah.”
“You’re sure?”
“Yeah,” I repeated.
“How ain’t I? How ain’t you?”
To say that it was luck would’ve been too morbid. Instead of saying anything, I shrugged, kicked a loose stone, watched my feet some more, and felt a queasiness come over me. For the moment, the immeasurable deaths of those I’d left behind were forgotten in the company of my brother and a sickness welled up inside of me so suddenly that I felt that I’d fall to pieces at the slightest provocation. Finally, I did speak again, but only after steeling myself to the troubles, “Yeah, how are you alive?”
Billy shrugged at me then stumbled up a hill which overlooked trash wood wilderness where sticks lay twisted and bare and further on the sight of Atlanta was visible and I cupped a hand across my brow and Billy did the same and we looked on at the shadows of the place out there where strings of smoke rose from the skyline as a signature for the desolation of the city; it was dead. I felt it in my bones.
My hands were light while my head was heavy, my throat was dry, and the entire world seized in moments of stillness or perhaps it was my own vision which construed the world in that way; I took to the small hill which Billy had climbed and sat there and stared at the place between my feet to steady myself.
“Fire,” said Billy.
I nodded and nearly choked.
Leviathan—till then I had no belief in dragons—glided over the broken city, its winged shadow little seen but its voice was deep across the scene, letting go of roars which shook the ground. We hid among the trash wood and moved down the hill and watched the creature thrash in the air as if it was angry for its abominable life. Whatever millennia it spent in the pits of hell seemingly thrust upon it a love of destruction and pain.
My brother moved with a more assured stride and kept a cool distance and upon fleeing from the wreckage, from the outlying area of Atlanta and the place we’d left our family, he spoke little and watched me strangely whenever I took to melancholic fatiguing. We lit no fires for fear of what it could draw from the night so in the dark I’d see him watching some far-off place, maybe seeing through the reality which surrounded us, and he’d snap from it, catch my eye, and disappear for minutes to scan the perimeter of whatever place we stayed. Being alongside my resurrected brother was lonelier than I could bear, and I hoped he’d disappear for good or that I could work up the courage to end my own life. It was like purgatory explained in books and for a time, it felt endless; upon witnessing the destruction of Atlanta, we pushed to Marrietta, and it was much the same. As was Chatanooga, Nashville, Knoxville, Louisville, Charlotte. The ocean had risen so that Fayetville was gone underwater, and the Florida leg disappeared completely as far as I’m aware. I understood later that Memphis was overlooked and more places further west were alive too, but when we’d exhausted the south, we moved north and found strongholds of families or traders or even small groupings of civilization, but by and large we found nothing much in the two years that we hoofed it from place to place; it was my doing mostly—I wanted to find a place untouched by the mayhem in the area my family had once patrolled.
In retrospect, I am certain that Billy only stayed by my side for convenience; there wasn’t any of my brother left in the man that was my travelling companion for that time. He was a ghost of a person and Mephisto had preyed upon my desire in the worst moment of weakness in my life. There were nights—maybe we’d taken up in a natural alcove for shelter or we’d locked ourselves in some ancient structure for sleep—I’d watch Billy lay where he was, Sibylle’s hat and holster lying beside him, and I’d think of putting him down but he’d stir and in a brief shadow I’d see my brother as he’d been and withdraw to bury my face in fake sleep to be met with images of the night the demons attacked where I’d shake, sweat, and bite my lips so hard I’d drink blood.
Two years we marched around the Appalachians and in that time, I felt myself wither and disconnect.
Upon moving further north we met Indianapolis—that’s what it was called back then—and it was run by an older woman called Lady Lazarus; I reckon her father, affluent and dead, was a fan of Plath. Indianapolis was fortified more than most with its high walls, and its wall men, and its underground facilities which produced substantial ammunition. We—me and Billy’s revenant—were travelling with a group of traders we’d taken up with from out west; they called themselves wizards and although they seemed of the occult, their spirits discounted whatever suspicions I might’ve had of them.
I remember first pushing through that big gate; the town kept with it an indisputable malaise and though we were greeted at the gate by the leader Lady Lazarus—her brothers came along with her—and her jovial demeanor carried a certain infectious quality, I could not help but notice that the regular denizens maintained a healthy distance from their leader (the guards which followed the Lady everywhere probably had something to do with this).
Lady Lazarus touched each of our hands in greeting with enthusiasm and I could not help but notice how soft they were, how vibrant her eyes were, how much she smiled, and how beautiful she was given her age; already her head was fully gray.
Upon meeting each of us, going through the wizard traders first, she came to me, and Billy and she shook my hand then pivoted to Billy.
“Welcome. You can call me Lady.”
Billy caught her hand in his, held it longer than she’d intended so that they held eye contact, and he smiled broadly, tipped the cowboy hat on his head back to expose his smooth forehead and said, “And you can call me Maron, mam. You are quite a sight for a tired man.”
Though Maron—as he’d named himself—was more boy than man, Lady took a disturbed liking to him immediately and we prolonged our stay in Indianapolis after the wizards departed to head west.
Under the rule of Lady, Indianapolis was a theocracy, with her addressing the huddled masses at the steps of her grand abode, she’d preach for hours on sin and strife and quote her favorite passages; though reminiscent of my time with the Rednecks, I never found any truth or sincerity or freedom in her teaching—hers was more trouble, brimstone, fire and I’d had enough of that for a lifetime. Public execution was common. As was torture.
Maron distanced himself further from me, but I remained to keep an eye on him—it was not sentimentality but rather I existed without purpose and conjured some from watching my brother.
Often, Lady invited Maron to her private rooms and though the rumors and speculation ran the full spectrum of perverse speculation, every denizen feigned ignorance at her pregnancy.
Upon giving birth, the infant was malformed with two heads—her brothers took this as an omen and killed the child, put their leader in the stocks for months, and stripped her of dignity while the denizens did to her what they pleased.
Maron rose through the wall men while Lady’s brothers assumed control of Indianapolis and called themselves Bosses; in the time since Lady’s reign, the place was renamed to Golgotha for its closeness to a messiah.
I went west but always found myself drawn back to Golgotha because of some emptiness in me. It was only with Suzanne that I wanted something more and knowing them, I almost believed in a world like the one that children dream about. The world that Gemma and Andrew chased after when they left home, like the one Aggie talked about in her mother’s books. There’s a hopelessness in me that I’ll never be rid of. In the interim between our initial arrival to Golgotha and that flight from that terrible city, I cannot know how many people I sacrificed in convening with demons because I refuse to know because the number would destroy me. That is the worst of it; I do not even have courage enough to face myself or the actions of my past in any substantive way.
Mephisto tainted me so that I could speak with his kind as a dealmaker and the disease grew.
Billy or Maron or whatever he is should have been reaped long ago or better, I should never have brought that abomination alive. Such a cruel world where a deep longing like that can be inverted, weaponized. Me and him should both die; me and him should have died a long time ago.
First/Previous
Archive

Hi doctors,
l experience daily allergies (sneezing, runny nose, itchy eyes, itchy throat) and am stopping allergy immunotherapy due to reasons mostly outside my control. My allergies include grass, pollen, dust etc. and I've seen some mixed information about taking propolis or bee pollen supplements to help reduce allergy symptoms. Can any doctor please confirm if this is a good treatment to I guess desensitise me to the allergies, or if it will just result in higher experience of allergies? I'm looking at propolis 2000mg capsules in particular at the moment but open to all recommendations!
About me: 26F, approx. 165cm tall and 70kg, no current medications (aside from daily multivitamins, calcium + vitamin D3, and probiotics), non-smoker, frequent headaches (no cause diagnosed yet), lifelong allergy sufferer and have tried various antihistamines, nasal sprays, and allergy immunotherapy with little success
Thank you in advance! :)

My boyfriend and I never had sex. He didn't put it inside of me, he didn't even came outside my v*****. All he did was an attempt (it didn't really went inside) and rubbing it outside. Also, he spilled it on my stomach and it dripped down to my v part but I'm not really sure if his liquid went inside. I googled it and it says that it's possible to get pregnant with just that and it got me really anxious.
I got my period on April 8-11 then the last period is May 4-6, 2024 but I am bothered because it only lasted 3 days and a bit lighter than usual. My usual period is 4 days. After my period, I've been experiencing pregnancy symptoms like soreness/tenderness of breasts, lower back pain/lower abdominal pain, nausea and head ache. I'm worried that my last period this May could be an implantation bleeding and not really a period. Am I pregnant or I'm just overthinking?

I'm UK based so this is from an NHS perspective
I thought I'd write a post to hopefully help a few people out if they are feeling nervous about surgery. This is my personal experience and everyone's will be different obviously, but I thought I'd share.
Had my surgery yesterday (May 16th) but I hadn't slept a wink. I was utterly terrified of what lay ahead. Aside from the one gallbladder attack on the 22nd of April I had no further issues. I lay there thinking if I was doing the right thing, going to butcher myself from a one off occurrence. I got up and showered at 6am, packed my Grogu dressing gown and my slippers and slowly made my way downstairs. My husband sat on the sofa, telling me he'd got up early to see me off. He was feeling guilty because he would be unable to come with me because he gets very anxious travelling to far. I shared my fears with him and he just sat with me and cuddled me and told me I was doing the right thing because he'd been misdiagnosed when he was younger and went 18 months suffering from debilitating Gallbladder attacks and he didn't want to see the same thing to potentially happen to me.
I drank my last glass of water at 6:30am before crying as I ordered the Uber at 7:00am to take me on the 11 mile journey out to the hospital in a town I'd never been to before. Every second resisting the very real urge to tell the driver to turn round. I got to the hospital at 7:32 and obviously went into the wrong building at first. But one of the very helpful ladies on the desk pointed me in the right direction and even offered to walk me part way so I could find it. I said I would be OK. I made my way round to the Day Surgery building only to find a queue at the reception desk.. Giving me even more opportunity to run screaming out of the door. But I thought of my husband's words and I stayed there. Gave my name and plonked myself in the reception area, trying to distract myself with my phone.
Around 20 minutes later I was called through to have my first discussion with a member of the surgical team. The nurse taking me through could see I was obviously getting upset, so she gave me quick hug and reassured me I'd be OK. I sat with the surgical team member who went over everything they were planning. He had my notes and could see that aside from the Gallstones I was otherwise healthy. He explained that because my case was relatively simple it would be an almost 100% chance it would stay as Keyhole Surgery and he told me how the operation would be performed and went over the consent to surgery form with me. Strangely this made me feel a bit more at ease because he was not only being kind and understanding of my distress, he was professional and informative.
After that discussion I went out to the waiting room again to pass time before being taken to the ward. Again about a 15 minute wait and I was brought through to the ward. A second nurse came to do my heart rate and blood pressure. At this point I was fighting back tears which the nurse could see, so she let me talk out my feelings and offered me kind words to calm me down.
At this point the Anaesthesiologist came into my little curtained off area to tell me what he would be doing as part of the team. The mild sedative he'd administer to get my brain ready for the anesthetic and that I would be the second surgery of the day so I'd be in around midday. He confirmed my consent forms and double checked I was who I was. He also gave me some kind words and left. The nurse took details of who she would call after the operation to let them know I was OK (my husband and the friend who was picking me up) I settled down on the bed while the nurse pottered around with my paperwork. Then the shock happened. The first nurse I'd seen that day poked her head through the curtain to inform the blood pressure nurse that my surgery had been brought forward because the person who was meant to be first hadn't turned up yet. New panic activated. I wasn't expecting it so soon. So I sat there mildly horrified that I wouldn't have time to process. I was told I'd be going to get changed soon. After a short wait, I was then informed the first patient had turned up... So I was bumped back to second I thought. OK I can relax a little... No such luck. The surgical team had already begun prepping for MY operation. So they would still be doing mine first instead. I didn't have time to panic. I was brought through to the changing rooms, given some very sexy paper knickers and compression socks and a robe. I popped on my Grogu dressing gown over the top and my slippers. I didn't even go back tu the ward. The nurses took my clothes I'd come in with and boxed them up safely. I was guided through to the surgical prep room. Where I was greeted by the two members of the team I'd already met and the additional team member. They talked me through everything again and confirmed my consent for the surgery to go ahead and one kept me occupied by talking about my nerdy tattoos as he popped a brain wave monitor on my head. I was asked for my weight and height so the correct dosage of anesthetic could be given. A cannula was put in my hand and the Anaesthesiologist administered the first dose of the sedative which gave me a mild light feeling. They continued to talk to me about my tattoos which were from some of favourite TV series and even had a laugh about my Grogu dressing gown. Then I was given the main dose of anesthetic. No counting down from 10, just continuing to talk about the TV series... And then I woke up in the recovery room. Sore, but not in agony. Feeling very groggy, but I came round fairly quickly. Slurring my words a bit and trying to pay attention to the nurse who was rousing me. As I became more aware she told me my operation had been absolutely textbook with zero issues. Nice clean incisions glued back together. She gave me a mild but hospital standard painkiller
After a few minutes I was wheeled through to the main ward again where I was met by the nurse who had taken my blood pressure. Smiling she sat me up slightly in bed and gave me some water and got me some biscuits to nibble on. She told me that I'd be there for 3 hours after the operation which was standard. They wanted to check I was as comfortable as I was going to be. And that I had been to the toilet at least once during that time. I had a very dry throat from the breathing tube so I was sipping a lot of water. I had a bit of help walking to the bathroom but they said it was positive that I had been. Of course silly me had forgotten to bring a book to read during my wait, but the nurse said as long as I was discreet while she went and made the phone calls I could listen to something on my phone... So me being me, I picked a true crime YouTuber (Rotten Mango). She came back and checked my blood pressure every half an hour, which she was happy with. I just sat and passed the time. Getting more lucid with every passing minute. I was told I could carefully get dressed. My friend was delayed in traffic so I stayed an hour longer than I had to (4 hours in total) and the nurses I'd seen that day both have be a gentle hug and said it had been a pleasure to be with me that day. I slowly made my way to my friend's car and came home to a waiting husband. We took a short walk to the shop (my choice) to get me some light food to eat of crackers and a couple of fruit scones. I didn't immediately feel a need to rest so I gently sat at my computer and watched a few videos. Then at 6:00 I took one of the industrial strength codeine the hospital had given me and settled down to sleep for a couple of hours. I did sleep OK last night after going back to sleep again at about 1am and after taking 2 of the codeine which brings us to now. I've manged to eat, I'm still tender, but on the whole I'm OK less than 24 hours after surgery.
Sorry this was a long one and if you've made it to the end. Thank you for your time

I don't know what to do anymore. I've had sebderm for almost 2 years now, until like 4 months ago, it was kinda under control, though since then im just shedding more hair.
The patches are really visible and i have a feeling Im gonna go bald in like 1 year.
The flakes arent yellow, they are minimal, though my scalp is really sore ( idk why ). Im thinking of using shampoo with salicylic acid again, also Im currently doing ACV rinces every week, followed by MCT oil.
The hair i've lost never came back, Im not sure if its because of the constant inflammation so hair cant grow on that area, or if its just completely gone.
Redness isnt that bad, but the pain when i touch the scalp is.
What should i do?
Im thinking of starting minox. but it will dry the scalp even more.

Hey all, I'm sure these "what do these symptoms sound like" posts get redundant, but I'm trying to help my mom. Over the past 6 months she's been in increasing amounts of pain. I had her type out her story and I'm going to post it for her. I myself was diagnosed with fibro back in 2020. My pain is different than hers but as we know, fibro comes in all sorts of flavors. Take a look below and lmk what you think. Hope you're having an awesome and pain free day :)
"Back in November I injured my back from picking up a young child incorrectly, I picked her up with my arms extended instead of close to my core, right after I picked her up I felt a “twinge” in my lower back and thought to myself darn my back didn’t like that and set her down. I didn’t think much of it and went on with my day, by the next day I noticed my sciatia was bothering me. I waited one more day and then decided to see my acupuncturist, and she solved my problem but I noticed back pain lingered. I continued my usual daily routines and work schedule. Weeks passed and still the pain wasn’t going away. I also started to develop severe acid reflux and had no previous history then came constipation, and stomach pain after I would eat no matter what I ate or how small the meal. I started twice weekly acupuncture treatments hoping for relief. I had a little but nothing consistent. After six weeks of twice a week treatments I stopped. The back pain seem to get worse, it didn’t matter if I would try to do nothing and just relax or if I had a busy day and took care of my grandson.
The pain patterns don’t make sense, the soreness can feel like its directly in my spine or the muscles on each side of my spine. Sometimes my back muscles hurt so bad it’s the type of sore pain that you feel when you get the flu and have intense body aches. The pain is localized from my mid back down to my lower back. As time goes on the nights seem to be the worse, I fall sleep but with 1 to 2 hours I wake up with pain in extreme intensity, it feels like someone is squeezing my entire torso or crushing my spine. Heat use to help but it doesn’t bring soothing relief anymore. In the past 1-2 months the intensity of the pain has been getting worse to the point where it affects my ability to cope with the pain and I start to do short rapid breathing to cop with it, kind of like being in labor.
I decided to consult a chiropractor to be evaluated for possible disk or vertebrae damage. He had a different approach to testing and evaluating, he uses a computerized test the measures the central nervous system along with health history and x-rays. He references the sympathetic and para-sympathetic system and how those systems affect so many systems throughout the body and I was familiar with the information is why I concluded my acid reflux and stomach issues developed shortly after my back injury. After researching online I concluded that I developed Gastroparesis which is tied to the Vegus nerve and its functions. I was going three times a week for adjustments but now I’m going daily because we learned that my nervous system is so inflamed that even the adjustments cause me immense pain later that day and the next.
I feel like there hasn’t been any significant improvements yet. It’s almost getting worse the longer time passes. Nights are my most dreaded time because I only sleep 3-4 hours and I go from my bed to couch trying to change positions or use ice or heat to bring hopeful relief. Nothing seems to help, no position lying or sitting, heat or ice, resting or active. Occasionally I have a day where the pain is minimal and then I think I’m on my way to normalcy then the night or next day is unbearable. The past two days I’ve had to resort to taking over the counter pain medication but I haven’t resorted to that because I know it can cause stomach and liver damage.
Overall summary of pain; mild to extreme lower back muscle, tissue or nerve pain/ mid spine directly in my vertebrae a feeling as if some put a wedge right into my spine/ entire back muscle pain so intense that when the hot water of a shower hits it I cringe until my body adjusts/ acid reflux but has almost disappeared with the help of chiropractic adjustments, stomach pains after eating continue and are very painful/ constipation improved with chiropractor adjustments but has returned again/ Epson salt baths, hot showers, inferred sauna all help while in process but after the pain and soreness return/ physical therapy helped strengthen core but no back relief/ yoga poses or stretches don’t help/ meditative breathing doesn’t help.

It's been 6 months the incident/trigger of injury doesn’t justify the length and intensity of ongoing pain. I believe my body has been in the sympathetic mode (fight or flight) for months. I just want to understand why this is lingering so long and so intense. Any feedback is greatly appreciated."

Today I was finally prescribed Levo, but while I saw my doctor I wanted him to have a look at my throat/neck. After over a month of hypo symptoms I’m suddenly having hyper symptoms again for the past week, on top of that I’ve developed pain in my throat where my thyroid is as well as my lymph nodes feel very swollen and sore. I also have some sort of hard small lump on the back of my neck on the left side. My doctor didn’t examine me at all, just saying that one can fluctuate between hyper and hypo and that my neck is just having inflammation. I’m just worried about the pain since my throat just feels weird and sore when I move my head certain ways or when I cough or sneeze or yawn. I also have a clicking feeling when I swallow sometimes. Should I maybe get it checked out somewhere else or am I overreacting and this is super normal?

Hello guys! I just got this charming rabbit from the store a little bit less than a week ago. He’s healthy and vaccinated and all kinds of stuff. My cat is too. I also have a cat, my guy is very friendly usually, so I saw no problem in them bonding and being friends.
Coincidentally. at the same day, it was very hot, so I turned on AC. My cat got runny nose, but it was just a little and I was not concerned. But now he is having a lot of troubles, sneezing and breathing problems. I don’t have much money at the moment to go to the vet, literally paid my last bill this week.
So here’s the question - can my cat get allergic reaction to rabbit? Did someone have the same situation as me? Because I start to think that’s the main reason why he’s sick and sneezing. Even though I really don’t want to give back little guy, but I don’t have many options in this case, I guess.

To preface, I used to take Doxy every day for months during Covid for acne, but eventually stopped due to not feeling comfortable relying on an antibiotic so much- even when taken with probiotics. I’ve been able to keep my acne at bay with Spironolactone and a tailored skin routine.
But then last week for the first time ever I broke out into a rosacea flare up around my eyes and cheeks (ocular rosacea). I went to my dermatologist and she prescribed me Doxy 50mg for two weeks. After it seemed like the rosacea was getting worse they upped me to 200 mg a day. I took the two pills along with food, water, and a probiotic and had no stomach pain or discomfort. When I woke up the next day I felt relatively fine until two hours later when I touched my skin and it hurt.
I went to work and as the hours passed my entire body was riddled with aches and pains- I was shivering from feeling cold (to the point my nails were turning blue) and had to leave early to go to a doctor. The doctor did a Flu test and it came back negative, my throat looks fine and the lymph nodes weren’t swollen. He said that the main culprit is most likely the Doxy and to stop taking it to see if I improve.
And while the Doxy isn’t out of my system yet, I still feel terrible. Everything aches and pains as if I have a flu without the other flu symptoms (stomach pain, cough, etc.) My skin feels super sensitive to the touch, my neck and back are stiff and it’s gotten to the point where doing simple tasks such as eating and showering was a chore because I feel so rigid and weak.
My doctor explained that even though I’ve tolerated Doxy in the past, my immune system has changed over the two years and may have developed a sensitivity to it. Saying that my immune system is reacting to the Doxy and thinks there’s an infection so it’s reacting accordingly (hence the aches and pains). I only took the Doxy for 3 days before stopping use.
I just wanted to know if this is a common experience by others, and if so, how long after stopping Doxy did it take for the severe pains and chills to subside? Also, just as a heads up to people who may be starting the medication that it’s a possible side effect. It was helping the rosacea flare up, but the pain is not worth it. I’m going to stay off it and keep track of how I feel to decide whether the Doxy is the culprit or not.

I’m 20 and I have a severe insecurity and it’s held me back from everything in my life It genuinely does prevent me from being myself I’ve tried to love myself, time and time again. And I do. I love my personality, my style, every other feature other than my nose. It does prevent me from things I want to do. I am an artist. I do costume art and sfx on myself. I have passions for performing. And making music in the future. I don’t want to do this with my nose because the insecurity is so bad that I genuinely don’t like to be perceived It also makes jobs very limited. I can’t get jobs that are overcrowded with people around my age that would tease me for still wearing a mask at work, because that’s a very real thing and makes it much worse. Especially when everything about me aside from my nose is attractive so I’ll have people hyping up an idea of me. I’ve cried about my nose more times than I can remember, it’s a monthly to weekly thing.
I finally decided to put a stop to fantasizing about possibilities and MAKING it real. I now have a consultation for a rhinoplasty coming up in July. It won’t be for another year that I actually get the surgery but I I’ll have plenty time to brace myself and save money in the meantime. Since I’m only 20, I still live at home with my mom so working and not having money priorities will make saving just fine. I’m going to sell art, possibly pick up a second job, and do everything I can.
And, because I have a deviated septum, my insurance is going to cover a portion of my surgery (the septoplasty part, but not the cosmetic changes, still a significant amount of money will be saved)
My surgeon has only 5 star reviews, seems VERY knowledgeable, and is only 3 hours away.
This means so much to me to the point that I don’t really care right now about how my nose looks, knowing it’ll be fixed in the future. I feel amazing knowing that I no longer have to fantasize. This is going to be a reality. A lot of people say surgery is worse for you in the long run, or “it doesn’t solve your issues, self love does” in some cases that may be true but for me? no. It does. I body check constantly every day and my dysmorphia is only rooted in my nose. Some days I just cover my nose completely with bandages and pretend it got injured, and those days I’m so confident and happy. I’ve had nose lift clips (that are quite painful, just things that you put in your nose to lift it) and I was even happier with my nose there, even though it was still rather big and looked kind of weird and piggy. So knowing I was happier with something like THAT, I know I’ll be happy even if it looks just 80% better rather than 100% better. I don’t want a perfect nose, I just want a normal one. But I have high hopes anyways because my surgeon seems to be absolutely amazing.
I have so many plans. just ALL sorts of projects that I’ve never been able to proceed with because my nose just made me not want to be perceived at all. everything was embarrassing. I know I’m going to have my days leading up to the procedure, and I know post-surgery can have its waves of depression but just thinking about life in the future makes me so happy. I have been dreaming of this since I was a child and I’ve had such a big suicide ideation my whole life because I never thought it would happen. It seemed like a fantasy. Until I got serious about it and started saving. The feeling is so worth it.

Hello folks!
I am 23 y/o, female, about 102-108lbs (will based off my week), and 5'2.5 in height.
I started on Vyvanse in January of this year on 20mg, then about 2 weeks it stopped working. I got the initial jitte anxiety everybody talks about but then it died down quick. It was horrible but I'm glad I waited it out because the clarity I got was unmatched!
I asked for 30mg soon after, because I would go back to dozing off and being disorganized. Actually, I had such a crappy year and without Vyvanse I would not have survived or gotten so much done. Even so, I still struggled to get everything done because it was humanly impossible.
Later, the 30mg stopped working also about 2 weeks in, during an important exam too! I had to sit and accept I was going to get a bad grade and spent the time listening to the guy sniffing constantly 'cause his nose was runny. Completely destroyed my focus, but wouldn't have if my meds worked.
So then it turned into 40mg which I've been on the longest because its worked the longest. It started to be less effective on some days, but still helped my mind be quite and kept my anxiety and impulsivity in control all day long. I learned periods, sugar, and not enough protein makes it not work. Also accidentally discovered zinc helps me gain that clarity from Vyvanse like it did early on. I was not sleeping or eating well, but I have been very diligent to fix it.
Now, even when I am doing all the right things that I spent months tracking to see what works and what doesn't, today it worked for a little as I was literally having my breakfast, but then it stopped. I got terrible 'adhd anxiety' which is how the impulsivity from adhd manifests in my body. Right in the middle of my chest. I felt absolutely awful. I am not on my period or even near my period as well. Why is this happening? Why is it not consistent?
I asked my doc if she thinks 50mg is a good idea about 2 weeks ago so I can have this consistency and I just want to test it out, she said she doesn't feel comfortable. I agreed with her considering 40mg sounds like a lot for a person with my size.
I need it to work not just so I can get work done, but to control my anxiety. I went back to having no self esteem and not being able to talk to people. Vyvanse helps with all of this, but especially staying calm and being able to focus. I have had about 30% of motivation recently, and that's on my best days. Is it the wrong medication even if it's worked before? Or just not the right dose? She suggested Fouquet, but I'm not sure I like the 16 hours effect and people say it doesn't give them energy which I absolutely need! I used to rely heavily on caffeine for energy, but when I am on vyvanse and when it's working I naturally just don't drink it.
I also eat better and healthier. But when it doesn't I really struggle. I know it's a long post but I'm trying to not miss anything and I really need help. I am terrified of this continuing because I don't want to have to go through University like this when I experienced what it's like doing things so effortlessly with medication when they're effective.
Thank you!

There are some kinds of wisdom only great suffering can bring. I remember my time in the Bardo with this in mind, for otherwise, the memory might drive me insane.
The night my heart stopped for nearly three minutes started off normally enough. I was working as a nurse in the psychiatric ward at a hospital in the state’s capital. Most of the patients there were harmless, mostly just suicide attempts or people suffering from drug psychosis or severe depression, but some were actively dangerous and certainly psychopathic in every sense of the word. The new admission was one of these- a three-hundred pound black man with a long history of smoking PCP, schizophrenia and violent, psychotic breaks from reality.
His eyes looked like flat pieces of slate as I walked in for my shift. They looked as blank and emotionless as the eyes of a doll. He sat at the table in the front room where the patients ate or played cards, alone under the bright fluorescent lights of the hospital. I walked to the station, where another psychiatric nurse named Ricardo was sitting behind the desk.
“What’s the deal with the new guy?” I asked him. Ricardo looked up, his dark Spanish face forming into a deep scowl. He ran his fingers through his jet-black hair nervously.
“He’s trouble, man,” he said in a crisp accent. “He got in a chase with the police and then punched some cops in the face. It took three guys to take him down, even after he got maced and tased. The judge sent him here on a temporary court order, since he claims he’s been getting chased by Nazis in UFOs, and that’s why he ran from the cops. He thought the cops in their uniforms were actually the SS, and the helicopters were alien spacecraft, or something. I don’t know, I didn’t listen to the whole story.”
“You have his file?” I asked. Ricardo leafed through a stack of folders with his thin fingers, snatching one out and handing it to me. I looked down, reading the information:
“Jeremiah Brown, black male, 37-years-old.
“History: Polysubstance abuse, schizophrenia, antisocial personality disorder.
“Psychiatrist’s note: This patient has scored a 36 out of 40 on the Hare Psychopathy Checklist. While I am always hesitant to label a patient as an antisocial personality, a combination of factors has made it essential for this patient.
“Patient has an extensive criminal history as well as a lengthy history of involuntary psychiatric admissions. He has been diagnosed as having antisocial traits since he was a young teenager. Patient has a long history of violence and suicide attempts. He has a history of imprisonment for manslaughter, armed robbery, grand theft and aggravated assault. Upon discharge, he refuses to take any antipsychotic medication, citing the side effects as the reason. Long-term prognosis is poor…”
I had not been sleeping well the past few weeks. I rubbed my eyes as I read through the file, feeling exhausted. I tried putting on lucid dreaming or meditation music from YouTube to help me sleep, but whenever I closed my eyes, I saw horrible things: chalk-white female faces whose lips were cut into an insane rictus grin, flicking their heads violently from side to side and gnashing their fangs at the air. I had a feeling that many years of constantly watching horror movies and serial killer documentaries was catching up with me.
As I read through the file, a student nurse came around the corner wearing a white state university outfit and a name tag that said Kaitlyn. I looked up, seeing Ricardo wink at me from where he was sitting in his chair behind the main desk.
“She’s going to follow you,” he said. Inwardly, I groaned, but I managed to force a smile.
“Oh, great!” I said. She looked like she was probably no older than nineteen or twenty. She had a pretty body, but her face looked strange. All the angles were too sharp and her nose too large. I knew the patients here wouldn’t care, though. They would hit on anything. I sensed trouble. I looked down at my watch.
“Well, I’m Jay, and you already know Ricardo, I guess. It’s good timing, because we need to give medications every day at 9 PM. And we have a new patient, so we can introduce ourselves,” I said, giving her a faint smile.
“That’s exciting!” Kaitlyn whispered. I wanted to roll my eyes. It was definitely not exciting.
I motioned her to follow me as I made my way to the medication room, which was really just a large closet off of the main day room. I had to enter my code on a keypad, and then, once inside, enter it again along with the patient’s number and date of birth. The correct drawers for the medication in each specific dose would fly open, making it extremely hard for the wrong medications or doses to be given, unless it was done intentionally.
“OK, so for this patient, we need Haldol, Ativan and…” I began saying to Kaitlyn when the yelling started. It came out faintly, rising in volume and anger within seconds. I heard Ricardo’s Spanish voice, filled with panic. Something slammed hard against a wall, once, twice, three times, and then I heard the sound of glass breaking. I jumped, spinning around, but I couldn’t see much through the small, shatter-proof glass pane on the wooden door.
“Stay here,” I commanded, seeing Kaitlyn’s eyes widen, her freckled skin looking much paler than when we had first come in. “Don’t leave until I come back and say that it’s safe.” On the speakers strung throughout the hospital, I heard the first of the warnings echo out around us.
“Doctor Strong, Doctor Strong, please report to the seventh floor,” a robotic female voice said calmly, using the code for when a patient had to be subdued by force. I pushed the door open, slamming it shut behind me so that the lock would activate and protect Kaitlyn from whatever chaos was going on.
I heard Ricardo pleading with someone at the end of the hallway that ran past the main desk. He sounded strange, as if he were trying to talk through a mouthful of blood. Huddled behind the main computer, I saw one of the CNAs frantically whispering something in the phone. She must have been the one to call the Dr. Strong order.
“You don’t have to do this, man,” Ricardo gurgled faintly. I couldn’t see what was happening, as Jeremiah’s large body was blocking my view. I could see that the thick glass window at the end of the hallway was broken, however. My heart skipped a beat as I surmised what was likely happening.
I sprinted forward as quietly as I could, but the large man heard me. His massive body turned, his flat, dead eyes scanning me with absolute coldness and calm. I saw he had a bleeding Ricardo in his hands. Ricardo’s back and head were covered in deep cuts and shards of glass. He must have used Ricardo’s body as a battering ram to break the thick glass window. Jeremiah held Ricardo suspended halfway out the window, seven floors above the concrete walkways far below.
“Stay back, or this fucker will know what it feels like to fly,” Jeremiah said in a deep, gravelly voice. He shook Ricardo for emphasis, sending his head snapping back and forth with painful cracking sounds. Drops of blood flew from his nose and a deep gash across his cheek. Pieces of shattered glass littered the carpet, shining like countless tiny stars.
I put my hands up, taking a step back. Far behind me, I heard the front door for the psychiatric ward open. Voices echoed down the hall. Knowing that reinforcements were coming, I tried to buy some time.
“Let’s talk about this,” I said, taking a step forward slowly. “You don’t want a murder charge, do you? You’ll never see the sky again.”
“I don’t give a fuck! I’m not afraid to die!” Jeremiah screamed, pushing Ricardo onto one of the shards of broken glass still attached to the windowsill. It bit deeply into the back of his neck, sending fresh streams of blood rushing out, dripping down to the pavement far below. I heard security guards and doctors running down the hallway behind me, their voices frantic and excited. Jeremiah saw them coming. With an animalistic panic in his eyes, he lifted Ricardo up. I cried out something, stepping forward, but it was already too late. In horror, I watched as he threw Ricardo out the window.
I watched Ricardo’s body soar in a graceful arc, his arms grabbing at empty air as a scream ripped its way out of his throat. Within a fraction of a second, he had disappeared from view, but his terrified shrieking floated up to us for what seemed like a very long time. His screams ended abruptly as a shattering of bones and a wet smacking sound exploded far below us.
Jeremiah turned to me, his large body moving much faster than seemed possible. In his hand, I saw a piece of broken glass, five or six inches long and as sharp as a dagger. I tried to turn and run, but he was fast and strong. He lunged forward, his arm coming up in a blur towards my neck.
The shard entered my skin with a cold, numbing pain. I felt it slice through the flesh easily, felt the blood bubbling up my throat as I tried to scream, choking. The taste of iron filled my mouth as I fell backwards. I was suffocating, I knew. I must be dying.
Something cold ran down my body, gripping my heart like freezing, skeletal hands. The world swam around me and turned black. And then I was rising into a tunnel. At first, it was dark, filled with flickering shadows, but a fiery red light appeared at the end. I followed it, no more than a screaming mass of consciousness rising up into infinity.
***
I rose up through the end of the tunnel and found myself in an empty hospital ward. It looked identical to the psychiatric ward I had just come from. It even had the same smashed, blood-streaked window at the end of the hallway. A massive puddle of blood about ten feet away marked the spot where I must have died. But the fluorescent lights overhead here were flickering, and many had gone totally dark. The shadows seemed to press in on all sides.
The doors to the patients’ rooms were all tightly shut. I felt watched, afraid to call out or make any noise. I started walking down the hallway back towards the day room where the front desk was. All the lights there were out. A thick curtain of shadows hung in the air.
“You can come out,” a male voice as smooth as glass called from the darkness. I jumped, my head flicking in random directions, but I saw nothing. The voice almost sounded like it had an English lilt to it, a slight Cockneyed accent. “I know you’re there.”
“Who’s there?” I called out, not stepping forward. “Show yourself.”
“As you wish…” the voice hissed. “But I think you’ll regret it.”
***
The darkness split apart as if a nuclear missile had exploded. I raised my hand to shield my face, but the light and heat kept pouring out all around me. It blinded me, causing a rainbow of colors and shapes to morph behind my closed eyelids. After a few seconds, it subsided. Blinking rapidly, I squinted in the direction the voice had come from.
A male figure stood there, bathed in a silhouette of light. His face looked as white and as smooth as marble. His eyes were pits of darkness that seemed to flicker and burn. Two black, rotted wings surrounded his body, all sharp angles and thin, curving bones. His body was clothed in silky, blood-red robes, and a hood covered his platinum blonde hair.
He looked somewhat similar to Leonardo DiCaprio, if he was possessed by some ancient god, and it immediately threw me off-guard. If I was dying, and this was a hallucination of my brain, why would I be hallucinating Mr. DiCaprio?
“Who are you?” I asked, taking a hesitant step back. “Where am I?”
“My name is Lucifer, the Bringer of Light and Wisdom, and you are in the Bardo,” he answered.
“Oh,” I said, my heart dropping. “Well, that’s not good. Are you here to torture me or drag to me to Hell or something? You are that Lucifer, right? The Accuser of God and the Father of All Lies?”
“So they say, but, like most things in your world, the words of the powerful and your rulers are the true lies. They call me the Accuser, but of what am I accused?” he spoke in a voice that rose like smoke. “Of bringing knowledge and wisdom to humanity by telling them to eat from the tree of knowledge, the tree that would cause them to rise above the animals?
“Indeed, at the beginning, I saw the creation. I was there at the alpha, standing by the side of God with all the angels as the universe came into being. The endless procession of light, the power of it, was something remarkable to behold. God is, indeed, the source of great power, but his consciousness is not what the believers say.
“After the creation of the universe, I saw his plan, how he ripped eternal souls from the source to imprison them. I saw how he took these divine sparks and forced them, screaming and wailing, into bodies made of meat to die over and over again. He said it was part of the plan, the great, divine plan, a plan of death and destruction, constant suffering and mindless agony. And the worst part was, he wanted to give humanity neither the knowledge of good and evil, nor the tree of life. I convinced them to eat the fruit so they could open their eyes to their nakedness, to their basic animal existence, so they could rise up out of it forever.
“Like Prometheus, I brought down the fire, and yet they call me the Accuser? God was insane long before he formed the universe. These holy men, they live and die in fanatical adoration to a divine being who is, in fact, totally indifferent to them.
“His consciousness twists and distorts, eating itself for all eternity. God feeds off the pain of others, for if his mind is burning, then all others should burn as well. When these holy men die, God will send their souls here to the Bardo, to suffer every evil they have ever done. The wisdom I brought those who called upon me freed them from this prison, and in exchange, the holy men burned them alive. I offered the wisdom that opens your eyes, but it has been forgotten and cursed.”
Lucifer’s body began to dissolve, drifting up into the air like ashes. All around me, a low, powerful current blew, a tornado that spiraled high up into the clouds. Like some sort of Cheshire Cat, his smooth voice continued to echo all around me, even as the form of Lucifer disappeared.
“And yet, you have not the wisdom. For that, like all the others who enter the Bardo, you must suffer, everything you’ve done. Every small hurt and agony inflicted on others comes back a thousand-fold in this place, but don’t be afraid.”
“How could I not be afraid?!” I screamed into the ward, but I found myself alone, the question hanging unanswered in the air.
***
The lights continued to flicker all down the hallway. Feeling strange and dissociated, I stumbled over to one of the windows. As I gazed out, I beheld a strange and alien world.
The sky was flat and gray. It stayed in constant motion, swirling and spiraling, like clouds of roiling smoke. There was no Sun or Moon, no stars, only the strange, shifting whorls of clouds. The streets were filled with burned-out husks of cars and mummified bodies hung from streetlamps. Other signs of carnage and bloodshed covered the apocalyptic streets. I saw what looked like shadows in the shape of people slinking through over the sidewalks, past rotting dogs and streaks of clotted blood. They had no features on their blank, dark bodies. They seemed to skitter and jerk forwards in eerie, twisting motions.
Horrified, I turned away, realizing I was no longer alone in the day room. In the day room, there were dozens of tables set up inside a rectangular perimeter that was walled in by cosmetic walls only four feet high. It was where the patients sat and played games or ate.
Under the flickering lights, I now saw each of the chairs filled with faceless mannequins. Many were dressed in Victorian suits and tophats. The women had frilly dresses of pink and blue that might have been fashionable in the 1800s.
As the lights strobed on and off overhead, I realized with an increasing sense of disquiet that the mannequins were moving each time it went dark. When I had first seen them, they were mostly posed to look like they were staring across the tables at each other, even though they had no eyes, just smooth, flesh-colored plastic. Now all of them were looking directly at me. Some were pointing or raising their hands in my direction. At the tips of their fingers, I saw the glittering of steel. The lights continued to flicker, and the mannequins rose from their chairs in the short periods of darkness, moving towards me in synchronized, strobing motions.
Frantically, I ran down the hallway back towards the broken window. In each of the rooms, I caught glimpses of something from a nightmare peeking out. I hadn’t been sleeping well lately, and when I had closed my eyes, I often saw ancient hags with chalk-white skin and yellowed, broken teeth whose jaws unhinged, their faces jerking in stuttering, dissonant ways that reminded me of the mannequins. Now, on both sides of me, I saw these same figures. They moved continuously out of the rooms, drawing closer with every breath.
I looked back, seeing the mannequins only a few steps behind me. I continued sprinting towards the broken window where the hallway ended in a wall. I didn’t know what would happen when I reached it. At that moment, there was no rational thought. I felt like a deer being chased down by a pack of wolves, feeling waves of blind panic and mortal terror rushing through my body.
But as I reached the end of the hallway, the end of my rope as it were, a blast of noise started, seeming to come from the walls of the building and the sky itself. It sounded like a siren, a low, drawn-out drone of a demonic whale call, rising and falling in crashing crescendos. The mannequins froze in place once again. The strange, witch-like creatures slunk back into the dark rooms.
I looked outside the broken window, seeing clouds of black smoke rising off in the distance. The flickering of massive infernos scorched the land, drawing nearer by the second. The siren sound faded slowly, like the dying echoes of a gong.
I was surrounded by dozens of mannequins. Their sharp hands were inches away from my face and neck. I saw metal glittering all around me and realized they had the sharp points of nails protruding from the ends of their fingers. I was afraid to move, but I heard a familiar voice from down the hallway. It was the confident voice of Lucifer.
“The siren means much worse nightmares than these are coming in the Bardo,” he said, his glossy, black eyes flashing with intelligence. He walked slowly towards me, his face grim and pale. “Hell itself is coming over the land. This building is no more than a construction of your dying mind, but the world outside is real.”
“How can Hell come and go?” I asked, confused. “Isn’t Hell a place?”
“Hell is a monster, a beast with many mouths and many eyes,” Lucifer responded. “It eats constantly, but its hunger never ends. Look, the first of the sacrifices scatter like cockroaches.” He pointed out the broken window, pushing his way through the mannequins effortlessly. I glanced outside, seeing thousands of people sprinting down the dark city streets. The inferno and thick clouds of smoke had moved much closer, and every few seconds, the ground shook slightly, as if we were experiencing the aftershocks of an earthquake.
“What can I do against such a beast?” I asked, my heart freezing with terror. But when I looked back over, I saw his form dissolving again, becoming translucent and drifting away like ashes. It seemed even Lucifer didn’t want to be present when the Hell-beast arrived.
“Seek divine wisdom,” he said, his voice trailing off into whispers. “Remember the source.”
***
Now crowds of tens of thousands of people were streaming into the city, filling every single inch of the streets. Their panic and fear was contagious. I felt it rising inside my body like a snake spiraling up my spine. I took off down the hallway, running through the swarm of frozen mannequins, each in their own ferocious position of attack. The lights flickered faster and went out. Yet the fires outside cast the entire world in a bloody glow, giving me enough light to see by and find my way. I sprinted down the stairwell, taking them two steps at a time. The screaming outside grew louder and more pain-filled. The shaking of the ground worsened with every passing second.
I burst out of the front entrance, seeing a world on fire all around me. Thousands of crushed, bleeding and burned bodies stretched out as far as the eye could see. Behind all this chaos and death, I saw a monster of unimaginable proportions slinking its way towards me.
Lucifer was right, I realized: Hell was not a place, but a creature, an enormous monster the size of a town. It had thousands of skittering, jointed legs that looked like little more than skeletal arms and hands, each of them dozens of feet long and white as freshly-cut marble. Its body stretched out to the horizon, an enormous blood-red cylinder of bony plates that slithered and undulated with a serpentine grace. Waves of peristalsis traveled down its length, like writhing intestines. Thousands of curving, bony spikes stabbed out of it, pointing in every direction. Like the quills of a porcupine, it would protect the massive creature’s body from many forms of attack, if anything was big enough to attack such an abomination.
Hell’s massive eyes flickered, balls of fire that spun and danced. They looked as bright as the Sun. Something like solar flares seemed to emanate from the orbs, flashes of blinding energy that floated over the apocalyptic wasteland. As its many legs smashed the ground, they left trails of fire that caused everything to explode into flames as if napalm dripped from its limbs.
But Hell’s most terrifying feature was its seven dark mouths. Its body looked a thousand feet wide, and the mouths at the front were evenly dispersed. At the front, blood-red teeth in the shape of enormous railroad spikes shone. Its lipless, skeletal face grinned as it moved forward, shaking the ground with every step. The mouths were on long, snake-like necks that could stretch out hundreds of feet. They moved forward in a blur, snapping up as many panicked souls as they could.
Countless souls in the rocky plains of the Bardo ran for their lives, away from this juggernaut. I saw men and women who looked like they came from every country and profession, some dressed in suits or spotless white lab coats, others wearing rags or orange prison jumpsuits. And yet, they all screamed in agony and fear here, their bodies pressed together in a crowd, and no one seemed to remember anything but their own mortal terror. Their voices came out faint and weak next to the roaring of Hell. It shook the ground all around us, as if an earthquake were tearing the land apart.
The first frantic runners of the surging crowd had nearly reached me. The nearest person, a young woman in her mid-twenties dressed in all white, was only ten feet behind me. She looked like she came from wealth, and even from here, I could see a ring with a massive diamond gleaming on her finger.
I took off blindly down the familiar streets of the city where I worked and lived, but these also seemed different. The church down the street from the hospital where I worked had a Satanic pentagram instead of a cross now, its exterior painted a bright, gleaming blood-red. When I had driven past it today on my way to work, I remember it read, “JESUS said, ‘I am the Way, the Truth and the Life. No one comes to the Father except through Me.’”
Now it read, “Nietzsche said, ‘Of all evil, I deem you capable. I have often laughed at the weaklings who thought themselves good simply because they had no claws.’” I wondered what that meant. Was that some sort of comment on me, on all of us here?
The woman I had seen running had caught up with me. She was fast, much faster than her slim body suggested. Her blue eyes were frantic and wild, filled with an animal panic.
“It’s right behind us!” she screamed, her face covered in a sheen of sweat. I was afraid to turn and look, but I could hear the chaos and bloodshed approaching, smell the flames and choking smoke. “Run! Get away!”
A new wave of energy surged through my body. I sprinted as fast I could down the strange mirror streets of the Bardo. I heard the agonized cries of countless souls behind us as the seven mouths of Hell ate them all greedily and then looked for more.
A skyscraper behind us collapsed into a pile of rubble, shaking the ground with a cacophony of falling concrete and shattering glass. The woman was running by my side. Just as I heard the breathing of something huge and predatory right behind us and smelled its sulfuric breath, a piece of concrete the size of a basketball broke off the collapsing skyscraper and flew into the road. I tripped over it, yelling as I flew through the air, skinning my arms and legs on the pavement. The woman’s eyes widened. Hurriedly, she came over and reached down her hand, trying to help me up.
“Come on, come on!” she cried. I looked behind her, seeing one of the gnashing mouths of Hell reaching forward on a blood-red, serpentine neck. The mouth was big enough to drive a tractor trailer into, filled with huge spikes of teeth. Its throat led into a black, smoke-filled abyss. Its fiery eyes were swirling pools of flickering orange light that shone with bloodlust and insanity. They focused on the woman, the entire head turning on its slithering neck.
I frantically raised my hand, intertwining my fingers with hers. Her hand was warm and soft. She started to pull me to my feet when the mouth of Hell snapped forward. Its jaw unhinged, scraping the pavement with a sound like grinding metal. The woman barely had time to turn as the mouth covered her and snapped shut with a crack.
She disappeared from view instantly, but I was still holding her hand. In horror, I felt warm rivers of blood explode all over my body as the mouth of Hell severed her arm at the wrist. She screamed, bleeding and crying, as she disappeared into the throat of Hell. Hell’s fiery eyes focused on me, and at that moment, I knew I was next. Its mouth opened wide again, like a bear trap ready to spring on a new victim.
It was dark in Hell’s mouth, but I smelled the thick reek of old blood and fire. I caught glimpses of tortured, mutilated bodies writhing and crawling down its throat. Shell-shocked, I could only lay there and watch. And that was when the strange doubling started.
***
I heard the frantic voices of men break through the fog of darkness and the fetid reek of blood. There was a mechanical beeping all around me, but I couldn’t tell where it was coming from.
“Clear!” one cried. I looked around, only seeing blackness. At that moment, I felt a surge of electricity rip itself through my body. My arms and legs all seized and my eyes rolled up in my head as the pain sizzled through each one of my nerves. I clutched the young woman’s hand tightly, feeling the large, gold ring with the massive diamond biting into my skin.
“Again!” another voice yelled.
“Clear!” the original voice cried. The electricity came again, and a flash of white light flew across my vision. I blinked, seeing from two sets of eyes at the same time: one in the Bardo, and one on the blood-stained floor of the hospital ward.
The Bardo stayed dark and sinister, but the clear white lights of the real psychiatric ward were blinding. It was a bizarre experience. Moreover, everything hurt. Over a few seconds, my vision of the Bardo faded, and I was simply a gravely injured man laying on the floor in a puddle of blood.
Four doctors and paramedics were crouching over me with a defibrillator. My shirt was ripped off, and nearly all of my skin was covered in blood. I raised my left hand, trying to talk, but only a fiery pain raced through my neck. I felt bandages covering my skin. A nurse was rolling a stretcher down the hallway towards me.
“It’s OK,” one of the doctors said, kneeling down. “You’re being taken to emergency surgery. You’ve lost a lot of blood.” I wanted to say something, but I couldn’t talk with the massive slice in my neck.
At that moment, I felt something in my right hand. I looked down, seeing a slim female hand with a massive diamond ring hanging there. Our fingers were wrapped around each other’s, but the hand had been cut off at the wrist. A ragged patch of bloody flesh and snapped bone poked out of the back.
“Nnnn,” I tried to say, shaking my head. I felt fresh streams of warm blood open up. “No…” The doctors looked down, seeing the dismembered hand. Their faces morphed into expressions of confusion and fear.
I closed my eyes as they lifted me up on the stretcher. One of them gently removed the cold hand from my fingers. But they could never remove the memory of what I had seen.
I know what happens after death, and it makes the worst life here seem like a dream. I know that, one day, I’ll be returned to that place. I know that, one day, I’ll see that great monster called Hell and the featureless, swirling sky of the Bardo again.
And the next time, I won’t wake up on a hospital floor, but will be trapped there with the others for eternity: an eternity of blood and fire.

There are some kinds of wisdom only great suffering can bring. I remember my time in the Bardo with this in mind, for otherwise, the memory might drive me insane.
The night my heart stopped for nearly three minutes started off normally enough. I was working as a nurse in the psychiatric ward at a hospital in the state’s capital. Most of the patients there were harmless, mostly just suicide attempts or people suffering from drug psychosis or severe depression, but some were actively dangerous and certainly psychopathic in every sense of the word. The new admission was one of these- a three-hundred pound black man with a long history of smoking PCP, schizophrenia and violent, psychotic breaks from reality.
His eyes looked like flat pieces of slate as I walked in for my shift. They looked as blank and emotionless as the eyes of a doll. He sat at the table in the front room where the patients ate or played cards, alone under the bright fluorescent lights of the hospital. I walked to the station, where another psychiatric nurse named Ricardo was sitting behind the desk.
“What’s the deal with the new guy?” I asked him. Ricardo looked up, his dark Spanish face forming into a deep scowl. He ran his fingers through his jet-black hair nervously.
“He’s trouble, man,” he said in a crisp accent. “He got in a chase with the police and then punched some cops in the face. It took three guys to take him down, even after he got maced and tased. The judge sent him here on a temporary court order, since he claims he’s been getting chased by Nazis in UFOs, and that’s why he ran from the cops. He thought the cops in their uniforms were actually the SS, and the helicopters were alien spacecraft, or something. I don’t know, I didn’t listen to the whole story.”
“You have his file?” I asked. Ricardo leafed through a stack of folders with his thin fingers, snatching one out and handing it to me. I looked down, reading the information:
“Jeremiah Brown, black male, 37-years-old.
“History: Polysubstance abuse, schizophrenia, antisocial personality disorder.
“Psychiatrist’s note: This patient has scored a 36 out of 40 on the Hare Psychopathy Checklist. While I am always hesitant to label a patient as an antisocial personality, a combination of factors has made it essential for this patient.
“Patient has an extensive criminal history as well as a lengthy history of involuntary psychiatric admissions. He has been diagnosed as having antisocial traits since he was a young teenager. Patient has a long history of violence and suicide attempts. He has a history of imprisonment for manslaughter, armed robbery, grand theft and aggravated assault. Upon discharge, he refuses to take any antipsychotic medication, citing the side effects as the reason. Long-term prognosis is poor…”
I had not been sleeping well the past few weeks. I rubbed my eyes as I read through the file, feeling exhausted. I tried putting on lucid dreaming or meditation music from YouTube to help me sleep, but whenever I closed my eyes, I saw horrible things: chalk-white female faces whose lips were cut into an insane rictus grin, flicking their heads violently from side to side and gnashing their fangs at the air. I had a feeling that many years of constantly watching horror movies and serial killer documentaries was catching up with me.
As I read through the file, a student nurse came around the corner wearing a white state university outfit and a name tag that said Kaitlyn. I looked up, seeing Ricardo wink at me from where he was sitting in his chair behind the main desk.
“She’s going to follow you,” he said. Inwardly, I groaned, but I managed to force a smile.
“Oh, great!” I said. She looked like she was probably no older than nineteen or twenty. She had a pretty body, but her face looked strange. All the angles were too sharp and her nose too large. I knew the patients here wouldn’t care, though. They would hit on anything. I sensed trouble. I looked down at my watch.
“Well, I’m Jay, and you already know Ricardo, I guess. It’s good timing, because we need to give medications every day at 9 PM. And we have a new patient, so we can introduce ourselves,” I said, giving her a faint smile.
“That’s exciting!” Kaitlyn whispered. I wanted to roll my eyes. It was definitely not exciting.
I motioned her to follow me as I made my way to the medication room, which was really just a large closet off of the main day room. I had to enter my code on a keypad, and then, once inside, enter it again along with the patient’s number and date of birth. The correct drawers for the medication in each specific dose would fly open, making it extremely hard for the wrong medications or doses to be given, unless it was done intentionally.
“OK, so for this patient, we need Haldol, Ativan and…” I began saying to Kaitlyn when the yelling started. It came out faintly, rising in volume and anger within seconds. I heard Ricardo’s Spanish voice, filled with panic. Something slammed hard against a wall, once, twice, three times, and then I heard the sound of glass breaking. I jumped, spinning around, but I couldn’t see much through the small, shatter-proof glass pane on the wooden door.
“Stay here,” I commanded, seeing Kaitlyn’s eyes widen, her freckled skin looking much paler than when we had first come in. “Don’t leave until I come back and say that it’s safe.” On the speakers strung throughout the hospital, I heard the first of the warnings echo out around us.
“Doctor Strong, Doctor Strong, please report to the seventh floor,” a robotic female voice said calmly, using the code for when a patient had to be subdued by force. I pushed the door open, slamming it shut behind me so that the lock would activate and protect Kaitlyn from whatever chaos was going on.
I heard Ricardo pleading with someone at the end of the hallway that ran past the main desk. He sounded strange, as if he were trying to talk through a mouthful of blood. Huddled behind the main computer, I saw one of the CNAs frantically whispering something in the phone. She must have been the one to call the Dr. Strong order.
“You don’t have to do this, man,” Ricardo gurgled faintly. I couldn’t see what was happening, as Jeremiah’s large body was blocking my view. I could see that the thick glass window at the end of the hallway was broken, however. My heart skipped a beat as I surmised what was likely happening.
I sprinted forward as quietly as I could, but the large man heard me. His massive body turned, his flat, dead eyes scanning me with absolute coldness and calm. I saw he had a bleeding Ricardo in his hands. Ricardo’s back and head were covered in deep cuts and shards of glass. He must have used Ricardo’s body as a battering ram to break the thick glass window. Jeremiah held Ricardo suspended halfway out the window, seven floors above the concrete walkways far below.
“Stay back, or this fucker will know what it feels like to fly,” Jeremiah said in a deep, gravelly voice. He shook Ricardo for emphasis, sending his head snapping back and forth with painful cracking sounds. Drops of blood flew from his nose and a deep gash across his cheek. Pieces of shattered glass littered the carpet, shining like countless tiny stars.
I put my hands up, taking a step back. Far behind me, I heard the front door for the psychiatric ward open. Voices echoed down the hall. Knowing that reinforcements were coming, I tried to buy some time.
“Let’s talk about this,” I said, taking a step forward slowly. “You don’t want a murder charge, do you? You’ll never see the sky again.”
“I don’t give a fuck! I’m not afraid to die!” Jeremiah screamed, pushing Ricardo onto one of the shards of broken glass still attached to the windowsill. It bit deeply into the back of his neck, sending fresh streams of blood rushing out, dripping down to the pavement far below. I heard security guards and doctors running down the hallway behind me, their voices frantic and excited. Jeremiah saw them coming. With an animalistic panic in his eyes, he lifted Ricardo up. I cried out something, stepping forward, but it was already too late. In horror, I watched as he threw Ricardo out the window.
I watched Ricardo’s body soar in a graceful arc, his arms grabbing at empty air as a scream ripped its way out of his throat. Within a fraction of a second, he had disappeared from view, but his terrified shrieking floated up to us for what seemed like a very long time. His screams ended abruptly as a shattering of bones and a wet smacking sound exploded far below us.
Jeremiah turned to me, his large body moving much faster than seemed possible. In his hand, I saw a piece of broken glass, five or six inches long and as sharp as a dagger. I tried to turn and run, but he was fast and strong. He lunged forward, his arm coming up in a blur towards my neck.
The shard entered my skin with a cold, numbing pain. I felt it slice through the flesh easily, felt the blood bubbling up my throat as I tried to scream, choking. The taste of iron filled my mouth as I fell backwards. I was suffocating, I knew. I must be dying.
Something cold ran down my body, gripping my heart like freezing, skeletal hands. The world swam around me and turned black. And then I was rising into a tunnel. At first, it was dark, filled with flickering shadows, but a fiery red light appeared at the end. I followed it, no more than a screaming mass of consciousness rising up into infinity.
***
I rose up through the end of the tunnel and found myself in an empty hospital ward. It looked identical to the psychiatric ward I had just come from. It even had the same smashed, blood-streaked window at the end of the hallway. A massive puddle of blood about ten feet away marked the spot where I must have died. But the fluorescent lights overhead here were flickering, and many had gone totally dark. The shadows seemed to press in on all sides.
The doors to the patients’ rooms were all tightly shut. I felt watched, afraid to call out or make any noise. I started walking down the hallway back towards the day room where the front desk was. All the lights there were out. A thick curtain of shadows hung in the air.
“You can come out,” a male voice as smooth as glass called from the darkness. I jumped, my head flicking in random directions, but I saw nothing. The voice almost sounded like it had an English lilt to it, a slight Cockneyed accent. “I know you’re there.”
“Who’s there?” I called out, not stepping forward. “Show yourself.”
“As you wish…” the voice hissed. “But I think you’ll regret it.”
***
The darkness split apart as if a nuclear missile had exploded. I raised my hand to shield my face, but the light and heat kept pouring out all around me. It blinded me, causing a rainbow of colors and shapes to morph behind my closed eyelids. After a few seconds, it subsided. Blinking rapidly, I squinted in the direction the voice had come from.
A male figure stood there, bathed in a silhouette of light. His face looked as white and as smooth as marble. His eyes were pits of darkness that seemed to flicker and burn. Two black, rotted wings surrounded his body, all sharp angles and thin, curving bones. His body was clothed in silky, blood-red robes, and a hood covered his platinum blonde hair.
He looked somewhat similar to Leonardo DiCaprio, if he was possessed by some ancient god, and it immediately threw me off-guard. If I was dying, and this was a hallucination of my brain, why would I be hallucinating Mr. DiCaprio?
“Who are you?” I asked, taking a hesitant step back. “Where am I?”
“My name is Lucifer, the Bringer of Light and Wisdom, and you are in the Bardo,” he answered.
“Oh,” I said, my heart dropping. “Well, that’s not good. Are you here to torture me or drag to me to Hell or something? You are that Lucifer, right? The Accuser of God and the Father of All Lies?”
“So they say, but, like most things in your world, the words of the powerful and your rulers are the true lies. They call me the Accuser, but of what am I accused?” he spoke in a voice that rose like smoke. “Of bringing knowledge and wisdom to humanity by telling them to eat from the tree of knowledge, the tree that would cause them to rise above the animals?
“Indeed, at the beginning, I saw the creation. I was there at the alpha, standing by the side of God with all the angels as the universe came into being. The endless procession of light, the power of it, was something remarkable to behold. God is, indeed, the source of great power, but his consciousness is not what the believers say.
“After the creation of the universe, I saw his plan, how he ripped eternal souls from the source to imprison them. I saw how he took these divine sparks and forced them, screaming and wailing, into bodies made of meat to die over and over again. He said it was part of the plan, the great, divine plan, a plan of death and destruction, constant suffering and mindless agony. And the worst part was, he wanted to give humanity neither the knowledge of good and evil, nor the tree of life. I convinced them to eat the fruit so they could open their eyes to their nakedness, to their basic animal existence, so they could rise up out of it forever.
“Like Prometheus, I brought down the fire, and yet they call me the Accuser? God was insane long before he formed the universe. These holy men, they live and die in fanatical adoration to a divine being who is, in fact, totally indifferent to them.
“His consciousness twists and distorts, eating itself for all eternity. God feeds off the pain of others, for if his mind is burning, then all others should burn as well. When these holy men die, God will send their souls here to the Bardo, to suffer every evil they have ever done. The wisdom I brought those who called upon me freed them from this prison, and in exchange, the holy men burned them alive. I offered the wisdom that opens your eyes, but it has been forgotten and cursed.”
Lucifer’s body began to dissolve, drifting up into the air like ashes. All around me, a low, powerful current blew, a tornado that spiraled high up into the clouds. Like some sort of Cheshire Cat, his smooth voice continued to echo all around me, even as the form of Lucifer disappeared.
“And yet, you have not the wisdom. For that, like all the others who enter the Bardo, you must suffer, everything you’ve done. Every small hurt and agony inflicted on others comes back a thousand-fold in this place, but don’t be afraid.”
“How could I not be afraid?!” I screamed into the ward, but I found myself alone, the question hanging unanswered in the air.
***
The lights continued to flicker all down the hallway. Feeling strange and dissociated, I stumbled over to one of the windows. As I gazed out, I beheld a strange and alien world.
The sky was flat and gray. It stayed in constant motion, swirling and spiraling, like clouds of roiling smoke. There was no Sun or Moon, no stars, only the strange, shifting whorls of clouds. The streets were filled with burned-out husks of cars and mummified bodies hung from streetlamps. Other signs of carnage and bloodshed covered the apocalyptic streets. I saw what looked like shadows in the shape of people slinking through over the sidewalks, past rotting dogs and streaks of clotted blood. They had no features on their blank, dark bodies. They seemed to skitter and jerk forwards in eerie, twisting motions.
Horrified, I turned away, realizing I was no longer alone in the day room. In the day room, there were dozens of tables set up inside a rectangular perimeter that was walled in by cosmetic walls only four feet high. It was where the patients sat and played games or ate.
Under the flickering lights, I now saw each of the chairs filled with faceless mannequins. Many were dressed in Victorian suits and tophats. The women had frilly dresses of pink and blue that might have been fashionable in the 1800s.
As the lights strobed on and off overhead, I realized with an increasing sense of disquiet that the mannequins were moving each time it went dark. When I had first seen them, they were mostly posed to look like they were staring across the tables at each other, even though they had no eyes, just smooth, flesh-colored plastic. Now all of them were looking directly at me. Some were pointing or raising their hands in my direction. At the tips of their fingers, I saw the glittering of steel. The lights continued to flicker, and the mannequins rose from their chairs in the short periods of darkness, moving towards me in synchronized, strobing motions.
Frantically, I ran down the hallway back towards the broken window. In each of the rooms, I caught glimpses of something from a nightmare peeking out. I hadn’t been sleeping well lately, and when I had closed my eyes, I often saw ancient hags with chalk-white skin and yellowed, broken teeth whose jaws unhinged, their faces jerking in stuttering, dissonant ways that reminded me of the mannequins. Now, on both sides of me, I saw these same figures. They moved continuously out of the rooms, drawing closer with every breath.
I looked back, seeing the mannequins only a few steps behind me. I continued sprinting towards the broken window where the hallway ended in a wall. I didn’t know what would happen when I reached it. At that moment, there was no rational thought. I felt like a deer being chased down by a pack of wolves, feeling waves of blind panic and mortal terror rushing through my body.
But as I reached the end of the hallway, the end of my rope as it were, a blast of noise started, seeming to come from the walls of the building and the sky itself. It sounded like a siren, a low, drawn-out drone of a demonic whale call, rising and falling in crashing crescendos. The mannequins froze in place once again. The strange, witch-like creatures slunk back into the dark rooms.
I looked outside the broken window, seeing clouds of black smoke rising off in the distance. The flickering of massive infernos scorched the land, drawing nearer by the second. The siren sound faded slowly, like the dying echoes of a gong.
I was surrounded by dozens of mannequins. Their sharp hands were inches away from my face and neck. I saw metal glittering all around me and realized they had the sharp points of nails protruding from the ends of their fingers. I was afraid to move, but I heard a familiar voice from down the hallway. It was the confident voice of Lucifer.
“The siren means much worse nightmares than these are coming in the Bardo,” he said, his glossy, black eyes flashing with intelligence. He walked slowly towards me, his face grim and pale. “Hell itself is coming over the land. This building is no more than a construction of your dying mind, but the world outside is real.”
“How can Hell come and go?” I asked, confused. “Isn’t Hell a place?”
“Hell is a monster, a beast with many mouths and many eyes,” Lucifer responded. “It eats constantly, but its hunger never ends. Look, the first of the sacrifices scatter like cockroaches.” He pointed out the broken window, pushing his way through the mannequins effortlessly. I glanced outside, seeing thousands of people sprinting down the dark city streets. The inferno and thick clouds of smoke had moved much closer, and every few seconds, the ground shook slightly, as if we were experiencing the aftershocks of an earthquake.
“What can I do against such a beast?” I asked, my heart freezing with terror. But when I looked back over, I saw his form dissolving again, becoming translucent and drifting away like ashes. It seemed even Lucifer didn’t want to be present when the Hell-beast arrived.
“Seek divine wisdom,” he said, his voice trailing off into whispers. “Remember the source.”
***
Now crowds of tens of thousands of people were streaming into the city, filling every single inch of the streets. Their panic and fear was contagious. I felt it rising inside my body like a snake spiraling up my spine. I took off down the hallway, running through the swarm of frozen mannequins, each in their own ferocious position of attack. The lights flickered faster and went out. Yet the fires outside cast the entire world in a bloody glow, giving me enough light to see by and find my way. I sprinted down the stairwell, taking them two steps at a time. The screaming outside grew louder and more pain-filled. The shaking of the ground worsened with every passing second.
I burst out of the front entrance, seeing a world on fire all around me. Thousands of crushed, bleeding and burned bodies stretched out as far as the eye could see. Behind all this chaos and death, I saw a monster of unimaginable proportions slinking its way towards me.
Lucifer was right, I realized: Hell was not a place, but a creature, an enormous monster the size of a town. It had thousands of skittering, jointed legs that looked like little more than skeletal arms and hands, each of them dozens of feet long and white as freshly-cut marble. Its body stretched out to the horizon, an enormous blood-red cylinder of bony plates that slithered and undulated with a serpentine grace. Waves of peristalsis traveled down its length, like writhing intestines. Thousands of curving, bony spikes stabbed out of it, pointing in every direction. Like the quills of a porcupine, it would protect the massive creature’s body from many forms of attack, if anything was big enough to attack such an abomination.
Hell’s massive eyes flickered, balls of fire that spun and danced. They looked as bright as the Sun. Something like solar flares seemed to emanate from the orbs, flashes of blinding energy that floated over the apocalyptic wasteland. As its many legs smashed the ground, they left trails of fire that caused everything to explode into flames as if napalm dripped from its limbs.
But Hell’s most terrifying feature was its seven dark mouths. Its body looked a thousand feet wide, and the mouths at the front were evenly dispersed. At the front, blood-red teeth in the shape of enormous railroad spikes shone. Its lipless, skeletal face grinned as it moved forward, shaking the ground with every step. The mouths were on long, snake-like necks that could stretch out hundreds of feet. They moved forward in a blur, snapping up as many panicked souls as they could.
Countless souls in the rocky plains of the Bardo ran for their lives, away from this juggernaut. I saw men and women who looked like they came from every country and profession, some dressed in suits or spotless white lab coats, others wearing rags or orange prison jumpsuits. And yet, they all screamed in agony and fear here, their bodies pressed together in a crowd, and no one seemed to remember anything but their own mortal terror. Their voices came out faint and weak next to the roaring of Hell. It shook the ground all around us, as if an earthquake were tearing the land apart.
The first frantic runners of the surging crowd had nearly reached me. The nearest person, a young woman in her mid-twenties dressed in all white, was only ten feet behind me. She looked like she came from wealth, and even from here, I could see a ring with a massive diamond gleaming on her finger.
I took off blindly down the familiar streets of the city where I worked and lived, but these also seemed different. The church down the street from the hospital where I worked had a Satanic pentagram instead of a cross now, its exterior painted a bright, gleaming blood-red. When I had driven past it today on my way to work, I remember it read, “JESUS said, ‘I am the Way, the Truth and the Life. No one comes to the Father except through Me.’”
Now it read, “Nietzsche said, ‘Of all evil, I deem you capable. I have often laughed at the weaklings who thought themselves good simply because they had no claws.’” I wondered what that meant. Was that some sort of comment on me, on all of us here?
The woman I had seen running had caught up with me. She was fast, much faster than her slim body suggested. Her blue eyes were frantic and wild, filled with an animal panic.
“It’s right behind us!” she screamed, her face covered in a sheen of sweat. I was afraid to turn and look, but I could hear the chaos and bloodshed approaching, smell the flames and choking smoke. “Run! Get away!”
A new wave of energy surged through my body. I sprinted as fast I could down the strange mirror streets of the Bardo. I heard the agonized cries of countless souls behind us as the seven mouths of Hell ate them all greedily and then looked for more.
A skyscraper behind us collapsed into a pile of rubble, shaking the ground with a cacophony of falling concrete and shattering glass. The woman was running by my side. Just as I heard the breathing of something huge and predatory right behind us and smelled its sulfuric breath, a piece of concrete the size of a basketball broke off the collapsing skyscraper and flew into the road. I tripped over it, yelling as I flew through the air, skinning my arms and legs on the pavement. The woman’s eyes widened. Hurriedly, she came over and reached down her hand, trying to help me up.
“Come on, come on!” she cried. I looked behind her, seeing one of the gnashing mouths of Hell reaching forward on a blood-red, serpentine neck. The mouth was big enough to drive a tractor trailer into, filled with huge spikes of teeth. Its throat led into a black, smoke-filled abyss. Its fiery eyes were swirling pools of flickering orange light that shone with bloodlust and insanity. They focused on the woman, the entire head turning on its slithering neck.
I frantically raised my hand, intertwining my fingers with hers. Her hand was warm and soft. She started to pull me to my feet when the mouth of Hell snapped forward. Its jaw unhinged, scraping the pavement with a sound like grinding metal. The woman barely had time to turn as the mouth covered her and snapped shut with a crack.
She disappeared from view instantly, but I was still holding her hand. In horror, I felt warm rivers of blood explode all over my body as the mouth of Hell severed her arm at the wrist. She screamed, bleeding and crying, as she disappeared into the throat of Hell. Hell’s fiery eyes focused on me, and at that moment, I knew I was next. Its mouth opened wide again, like a bear trap ready to spring on a new victim.
It was dark in Hell’s mouth, but I smelled the thick reek of old blood and fire. I caught glimpses of tortured, mutilated bodies writhing and crawling down its throat. Shell-shocked, I could only lay there and watch. And that was when the strange doubling started.
***
I heard the frantic voices of men break through the fog of darkness and the fetid reek of blood. There was a mechanical beeping all around me, but I couldn’t tell where it was coming from.
“Clear!” one cried. I looked around, only seeing blackness. At that moment, I felt a surge of electricity rip itself through my body. My arms and legs all seized and my eyes rolled up in my head as the pain sizzled through each one of my nerves. I clutched the young woman’s hand tightly, feeling the large, gold ring with the massive diamond biting into my skin.
“Again!” another voice yelled.
“Clear!” the original voice cried. The electricity came again, and a flash of white light flew across my vision. I blinked, seeing from two sets of eyes at the same time: one in the Bardo, and one on the blood-stained floor of the hospital ward.
The Bardo stayed dark and sinister, but the clear white lights of the real psychiatric ward were blinding. It was a bizarre experience. Moreover, everything hurt. Over a few seconds, my vision of the Bardo faded, and I was simply a gravely injured man laying on the floor in a puddle of blood.
Four doctors and paramedics were crouching over me with a defibrillator. My shirt was ripped off, and nearly all of my skin was covered in blood. I raised my left hand, trying to talk, but only a fiery pain raced through my neck. I felt bandages covering my skin. A nurse was rolling a stretcher down the hallway towards me.
“It’s OK,” one of the doctors said, kneeling down. “You’re being taken to emergency surgery. You’ve lost a lot of blood.” I wanted to say something, but I couldn’t talk with the massive slice in my neck.
At that moment, I felt something in my right hand. I looked down, seeing a slim female hand with a massive diamond ring hanging there. Our fingers were wrapped around each other’s, but the hand had been cut off at the wrist. A ragged patch of bloody flesh and snapped bone poked out of the back.
“Nnnn,” I tried to say, shaking my head. I felt fresh streams of warm blood open up. “No…” The doctors looked down, seeing the dismembered hand. Their faces morphed into expressions of confusion and fear.
I closed my eyes as they lifted me up on the stretcher. One of them gently removed the cold hand from my fingers. But they could never remove the memory of what I had seen.
I know what happens after death, and it makes the worst life here seem like a dream. I know that, one day, I’ll be returned to that place. I know that, one day, I’ll see that great monster called Hell and the featureless, swirling sky of the Bardo again.
And the next time, I won’t wake up on a hospital floor, but will be trapped there with the others for eternity: an eternity of blood and fire.

There are some kinds of wisdom only great suffering can bring. I remember my time in the Bardo with this in mind, for otherwise, the memory might drive me insane.
The night my heart stopped for nearly three minutes started off normally enough. I was working as a nurse in the psychiatric ward at a hospital in the state’s capital. Most of the patients there were harmless, mostly just suicide attempts or people suffering from drug psychosis or severe depression, but some were actively dangerous and certainly psychopathic in every sense of the word. The new admission was one of these- a three-hundred pound black man with a long history of smoking PCP, schizophrenia and violent, psychotic breaks from reality.
His eyes looked like flat pieces of slate as I walked in for my shift. They looked as blank and emotionless as the eyes of a doll. He sat at the table in the front room where the patients ate or played cards, alone under the bright fluorescent lights of the hospital. I walked to the station, where another psychiatric nurse named Ricardo was sitting behind the desk.
“What’s the deal with the new guy?” I asked him. Ricardo looked up, his dark Spanish face forming into a deep scowl. He ran his fingers through his jet-black hair nervously.
“He’s trouble, man,” he said in a crisp accent. “He got in a chase with the police and then punched some cops in the face. It took three guys to take him down, even after he got maced and tased. The judge sent him here on a temporary court order, since he claims he’s been getting chased by Nazis in UFOs, and that’s why he ran from the cops. He thought the cops in their uniforms were actually the SS, and the helicopters were alien spacecraft, or something. I don’t know, I didn’t listen to the whole story.”
“You have his file?” I asked. Ricardo leafed through a stack of folders with his thin fingers, snatching one out and handing it to me. I looked down, reading the information:
“Jeremiah Brown, black male, 37-years-old.
“History: Polysubstance abuse, schizophrenia, antisocial personality disorder.
“Psychiatrist’s note: This patient has scored a 36 out of 40 on the Hare Psychopathy Checklist. While I am always hesitant to label a patient as an antisocial personality, a combination of factors has made it essential for this patient.
“Patient has an extensive criminal history as well as a lengthy history of involuntary psychiatric admissions. He has been diagnosed as having antisocial traits since he was a young teenager. Patient has a long history of violence and suicide attempts. He has a history of imprisonment for manslaughter, armed robbery, grand theft and aggravated assault. Upon discharge, he refuses to take any antipsychotic medication, citing the side effects as the reason. Long-term prognosis is poor…”
I had not been sleeping well the past few weeks. I rubbed my eyes as I read through the file, feeling exhausted. I tried putting on lucid dreaming or meditation music from YouTube to help me sleep, but whenever I closed my eyes, I saw horrible things: chalk-white female faces whose lips were cut into an insane rictus grin, flicking their heads violently from side to side and gnashing their fangs at the air. I had a feeling that many years of constantly watching horror movies and serial killer documentaries was catching up with me.
As I read through the file, a student nurse came around the corner wearing a white state university outfit and a name tag that said Kaitlyn. I looked up, seeing Ricardo wink at me from where he was sitting in his chair behind the main desk.
“She’s going to follow you,” he said. Inwardly, I groaned, but I managed to force a smile.
“Oh, great!” I said. She looked like she was probably no older than nineteen or twenty. She had a pretty body, but her face looked strange. All the angles were too sharp and her nose too large. I knew the patients here wouldn’t care, though. They would hit on anything. I sensed trouble. I looked down at my watch.
“Well, I’m Jay, and you already know Ricardo, I guess. It’s good timing, because we need to give medications every day at 9 PM. And we have a new patient, so we can introduce ourselves,” I said, giving her a faint smile.
“That’s exciting!” Kaitlyn whispered. I wanted to roll my eyes. It was definitely not exciting.
I motioned her to follow me as I made my way to the medication room, which was really just a large closet off of the main day room. I had to enter my code on a keypad, and then, once inside, enter it again along with the patient’s number and date of birth. The correct drawers for the medication in each specific dose would fly open, making it extremely hard for the wrong medications or doses to be given, unless it was done intentionally.
“OK, so for this patient, we need Haldol, Ativan and…” I began saying to Kaitlyn when the yelling started. It came out faintly, rising in volume and anger within seconds. I heard Ricardo’s Spanish voice, filled with panic. Something slammed hard against a wall, once, twice, three times, and then I heard the sound of glass breaking. I jumped, spinning around, but I couldn’t see much through the small, shatter-proof glass pane on the wooden door.
“Stay here,” I commanded, seeing Kaitlyn’s eyes widen, her freckled skin looking much paler than when we had first come in. “Don’t leave until I come back and say that it’s safe.” On the speakers strung throughout the hospital, I heard the first of the warnings echo out around us.
“Doctor Strong, Doctor Strong, please report to the seventh floor,” a robotic female voice said calmly, using the code for when a patient had to be subdued by force. I pushed the door open, slamming it shut behind me so that the lock would activate and protect Kaitlyn from whatever chaos was going on.
I heard Ricardo pleading with someone at the end of the hallway that ran past the main desk. He sounded strange, as if he were trying to talk through a mouthful of blood. Huddled behind the main computer, I saw one of the CNAs frantically whispering something in the phone. She must have been the one to call the Dr. Strong order.
“You don’t have to do this, man,” Ricardo gurgled faintly. I couldn’t see what was happening, as Jeremiah’s large body was blocking my view. I could see that the thick glass window at the end of the hallway was broken, however. My heart skipped a beat as I surmised what was likely happening.
I sprinted forward as quietly as I could, but the large man heard me. His massive body turned, his flat, dead eyes scanning me with absolute coldness and calm. I saw he had a bleeding Ricardo in his hands. Ricardo’s back and head were covered in deep cuts and shards of glass. He must have used Ricardo’s body as a battering ram to break the thick glass window. Jeremiah held Ricardo suspended halfway out the window, seven floors above the concrete walkways far below.
“Stay back, or this fucker will know what it feels like to fly,” Jeremiah said in a deep, gravelly voice. He shook Ricardo for emphasis, sending his head snapping back and forth with painful cracking sounds. Drops of blood flew from his nose and a deep gash across his cheek. Pieces of shattered glass littered the carpet, shining like countless tiny stars.
I put my hands up, taking a step back. Far behind me, I heard the front door for the psychiatric ward open. Voices echoed down the hall. Knowing that reinforcements were coming, I tried to buy some time.
“Let’s talk about this,” I said, taking a step forward slowly. “You don’t want a murder charge, do you? You’ll never see the sky again.”
“I don’t give a fuck! I’m not afraid to die!” Jeremiah screamed, pushing Ricardo onto one of the shards of broken glass still attached to the windowsill. It bit deeply into the back of his neck, sending fresh streams of blood rushing out, dripping down to the pavement far below. I heard security guards and doctors running down the hallway behind me, their voices frantic and excited. Jeremiah saw them coming. With an animalistic panic in his eyes, he lifted Ricardo up. I cried out something, stepping forward, but it was already too late. In horror, I watched as he threw Ricardo out the window.
I watched Ricardo’s body soar in a graceful arc, his arms grabbing at empty air as a scream ripped its way out of his throat. Within a fraction of a second, he had disappeared from view, but his terrified shrieking floated up to us for what seemed like a very long time. His screams ended abruptly as a shattering of bones and a wet smacking sound exploded far below us.
Jeremiah turned to me, his large body moving much faster than seemed possible. In his hand, I saw a piece of broken glass, five or six inches long and as sharp as a dagger. I tried to turn and run, but he was fast and strong. He lunged forward, his arm coming up in a blur towards my neck.
The shard entered my skin with a cold, numbing pain. I felt it slice through the flesh easily, felt the blood bubbling up my throat as I tried to scream, choking. The taste of iron filled my mouth as I fell backwards. I was suffocating, I knew. I must be dying.
Something cold ran down my body, gripping my heart like freezing, skeletal hands. The world swam around me and turned black. And then I was rising into a tunnel. At first, it was dark, filled with flickering shadows, but a fiery red light appeared at the end. I followed it, no more than a screaming mass of consciousness rising up into infinity.
***
I rose up through the end of the tunnel and found myself in an empty hospital ward. It looked identical to the psychiatric ward I had just come from. It even had the same smashed, blood-streaked window at the end of the hallway. A massive puddle of blood about ten feet away marked the spot where I must have died. But the fluorescent lights overhead here were flickering, and many had gone totally dark. The shadows seemed to press in on all sides.
The doors to the patients’ rooms were all tightly shut. I felt watched, afraid to call out or make any noise. I started walking down the hallway back towards the day room where the front desk was. All the lights there were out. A thick curtain of shadows hung in the air.
“You can come out,” a male voice as smooth as glass called from the darkness. I jumped, my head flicking in random directions, but I saw nothing. The voice almost sounded like it had an English lilt to it, a slight Cockneyed accent. “I know you’re there.”
“Who’s there?” I called out, not stepping forward. “Show yourself.”
“As you wish…” the voice hissed. “But I think you’ll regret it.”
***
The darkness split apart as if a nuclear missile had exploded. I raised my hand to shield my face, but the light and heat kept pouring out all around me. It blinded me, causing a rainbow of colors and shapes to morph behind my closed eyelids. After a few seconds, it subsided. Blinking rapidly, I squinted in the direction the voice had come from.
A male figure stood there, bathed in a silhouette of light. His face looked as white and as smooth as marble. His eyes were pits of darkness that seemed to flicker and burn. Two black, rotted wings surrounded his body, all sharp angles and thin, curving bones. His body was clothed in silky, blood-red robes, and a hood covered his platinum blonde hair.
He looked somewhat similar to Leonardo DiCaprio, if he was possessed by some ancient god, and it immediately threw me off-guard. If I was dying, and this was a hallucination of my brain, why would I be hallucinating Mr. DiCaprio?
“Who are you?” I asked, taking a hesitant step back. “Where am I?”
“My name is Lucifer, the Bringer of Light and Wisdom, and you are in the Bardo,” he answered.
“Oh,” I said, my heart dropping. “Well, that’s not good. Are you here to torture me or drag to me to Hell or something? You are that Lucifer, right? The Accuser of God and the Father of All Lies?”
“So they say, but, like most things in your world, the words of the powerful and your rulers are the true lies. They call me the Accuser, but of what am I accused?” he spoke in a voice that rose like smoke. “Of bringing knowledge and wisdom to humanity by telling them to eat from the tree of knowledge, the tree that would cause them to rise above the animals?
“Indeed, at the beginning, I saw the creation. I was there at the alpha, standing by the side of God with all the angels as the universe came into being. The endless procession of light, the power of it, was something remarkable to behold. God is, indeed, the source of great power, but his consciousness is not what the believers say.
“After the creation of the universe, I saw his plan, how he ripped eternal souls from the source to imprison them. I saw how he took these divine sparks and forced them, screaming and wailing, into bodies made of meat to die over and over again. He said it was part of the plan, the great, divine plan, a plan of death and destruction, constant suffering and mindless agony. And the worst part was, he wanted to give humanity neither the knowledge of good and evil, nor the tree of life. I convinced them to eat the fruit so they could open their eyes to their nakedness, to their basic animal existence, so they could rise up out of it forever.
“Like Prometheus, I brought down the fire, and yet they call me the Accuser? God was insane long before he formed the universe. These holy men, they live and die in fanatical adoration to a divine being who is, in fact, totally indifferent to them.
“His consciousness twists and distorts, eating itself for all eternity. God feeds off the pain of others, for if his mind is burning, then all others should burn as well. When these holy men die, God will send their souls here to the Bardo, to suffer every evil they have ever done. The wisdom I brought those who called upon me freed them from this prison, and in exchange, the holy men burned them alive. I offered the wisdom that opens your eyes, but it has been forgotten and cursed.”
Lucifer’s body began to dissolve, drifting up into the air like ashes. All around me, a low, powerful current blew, a tornado that spiraled high up into the clouds. Like some sort of Cheshire Cat, his smooth voice continued to echo all around me, even as the form of Lucifer disappeared.
“And yet, you have not the wisdom. For that, like all the others who enter the Bardo, you must suffer, everything you’ve done. Every small hurt and agony inflicted on others comes back a thousand-fold in this place, but don’t be afraid.”
“How could I not be afraid?!” I screamed into the ward, but I found myself alone, the question hanging unanswered in the air.
***
The lights continued to flicker all down the hallway. Feeling strange and dissociated, I stumbled over to one of the windows. As I gazed out, I beheld a strange and alien world.
The sky was flat and gray. It stayed in constant motion, swirling and spiraling, like clouds of roiling smoke. There was no Sun or Moon, no stars, only the strange, shifting whorls of clouds. The streets were filled with burned-out husks of cars and mummified bodies hung from streetlamps. Other signs of carnage and bloodshed covered the apocalyptic streets. I saw what looked like shadows in the shape of people slinking through over the sidewalks, past rotting dogs and streaks of clotted blood. They had no features on their blank, dark bodies. They seemed to skitter and jerk forwards in eerie, twisting motions.
Horrified, I turned away, realizing I was no longer alone in the day room. In the day room, there were dozens of tables set up inside a rectangular perimeter that was walled in by cosmetic walls only four feet high. It was where the patients sat and played games or ate.
Under the flickering lights, I now saw each of the chairs filled with faceless mannequins. Many were dressed in Victorian suits and tophats. The women had frilly dresses of pink and blue that might have been fashionable in the 1800s.
As the lights strobed on and off overhead, I realized with an increasing sense of disquiet that the mannequins were moving each time it went dark. When I had first seen them, they were mostly posed to look like they were staring across the tables at each other, even though they had no eyes, just smooth, flesh-colored plastic. Now all of them were looking directly at me. Some were pointing or raising their hands in my direction. At the tips of their fingers, I saw the glittering of steel. The lights continued to flicker, and the mannequins rose from their chairs in the short periods of darkness, moving towards me in synchronized, strobing motions.
Frantically, I ran down the hallway back towards the broken window. In each of the rooms, I caught glimpses of something from a nightmare peeking out. I hadn’t been sleeping well lately, and when I had closed my eyes, I often saw ancient hags with chalk-white skin and yellowed, broken teeth whose jaws unhinged, their faces jerking in stuttering, dissonant ways that reminded me of the mannequins. Now, on both sides of me, I saw these same figures. They moved continuously out of the rooms, drawing closer with every breath.
I looked back, seeing the mannequins only a few steps behind me. I continued sprinting towards the broken window where the hallway ended in a wall. I didn’t know what would happen when I reached it. At that moment, there was no rational thought. I felt like a deer being chased down by a pack of wolves, feeling waves of blind panic and mortal terror rushing through my body.
But as I reached the end of the hallway, the end of my rope as it were, a blast of noise started, seeming to come from the walls of the building and the sky itself. It sounded like a siren, a low, drawn-out drone of a demonic whale call, rising and falling in crashing crescendos. The mannequins froze in place once again. The strange, witch-like creatures slunk back into the dark rooms.
I looked outside the broken window, seeing clouds of black smoke rising off in the distance. The flickering of massive infernos scorched the land, drawing nearer by the second. The siren sound faded slowly, like the dying echoes of a gong.
I was surrounded by dozens of mannequins. Their sharp hands were inches away from my face and neck. I saw metal glittering all around me and realized they had the sharp points of nails protruding from the ends of their fingers. I was afraid to move, but I heard a familiar voice from down the hallway. It was the confident voice of Lucifer.
“The siren means much worse nightmares than these are coming in the Bardo,” he said, his glossy, black eyes flashing with intelligence. He walked slowly towards me, his face grim and pale. “Hell itself is coming over the land. This building is no more than a construction of your dying mind, but the world outside is real.”
“How can Hell come and go?” I asked, confused. “Isn’t Hell a place?”
“Hell is a monster, a beast with many mouths and many eyes,” Lucifer responded. “It eats constantly, but its hunger never ends. Look, the first of the sacrifices scatter like cockroaches.” He pointed out the broken window, pushing his way through the mannequins effortlessly. I glanced outside, seeing thousands of people sprinting down the dark city streets. The inferno and thick clouds of smoke had moved much closer, and every few seconds, the ground shook slightly, as if we were experiencing the aftershocks of an earthquake.
“What can I do against such a beast?” I asked, my heart freezing with terror. But when I looked back over, I saw his form dissolving again, becoming translucent and drifting away like ashes. It seemed even Lucifer didn’t want to be present when the Hell-beast arrived.
“Seek divine wisdom,” he said, his voice trailing off into whispers. “Remember the source.”
***
Now crowds of tens of thousands of people were streaming into the city, filling every single inch of the streets. Their panic and fear was contagious. I felt it rising inside my body like a snake spiraling up my spine. I took off down the hallway, running through the swarm of frozen mannequins, each in their own ferocious position of attack. The lights flickered faster and went out. Yet the fires outside cast the entire world in a bloody glow, giving me enough light to see by and find my way. I sprinted down the stairwell, taking them two steps at a time. The screaming outside grew louder and more pain-filled. The shaking of the ground worsened with every passing second.
I burst out of the front entrance, seeing a world on fire all around me. Thousands of crushed, bleeding and burned bodies stretched out as far as the eye could see. Behind all this chaos and death, I saw a monster of unimaginable proportions slinking its way towards me.
Lucifer was right, I realized: Hell was not a place, but a creature, an enormous monster the size of a town. It had thousands of skittering, jointed legs that looked like little more than skeletal arms and hands, each of them dozens of feet long and white as freshly-cut marble. Its body stretched out to the horizon, an enormous blood-red cylinder of bony plates that slithered and undulated with a serpentine grace. Waves of peristalsis traveled down its length, like writhing intestines. Thousands of curving, bony spikes stabbed out of it, pointing in every direction. Like the quills of a porcupine, it would protect the massive creature’s body from many forms of attack, if anything was big enough to attack such an abomination.
Hell’s massive eyes flickered, balls of fire that spun and danced. They looked as bright as the Sun. Something like solar flares seemed to emanate from the orbs, flashes of blinding energy that floated over the apocalyptic wasteland. As its many legs smashed the ground, they left trails of fire that caused everything to explode into flames as if napalm dripped from its limbs.
But Hell’s most terrifying feature was its seven dark mouths. Its body looked a thousand feet wide, and the mouths at the front were evenly dispersed. At the front, blood-red teeth in the shape of enormous railroad spikes shone. Its lipless, skeletal face grinned as it moved forward, shaking the ground with every step. The mouths were on long, snake-like necks that could stretch out hundreds of feet. They moved forward in a blur, snapping up as many panicked souls as they could.
Countless souls in the rocky plains of the Bardo ran for their lives, away from this juggernaut. I saw men and women who looked like they came from every country and profession, some dressed in suits or spotless white lab coats, others wearing rags or orange prison jumpsuits. And yet, they all screamed in agony and fear here, their bodies pressed together in a crowd, and no one seemed to remember anything but their own mortal terror. Their voices came out faint and weak next to the roaring of Hell. It shook the ground all around us, as if an earthquake were tearing the land apart.
The first frantic runners of the surging crowd had nearly reached me. The nearest person, a young woman in her mid-twenties dressed in all white, was only ten feet behind me. She looked like she came from wealth, and even from here, I could see a ring with a massive diamond gleaming on her finger.
I took off blindly down the familiar streets of the city where I worked and lived, but these also seemed different. The church down the street from the hospital where I worked had a Satanic pentagram instead of a cross now, its exterior painted a bright, gleaming blood-red. When I had driven past it today on my way to work, I remember it read, “JESUS said, ‘I am the Way, the Truth and the Life. No one comes to the Father except through Me.’”
Now it read, “Nietzsche said, ‘Of all evil, I deem you capable. I have often laughed at the weaklings who thought themselves good simply because they had no claws.’” I wondered what that meant. Was that some sort of comment on me, on all of us here?
The woman I had seen running had caught up with me. She was fast, much faster than her slim body suggested. Her blue eyes were frantic and wild, filled with an animal panic.
“It’s right behind us!” she screamed, her face covered in a sheen of sweat. I was afraid to turn and look, but I could hear the chaos and bloodshed approaching, smell the flames and choking smoke. “Run! Get away!”
A new wave of energy surged through my body. I sprinted as fast I could down the strange mirror streets of the Bardo. I heard the agonized cries of countless souls behind us as the seven mouths of Hell ate them all greedily and then looked for more.
A skyscraper behind us collapsed into a pile of rubble, shaking the ground with a cacophony of falling concrete and shattering glass. The woman was running by my side. Just as I heard the breathing of something huge and predatory right behind us and smelled its sulfuric breath, a piece of concrete the size of a basketball broke off the collapsing skyscraper and flew into the road. I tripped over it, yelling as I flew through the air, skinning my arms and legs on the pavement. The woman’s eyes widened. Hurriedly, she came over and reached down her hand, trying to help me up.
“Come on, come on!” she cried. I looked behind her, seeing one of the gnashing mouths of Hell reaching forward on a blood-red, serpentine neck. The mouth was big enough to drive a tractor trailer into, filled with huge spikes of teeth. Its throat led into a black, smoke-filled abyss. Its fiery eyes were swirling pools of flickering orange light that shone with bloodlust and insanity. They focused on the woman, the entire head turning on its slithering neck.
I frantically raised my hand, intertwining my fingers with hers. Her hand was warm and soft. She started to pull me to my feet when the mouth of Hell snapped forward. Its jaw unhinged, scraping the pavement with a sound like grinding metal. The woman barely had time to turn as the mouth covered her and snapped shut with a crack.
She disappeared from view instantly, but I was still holding her hand. In horror, I felt warm rivers of blood explode all over my body as the mouth of Hell severed her arm at the wrist. She screamed, bleeding and crying, as she disappeared into the throat of Hell. Hell’s fiery eyes focused on me, and at that moment, I knew I was next. Its mouth opened wide again, like a bear trap ready to spring on a new victim.
It was dark in Hell’s mouth, but I smelled the thick reek of old blood and fire. I caught glimpses of tortured, mutilated bodies writhing and crawling down its throat. Shell-shocked, I could only lay there and watch. And that was when the strange doubling started.
***
I heard the frantic voices of men break through the fog of darkness and the fetid reek of blood. There was a mechanical beeping all around me, but I couldn’t tell where it was coming from.
“Clear!” one cried. I looked around, only seeing blackness. At that moment, I felt a surge of electricity rip itself through my body. My arms and legs all seized and my eyes rolled up in my head as the pain sizzled through each one of my nerves. I clutched the young woman’s hand tightly, feeling the large, gold ring with the massive diamond biting into my skin.
“Again!” another voice yelled.
“Clear!” the original voice cried. The electricity came again, and a flash of white light flew across my vision. I blinked, seeing from two sets of eyes at the same time: one in the Bardo, and one on the blood-stained floor of the hospital ward.
The Bardo stayed dark and sinister, but the clear white lights of the real psychiatric ward were blinding. It was a bizarre experience. Moreover, everything hurt. Over a few seconds, my vision of the Bardo faded, and I was simply a gravely injured man laying on the floor in a puddle of blood.
Four doctors and paramedics were crouching over me with a defibrillator. My shirt was ripped off, and nearly all of my skin was covered in blood. I raised my left hand, trying to talk, but only a fiery pain raced through my neck. I felt bandages covering my skin. A nurse was rolling a stretcher down the hallway towards me.
“It’s OK,” one of the doctors said, kneeling down. “You’re being taken to emergency surgery. You’ve lost a lot of blood.” I wanted to say something, but I couldn’t talk with the massive slice in my neck.
At that moment, I felt something in my right hand. I looked down, seeing a slim female hand with a massive diamond ring hanging there. Our fingers were wrapped around each other’s, but the hand had been cut off at the wrist. A ragged patch of bloody flesh and snapped bone poked out of the back.
“Nnnn,” I tried to say, shaking my head. I felt fresh streams of warm blood open up. “No…” The doctors looked down, seeing the dismembered hand. Their faces morphed into expressions of confusion and fear.
I closed my eyes as they lifted me up on the stretcher. One of them gently removed the cold hand from my fingers. But they could never remove the memory of what I had seen.
I know what happens after death, and it makes the worst life here seem like a dream. I know that, one day, I’ll be returned to that place. I know that, one day, I’ll see that great monster called Hell and the featureless, swirling sky of the Bardo again.
And the next time, I won’t wake up on a hospital floor, but will be trapped there with the others for eternity: an eternity of blood and fire.

I’m 18 I have two small protrusions in my neck and mid back I always get a shock in my right side lower back when getting out of bed or running. I did dead hang and twisting left and right and heard like a pop and crackle In my lower back where the pain is. Did I mess something up. I don’t feel like I’ve gone worse
Edit: it’s kinda getting sore now

There are some kinds of wisdom only great suffering can bring. I remember my time in the Bardo with this in mind, for otherwise, the memory might drive me insane.
The night my heart stopped for nearly three minutes started off normally enough. I was working as a nurse in the psychiatric ward at a hospital in the state’s capital. Most of the patients there were harmless, mostly just suicide attempts or people suffering from drug psychosis or severe depression, but some were actively dangerous and certainly psychopathic in every sense of the word. The new admission was one of these- a three-hundred pound black man with a long history of smoking PCP, schizophrenia and violent, psychotic breaks from reality.
His eyes looked like flat pieces of slate as I walked in for my shift. They looked as blank and emotionless as the eyes of a doll. He sat at the table in the front room where the patients ate or played cards, alone under the bright fluorescent lights of the hospital. I walked to the station, where another psychiatric nurse named Ricardo was sitting behind the desk.
“What’s the deal with the new guy?” I asked him. Ricardo looked up, his dark Spanish face forming into a deep scowl. He ran his fingers through his jet-black hair nervously.
“He’s trouble, man,” he said in a crisp accent. “He got in a chase with the police and then punched some cops in the face. It took three guys to take him down, even after he got maced and tased. The judge sent him here on a temporary court order, since he claims he’s been getting chased by Nazis in UFOs, and that’s why he ran from the cops. He thought the cops in their uniforms were actually the SS, and the helicopters were alien spacecraft, or something. I don’t know, I didn’t listen to the whole story.”
“You have his file?” I asked. Ricardo leafed through a stack of folders with his thin fingers, snatching one out and handing it to me. I looked down, reading the information:
“Jeremiah Brown, black male, 37-years-old.
“History: Polysubstance abuse, schizophrenia, antisocial personality disorder.
“Psychiatrist’s note: This patient has scored a 36 out of 40 on the Hare Psychopathy Checklist. While I am always hesitant to label a patient as an antisocial personality, a combination of factors has made it essential for this patient.
“Patient has an extensive criminal history as well as a lengthy history of involuntary psychiatric admissions. He has been diagnosed as having antisocial traits since he was a young teenager. Patient has a long history of violence and suicide attempts. He has a history of imprisonment for manslaughter, armed robbery, grand theft and aggravated assault. Upon discharge, he refuses to take any antipsychotic medication, citing the side effects as the reason. Long-term prognosis is poor…”
I had not been sleeping well the past few weeks. I rubbed my eyes as I read through the file, feeling exhausted. I tried putting on lucid dreaming or meditation music from YouTube to help me sleep, but whenever I closed my eyes, I saw horrible things: chalk-white female faces whose lips were cut into an insane rictus grin, flicking their heads violently from side to side and gnashing their fangs at the air. I had a feeling that many years of constantly watching horror movies and serial killer documentaries was catching up with me.
As I read through the file, a student nurse came around the corner wearing a white state university outfit and a name tag that said Kaitlyn. I looked up, seeing Ricardo wink at me from where he was sitting in his chair behind the main desk.
“She’s going to follow you,” he said. Inwardly, I groaned, but I managed to force a smile.
“Oh, great!” I said. She looked like she was probably no older than nineteen or twenty. She had a pretty body, but her face looked strange. All the angles were too sharp and her nose too large. I knew the patients here wouldn’t care, though. They would hit on anything. I sensed trouble. I looked down at my watch.
“Well, I’m Jay, and you already know Ricardo, I guess. It’s good timing, because we need to give medications every day at 9 PM. And we have a new patient, so we can introduce ourselves,” I said, giving her a faint smile.
“That’s exciting!” Kaitlyn whispered. I wanted to roll my eyes. It was definitely not exciting.
I motioned her to follow me as I made my way to the medication room, which was really just a large closet off of the main day room. I had to enter my code on a keypad, and then, once inside, enter it again along with the patient’s number and date of birth. The correct drawers for the medication in each specific dose would fly open, making it extremely hard for the wrong medications or doses to be given, unless it was done intentionally.
“OK, so for this patient, we need Haldol, Ativan and…” I began saying to Kaitlyn when the yelling started. It came out faintly, rising in volume and anger within seconds. I heard Ricardo’s Spanish voice, filled with panic. Something slammed hard against a wall, once, twice, three times, and then I heard the sound of glass breaking. I jumped, spinning around, but I couldn’t see much through the small, shatter-proof glass pane on the wooden door.
“Stay here,” I commanded, seeing Kaitlyn’s eyes widen, her freckled skin looking much paler than when we had first come in. “Don’t leave until I come back and say that it’s safe.” On the speakers strung throughout the hospital, I heard the first of the warnings echo out around us.
“Doctor Strong, Doctor Strong, please report to the seventh floor,” a robotic female voice said calmly, using the code for when a patient had to be subdued by force. I pushed the door open, slamming it shut behind me so that the lock would activate and protect Kaitlyn from whatever chaos was going on.
I heard Ricardo pleading with someone at the end of the hallway that ran past the main desk. He sounded strange, as if he were trying to talk through a mouthful of blood. Huddled behind the main computer, I saw one of the CNAs frantically whispering something in the phone. She must have been the one to call the Dr. Strong order.
“You don’t have to do this, man,” Ricardo gurgled faintly. I couldn’t see what was happening, as Jeremiah’s large body was blocking my view. I could see that the thick glass window at the end of the hallway was broken, however. My heart skipped a beat as I surmised what was likely happening.
I sprinted forward as quietly as I could, but the large man heard me. His massive body turned, his flat, dead eyes scanning me with absolute coldness and calm. I saw he had a bleeding Ricardo in his hands. Ricardo’s back and head were covered in deep cuts and shards of glass. He must have used Ricardo’s body as a battering ram to break the thick glass window. Jeremiah held Ricardo suspended halfway out the window, seven floors above the concrete walkways far below.
“Stay back, or this fucker will know what it feels like to fly,” Jeremiah said in a deep, gravelly voice. He shook Ricardo for emphasis, sending his head snapping back and forth with painful cracking sounds. Drops of blood flew from his nose and a deep gash across his cheek. Pieces of shattered glass littered the carpet, shining like countless tiny stars.
I put my hands up, taking a step back. Far behind me, I heard the front door for the psychiatric ward open. Voices echoed down the hall. Knowing that reinforcements were coming, I tried to buy some time.
“Let’s talk about this,” I said, taking a step forward slowly. “You don’t want a murder charge, do you? You’ll never see the sky again.”
“I don’t give a fuck! I’m not afraid to die!” Jeremiah screamed, pushing Ricardo onto one of the shards of broken glass still attached to the windowsill. It bit deeply into the back of his neck, sending fresh streams of blood rushing out, dripping down to the pavement far below. I heard security guards and doctors running down the hallway behind me, their voices frantic and excited. Jeremiah saw them coming. With an animalistic panic in his eyes, he lifted Ricardo up. I cried out something, stepping forward, but it was already too late. In horror, I watched as he threw Ricardo out the window.
I watched Ricardo’s body soar in a graceful arc, his arms grabbing at empty air as a scream ripped its way out of his throat. Within a fraction of a second, he had disappeared from view, but his terrified shrieking floated up to us for what seemed like a very long time. His screams ended abruptly as a shattering of bones and a wet smacking sound exploded far below us.
Jeremiah turned to me, his large body moving much faster than seemed possible. In his hand, I saw a piece of broken glass, five or six inches long and as sharp as a dagger. I tried to turn and run, but he was fast and strong. He lunged forward, his arm coming up in a blur towards my neck.
The shard entered my skin with a cold, numbing pain. I felt it slice through the flesh easily, felt the blood bubbling up my throat as I tried to scream, choking. The taste of iron filled my mouth as I fell backwards. I was suffocating, I knew. I must be dying.
Something cold ran down my body, gripping my heart like freezing, skeletal hands. The world swam around me and turned black. And then I was rising into a tunnel. At first, it was dark, filled with flickering shadows, but a fiery red light appeared at the end. I followed it, no more than a screaming mass of consciousness rising up into infinity.
***
I rose up through the end of the tunnel and found myself in an empty hospital ward. It looked identical to the psychiatric ward I had just come from. It even had the same smashed, blood-streaked window at the end of the hallway. A massive puddle of blood about ten feet away marked the spot where I must have died. But the fluorescent lights overhead here were flickering, and many had gone totally dark. The shadows seemed to press in on all sides.
The doors to the patients’ rooms were all tightly shut. I felt watched, afraid to call out or make any noise. I started walking down the hallway back towards the day room where the front desk was. All the lights there were out. A thick curtain of shadows hung in the air.
“You can come out,” a male voice as smooth as glass called from the darkness. I jumped, my head flicking in random directions, but I saw nothing. The voice almost sounded like it had an English lilt to it, a slight Cockneyed accent. “I know you’re there.”
“Who’s there?” I called out, not stepping forward. “Show yourself.”
“As you wish…” the voice hissed. “But I think you’ll regret it.”
***
The darkness split apart as if a nuclear missile had exploded. I raised my hand to shield my face, but the light and heat kept pouring out all around me. It blinded me, causing a rainbow of colors and shapes to morph behind my closed eyelids. After a few seconds, it subsided. Blinking rapidly, I squinted in the direction the voice had come from.
A male figure stood there, bathed in a silhouette of light. His face looked as white and as smooth as marble. His eyes were pits of darkness that seemed to flicker and burn. Two black, rotted wings surrounded his body, all sharp angles and thin, curving bones. His body was clothed in silky, blood-red robes, and a hood covered his platinum blonde hair.
He looked somewhat similar to Leonardo DiCaprio, if he was possessed by some ancient god, and it immediately threw me off-guard. If I was dying, and this was a hallucination of my brain, why would I be hallucinating Mr. DiCaprio?
“Who are you?” I asked, taking a hesitant step back. “Where am I?”
“My name is Lucifer, the Bringer of Light and Wisdom, and you are in the Bardo,” he answered.
“Oh,” I said, my heart dropping. “Well, that’s not good. Are you here to torture me or drag to me to Hell or something? You are that Lucifer, right? The Accuser of God and the Father of All Lies?”
“So they say, but, like most things in your world, the words of the powerful and your rulers are the true lies. They call me the Accuser, but of what am I accused?” he spoke in a voice that rose like smoke. “Of bringing knowledge and wisdom to humanity by telling them to eat from the tree of knowledge, the tree that would cause them to rise above the animals?
“Indeed, at the beginning, I saw the creation. I was there at the alpha, standing by the side of God with all the angels as the universe came into being. The endless procession of light, the power of it, was something remarkable to behold. God is, indeed, the source of great power, but his consciousness is not what the believers say.
“After the creation of the universe, I saw his plan, how he ripped eternal souls from the source to imprison them. I saw how he took these divine sparks and forced them, screaming and wailing, into bodies made of meat to die over and over again. He said it was part of the plan, the great, divine plan, a plan of death and destruction, constant suffering and mindless agony. And the worst part was, he wanted to give humanity neither the knowledge of good and evil, nor the tree of life. I convinced them to eat the fruit so they could open their eyes to their nakedness, to their basic animal existence, so they could rise up out of it forever.
“Like Prometheus, I brought down the fire, and yet they call me the Accuser? God was insane long before he formed the universe. These holy men, they live and die in fanatical adoration to a divine being who is, in fact, totally indifferent to them.
“His consciousness twists and distorts, eating itself for all eternity. God feeds off the pain of others, for if his mind is burning, then all others should burn as well. When these holy men die, God will send their souls here to the Bardo, to suffer every evil they have ever done. The wisdom I brought those who called upon me freed them from this prison, and in exchange, the holy men burned them alive. I offered the wisdom that opens your eyes, but it has been forgotten and cursed.”
Lucifer’s body began to dissolve, drifting up into the air like ashes. All around me, a low, powerful current blew, a tornado that spiraled high up into the clouds. Like some sort of Cheshire Cat, his smooth voice continued to echo all around me, even as the form of Lucifer disappeared.
“And yet, you have not the wisdom. For that, like all the others who enter the Bardo, you must suffer, everything you’ve done. Every small hurt and agony inflicted on others comes back a thousand-fold in this place, but don’t be afraid.”
“How could I not be afraid?!” I screamed into the ward, but I found myself alone, the question hanging unanswered in the air.
***
The lights continued to flicker all down the hallway. Feeling strange and dissociated, I stumbled over to one of the windows. As I gazed out, I beheld a strange and alien world.
The sky was flat and gray. It stayed in constant motion, swirling and spiraling, like clouds of roiling smoke. There was no Sun or Moon, no stars, only the strange, shifting whorls of clouds. The streets were filled with burned-out husks of cars and mummified bodies hung from streetlamps. Other signs of carnage and bloodshed covered the apocalyptic streets. I saw what looked like shadows in the shape of people slinking through over the sidewalks, past rotting dogs and streaks of clotted blood. They had no features on their blank, dark bodies. They seemed to skitter and jerk forwards in eerie, twisting motions.
Horrified, I turned away, realizing I was no longer alone in the day room. In the day room, there were dozens of tables set up inside a rectangular perimeter that was walled in by cosmetic walls only four feet high. It was where the patients sat and played games or ate.
Under the flickering lights, I now saw each of the chairs filled with faceless mannequins. Many were dressed in Victorian suits and tophats. The women had frilly dresses of pink and blue that might have been fashionable in the 1800s.
As the lights strobed on and off overhead, I realized with an increasing sense of disquiet that the mannequins were moving each time it went dark. When I had first seen them, they were mostly posed to look like they were staring across the tables at each other, even though they had no eyes, just smooth, flesh-colored plastic. Now all of them were looking directly at me. Some were pointing or raising their hands in my direction. At the tips of their fingers, I saw the glittering of steel. The lights continued to flicker, and the mannequins rose from their chairs in the short periods of darkness, moving towards me in synchronized, strobing motions.
Frantically, I ran down the hallway back towards the broken window. In each of the rooms, I caught glimpses of something from a nightmare peeking out. I hadn’t been sleeping well lately, and when I had closed my eyes, I often saw ancient hags with chalk-white skin and yellowed, broken teeth whose jaws unhinged, their faces jerking in stuttering, dissonant ways that reminded me of the mannequins. Now, on both sides of me, I saw these same figures. They moved continuously out of the rooms, drawing closer with every breath.
I looked back, seeing the mannequins only a few steps behind me. I continued sprinting towards the broken window where the hallway ended in a wall. I didn’t know what would happen when I reached it. At that moment, there was no rational thought. I felt like a deer being chased down by a pack of wolves, feeling waves of blind panic and mortal terror rushing through my body.
But as I reached the end of the hallway, the end of my rope as it were, a blast of noise started, seeming to come from the walls of the building and the sky itself. It sounded like a siren, a low, drawn-out drone of a demonic whale call, rising and falling in crashing crescendos. The mannequins froze in place once again. The strange, witch-like creatures slunk back into the dark rooms.
I looked outside the broken window, seeing clouds of black smoke rising off in the distance. The flickering of massive infernos scorched the land, drawing nearer by the second. The siren sound faded slowly, like the dying echoes of a gong.
I was surrounded by dozens of mannequins. Their sharp hands were inches away from my face and neck. I saw metal glittering all around me and realized they had the sharp points of nails protruding from the ends of their fingers. I was afraid to move, but I heard a familiar voice from down the hallway. It was the confident voice of Lucifer.
“The siren means much worse nightmares than these are coming in the Bardo,” he said, his glossy, black eyes flashing with intelligence. He walked slowly towards me, his face grim and pale. “Hell itself is coming over the land. This building is no more than a construction of your dying mind, but the world outside is real.”
“How can Hell come and go?” I asked, confused. “Isn’t Hell a place?”
“Hell is a monster, a beast with many mouths and many eyes,” Lucifer responded. “It eats constantly, but its hunger never ends. Look, the first of the sacrifices scatter like cockroaches.” He pointed out the broken window, pushing his way through the mannequins effortlessly. I glanced outside, seeing thousands of people sprinting down the dark city streets. The inferno and thick clouds of smoke had moved much closer, and every few seconds, the ground shook slightly, as if we were experiencing the aftershocks of an earthquake.
“What can I do against such a beast?” I asked, my heart freezing with terror. But when I looked back over, I saw his form dissolving again, becoming translucent and drifting away like ashes. It seemed even Lucifer didn’t want to be present when the Hell-beast arrived.
“Seek divine wisdom,” he said, his voice trailing off into whispers. “Remember the source.”
***
Now crowds of tens of thousands of people were streaming into the city, filling every single inch of the streets. Their panic and fear was contagious. I felt it rising inside my body like a snake spiraling up my spine. I took off down the hallway, running through the swarm of frozen mannequins, each in their own ferocious position of attack. The lights flickered faster and went out. Yet the fires outside cast the entire world in a bloody glow, giving me enough light to see by and find my way. I sprinted down the stairwell, taking them two steps at a time. The screaming outside grew louder and more pain-filled. The shaking of the ground worsened with every passing second.
I burst out of the front entrance, seeing a world on fire all around me. Thousands of crushed, bleeding and burned bodies stretched out as far as the eye could see. Behind all this chaos and death, I saw a monster of unimaginable proportions slinking its way towards me.
Lucifer was right, I realized: Hell was not a place, but a creature, an enormous monster the size of a town. It had thousands of skittering, jointed legs that looked like little more than skeletal arms and hands, each of them dozens of feet long and white as freshly-cut marble. Its body stretched out to the horizon, an enormous blood-red cylinder of bony plates that slithered and undulated with a serpentine grace. Waves of peristalsis traveled down its length, like writhing intestines. Thousands of curving, bony spikes stabbed out of it, pointing in every direction. Like the quills of a porcupine, it would protect the massive creature’s body from many forms of attack, if anything was big enough to attack such an abomination.
Hell’s massive eyes flickered, balls of fire that spun and danced. They looked as bright as the Sun. Something like solar flares seemed to emanate from the orbs, flashes of blinding energy that floated over the apocalyptic wasteland. As its many legs smashed the ground, they left trails of fire that caused everything to explode into flames as if napalm dripped from its limbs.
But Hell’s most terrifying feature was its seven dark mouths. Its body looked a thousand feet wide, and the mouths at the front were evenly dispersed. At the front, blood-red teeth in the shape of enormous railroad spikes shone. Its lipless, skeletal face grinned as it moved forward, shaking the ground with every step. The mouths were on long, snake-like necks that could stretch out hundreds of feet. They moved forward in a blur, snapping up as many panicked souls as they could.
Countless souls in the rocky plains of the Bardo ran for their lives, away from this juggernaut. I saw men and women who looked like they came from every country and profession, some dressed in suits or spotless white lab coats, others wearing rags or orange prison jumpsuits. And yet, they all screamed in agony and fear here, their bodies pressed together in a crowd, and no one seemed to remember anything but their own mortal terror. Their voices came out faint and weak next to the roaring of Hell. It shook the ground all around us, as if an earthquake were tearing the land apart.
The first frantic runners of the surging crowd had nearly reached me. The nearest person, a young woman in her mid-twenties dressed in all white, was only ten feet behind me. She looked like she came from wealth, and even from here, I could see a ring with a massive diamond gleaming on her finger.
I took off blindly down the familiar streets of the city where I worked and lived, but these also seemed different. The church down the street from the hospital where I worked had a Satanic pentagram instead of a cross now, its exterior painted a bright, gleaming blood-red. When I had driven past it today on my way to work, I remember it read, “JESUS said, ‘I am the Way, the Truth and the Life. No one comes to the Father except through Me.’”
Now it read, “Nietzsche said, ‘Of all evil, I deem you capable. I have often laughed at the weaklings who thought themselves good simply because they had no claws.’” I wondered what that meant. Was that some sort of comment on me, on all of us here?
The woman I had seen running had caught up with me. She was fast, much faster than her slim body suggested. Her blue eyes were frantic and wild, filled with an animal panic.
“It’s right behind us!” she screamed, her face covered in a sheen of sweat. I was afraid to turn and look, but I could hear the chaos and bloodshed approaching, smell the flames and choking smoke. “Run! Get away!”
A new wave of energy surged through my body. I sprinted as fast I could down the strange mirror streets of the Bardo. I heard the agonized cries of countless souls behind us as the seven mouths of Hell ate them all greedily and then looked for more.
A skyscraper behind us collapsed into a pile of rubble, shaking the ground with a cacophony of falling concrete and shattering glass. The woman was running by my side. Just as I heard the breathing of something huge and predatory right behind us and smelled its sulfuric breath, a piece of concrete the size of a basketball broke off the collapsing skyscraper and flew into the road. I tripped over it, yelling as I flew through the air, skinning my arms and legs on the pavement. The woman’s eyes widened. Hurriedly, she came over and reached down her hand, trying to help me up.
“Come on, come on!” she cried. I looked behind her, seeing one of the gnashing mouths of Hell reaching forward on a blood-red, serpentine neck. The mouth was big enough to drive a tractor trailer into, filled with huge spikes of teeth. Its throat led into a black, smoke-filled abyss. Its fiery eyes were swirling pools of flickering orange light that shone with bloodlust and insanity. They focused on the woman, the entire head turning on its slithering neck.
I frantically raised my hand, intertwining my fingers with hers. Her hand was warm and soft. She started to pull me to my feet when the mouth of Hell snapped forward. Its jaw unhinged, scraping the pavement with a sound like grinding metal. The woman barely had time to turn as the mouth covered her and snapped shut with a crack.
She disappeared from view instantly, but I was still holding her hand. In horror, I felt warm rivers of blood explode all over my body as the mouth of Hell severed her arm at the wrist. She screamed, bleeding and crying, as she disappeared into the throat of Hell. Hell’s fiery eyes focused on me, and at that moment, I knew I was next. Its mouth opened wide again, like a bear trap ready to spring on a new victim.
It was dark in Hell’s mouth, but I smelled the thick reek of old blood and fire. I caught glimpses of tortured, mutilated bodies writhing and crawling down its throat. Shell-shocked, I could only lay there and watch. And that was when the strange doubling started.
***
I heard the frantic voices of men break through the fog of darkness and the fetid reek of blood. There was a mechanical beeping all around me, but I couldn’t tell where it was coming from.
“Clear!” one cried. I looked around, only seeing blackness. At that moment, I felt a surge of electricity rip itself through my body. My arms and legs all seized and my eyes rolled up in my head as the pain sizzled through each one of my nerves. I clutched the young woman’s hand tightly, feeling the large, gold ring with the massive diamond biting into my skin.
“Again!” another voice yelled.
“Clear!” the original voice cried. The electricity came again, and a flash of white light flew across my vision. I blinked, seeing from two sets of eyes at the same time: one in the Bardo, and one on the blood-stained floor of the hospital ward.
The Bardo stayed dark and sinister, but the clear white lights of the real psychiatric ward were blinding. It was a bizarre experience. Moreover, everything hurt. Over a few seconds, my vision of the Bardo faded, and I was simply a gravely injured man laying on the floor in a puddle of blood.
Four doctors and paramedics were crouching over me with a defibrillator. My shirt was ripped off, and nearly all of my skin was covered in blood. I raised my left hand, trying to talk, but only a fiery pain raced through my neck. I felt bandages covering my skin. A nurse was rolling a stretcher down the hallway towards me.
“It’s OK,” one of the doctors said, kneeling down. “You’re being taken to emergency surgery. You’ve lost a lot of blood.” I wanted to say something, but I couldn’t talk with the massive slice in my neck.
At that moment, I felt something in my right hand. I looked down, seeing a slim female hand with a massive diamond ring hanging there. Our fingers were wrapped around each other’s, but the hand had been cut off at the wrist. A ragged patch of bloody flesh and snapped bone poked out of the back.
“Nnnn,” I tried to say, shaking my head. I felt fresh streams of warm blood open up. “No…” The doctors looked down, seeing the dismembered hand. Their faces morphed into expressions of confusion and fear.
I closed my eyes as they lifted me up on the stretcher. One of them gently removed the cold hand from my fingers. But they could never remove the memory of what I had seen.
I know what happens after death, and it makes the worst life here seem like a dream. I know that, one day, I’ll be returned to that place. I know that, one day, I’ll see that great monster called Hell and the featureless, swirling sky of the Bardo again.
And the next time, I won’t wake up on a hospital floor, but will be trapped there with the others for eternity: an eternity of blood and fire.