Lymph node arm numb

I am a fan of spicy food. Exceptionaly so. As I have aged, I ran into a problem. Anytime I smell or eat spicy or acidic food, my left lymph node swells. I understand this is due to a salivotry gland being blocked, but how do I prevent it? Also, should I be concerned?

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

Helloooooo. I’m been dealing with constant pain everywhere in my upper body. I have bad headaches, my jaw,neck, and shoulders hurt so much and my shoulders are so tense. My lymph nodes feel so swollen and my ears are constantly ringing, and I’ve had suicidal ideation because I can’t bear living life with constant pain. All I think about when I wake up is the constant pain. I’m always fatigued, My face especially my right side of my face feels like it’s dropping down. I just want to live pain free. I have an appointment with a chiropractor tomorrow and I really hope that helps me. I want to see a tmj specialist but I don’t think my dental insurance or my medical insurance covers it and I can’t afford to spend thousands of dollars I don’t have. I’ve become a depressed over this because I can’t live with constant pain. I’m pretty sure my posture and high levels of stress have to do with me having tmj and the way I sleep. I’ve been really down about this like I kind of cry everyday because I can’t enjoy my days with these headaches and pain

My dumbass googled my symptoms and “brain tumor” was there, so ofc I’m paranoid.
Both of my arms go numb randomly, 3 specific areas on my head get this dull, burning sensation , or a cold sensation, I feel dizzy, I keep getting headaches, I depersonalize more, and I honestly just feel off. somethin feels different
Im hoping it’s all from anxiety, lack of sleep and dehydration.
Not asking for medical advice, I’m just scared. I’ve seen others think the same, but I can’t stop dwelling on this. I’m thinking of getting an MRI just in case. I dunno how to relax. I feel like imma pass out.

My Grandmother is a Caucasian, 70 year old woman, no medication, probably between 4’11- and 5’1, about 160 lbs ( Not sure, she’s got thin arms and legs, and while her body isn’t thin, it’s not really heavyset. She has no problem with her mobility, maybe just slower walking, has a bad hip but refuses to take any medication of any kind for any reason, and is a HUGE chain smoker. Probably one or two packs a day. This would explain her infrequent but still noticeable, phlegmy cough from time to time.
I don’t know everything about her past but I know some: One of seven children, parents used to scream a lot, she used to cry in bed with her sister when it happened, told me she stayed away from home as much as she could, started smoking at about 12 years old, got pregnant with my dad at 15, became a mom at 16, by all accounts was the best mom ever, biking, reading, dancing, encouraging my dad to try new things, but still moved around a lot, and kept going from house to house, to trailer, etc.
When she was about early 20s, she met and married a guy who she later divorced because they had a kind of culture clash. I don’t remember exactly what he was, but he was very controlling of her, forbidding her to wear swimsuits, or going anywhere without him, and eventually he threatened her several times with knives and a hand around her neck. Never did anything but she was afraid of knives for a very long time afterwards.
She met my grandpa, and I guess things were fine until after she had my aunt. Sometime after she was away from home as much as she could by way of bingo.This led to her using what she could out of her own paychecks until she came after my grandpa’s, who let her. He sold stuff around the house and eventually asked people for money. Sometime after being married to my grandpa she randomly developed night terrors and sleepwalking. Full on waking up and screaming, full on walking outside and screaming. I guess it just stopped. Was controlling of my aunt, didn’t want her trying new foods, didn’t go out or do fun things with her like she did with my dad.
Nowadays it is well known that nobody wants to live with her, but she’s not like abusive or stealing. But here is what we have noticed:
Heavy chain smoker. It doesn’t look like she even finishes them, she goes like halfway, stops, lights a new one.
Can’t or won’t sit and watch a movie or show. Will start one, get up and do laundry, take care of the dog, check her phone, play on her phone, and will full on have a conversation with you or someone when she was the one who wanted to watch the movie.
Frequent gambler. We just went on a cruise to place she’s always wanted to go and she spent a good chunk either smoking or gambling.
Very annoyed with the smells or steam of foods to the point where she’ll complain or get up and move. My grandpa famously only had seafood twice while married to her and he loved seafood.
Very irritable if she goes a while without a cigarette. She was pretty rude in the airport.
Gets annoyed easily when starting to board or get off the plane. Will full on loudly complain about the heat or cold. Kept asking my dad to open window, close window, turn ac off, turn ac on. Whiny.
Restless, seems like she can’t sit still or focus on anything in a climate where she has to sit and be quiet. (Planes and shows)
Known to start fights about pretty much anything that she doesn’t like. It is all about her from the thermostat, the entertainment, the volume, food, etc very difficult to live with
Very dramatic. Complained she was so cold on an excursion she couldn’t move her leg, and then refused to see a doctor about a numb leg. Said she’d just take a shower and then was suddenly all better about an hour later when she was smoking. Never showered, shrugged it off by saying she’ll be all right.
Dramatic in a little kid version. Like when a two year old is confused or thinking, they’ll scratch their head, purse their lips. Like their mimicking confusion verbal cues? Like they’re thinking this is what we do when we’re confused so this is what I will do. She seems to react to things dramatically and like a second or two after a proper reaction time?
A dog barked and her whole body moved in startled matter. If she hates something she eats, she makes an audible grunt, forces a sad expression in her face, holds a napkin to her mouth, and will dramatically push the food away. It’s not just dramatic, for some reason it makes me think of a toddler going through the motions so to speak.
Will sometimes ask us questions and then immediately talk to someone else or walk away and do something.
Says she’s an introvert who doesn’t like talking to people, but actively makes a point to talk to people. Not in a rude way or anything, just likes talking to people. Not sure if that means anything but I’ve always noticed that. Why would you say you dont like talking to people if you actually do?
Has quit a few jobs for silly reasons, and made impulse buys, like a new car when she obviously can’t afford it. Even back when I was a kid, she was known to gamble nearly everything, and could never afford anything, even though she made decent money.
Loves to complain. Or she just complains a lot. Going out to eat with her is usually a nightmare unless we go out with her to an approved place.
My dad made a joke that she’s ADD and it got me thinking about everything. Can she have and have had undiagnosed ADD? Can symptoms of an ADD nature appear because of trauma? Can trauma beforehand affect symptoms of ADD?
Or maybe it’s undiagnosed anxiety or depression, but can those lead to restlessness or symptoms like ADD?
My great grandma once told my mom apologetically my grandma has always put herself first before anyone. But dad’s joke had made me wonder if there’s maybe overstimulation or…something?
I know you’re not psychic and I’m happy to give any extra info, but I wondered if a person can be horribly selfish if they have some kind of undiagnosed whatever.
Thank you! :)

31 F. No medical hx. No meds.
I’ve had upper left shoulder back pain for a few years now. It wakes me up out of my sleep sometimes and I literally just roll around in pain until ibuprofen kicks in so I can fall back asleep. Sometimes it keeps me up for hours. The pain is an crampy ache, like I desperately need my back cracked. When this pain occurs I notice the lymph node on the back of my neck to the left gets big and hard. It’s in between the size of a dime and Nickel. When the pain goes away, the lymph node goes down in size but is still palpable.
Initially, I brought up this lymph node to my PCP. Had an ultrasound and neck CT done with contrast that showed I had multiple other lymph nodes in my neck that were large but not of concerning enough size. I had that specific lymph node biopsied and they got more fat than actual lymph node but the small sample they got seemed normal. Labs seemed normal outside of a mildly elevated ESR. They recommended me getting another biopsy if the lymph node was still there in 3 months. Well, three months later it was still there obviously since it’s been there for years but didn’t grow in size so the doctor didn’t want to do another biopsy and said it would probably go away in time.
It’s never gone away. The pain still comes and goes and I have no idea what to do about it. Curious to see if anyone has had a similar issue? Ibuprofen 800 helps a little and so does icy hot. I was prescribed flexeril but all it does is make me sleepy and does absolutely nothing for the back pain. In fact , I feel like it makes it worse. I feel like my pain is dismissed and I’m miserable when the pain starts.
Any advice ?

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?

It first started with a small zit on the tip of the ear lobe, it had a black head that spread and inflamed the skin around the cartilage filling it with some kind of liquid and then lymph nodes got swollen around the ear and neck. The infection looked black, and within a weak made a crust that made it unrecognizable that was an insect bite. That is when I went to the doctors and they thought it was viral. That is why I was misdiagnosed so many years.
Since then I get this painful small blisters in the hands, some under the skin like the first picture, some on the surface. around joints. They are dark in appearance with black head and every time they appear they last around 1 - 2 weeks and when they leave the skin gets dry and flaky. But this does not end here, as soon as they disappear the nerve pain starts and I het really achy in the area for a long time.
I really believe that what I am looking at is the infection that havocs my body for such a long time (3yrs). I will not get into details but I do have neurological symptoms similar to MS, ALS.
I would like to know if you have these as well with Lyme.
https://preview.redd.it/qvl9ao2vsx0d1.jpg?width=1067&format=pjpg&auto=webp&s=4cc0a6402f08be7b034750fc5ea9fc595c0d6784
https://preview.redd.it/8j40kj1vsx0d1.jpg?width=466&format=pjpg&auto=webp&s=9dbfbf3553e42169d7cf31bff20f7a49b40854d2
https://preview.redd.it/qjskem2vsx0d1.jpg?width=627&format=pjpg&auto=webp&s=879f2ca64e8abf0eacfca53c4b8ea0c8893b7f8d

Hi, I'm new here, recently got TC back on April 15, got surgery on April 23rd.
3 days after Orchiectomy I started experiencing butt pain that would radiate up to my lower back and down to my legs, a week after they removed my lefty I did a CT Scan, while waiting for my turn to be scanned I was in constant butt pain(sitting on a hard ass monoblock made it worse) that sometimes radiates up my lower back. The pain wasn't severe, I would give it a 2 or 3/10.
5 days later, scan did not find any enlarged abdominal and inguinal lymph nodes*cue relief* , it did find a fatty liver and some endplate bone spurs on my lumbar spine(which I think might have caused my back pain not sure) though lol. I went to have my blood tested and my tumor markers significantly went down 2 weeks after orchi. Pre-Orchi it was AFP: 262, HCG: 3,130, LDH: 227; Post-Orchi 2 weeks later it became: AFP: 23.89, HCG: <5, LDH: 180.0. Still waiting for the biopsy results.
up until now I still get butt and lower back pain, I have poor posture when sitting so it makes it worse(probably how I got the lower back pain ig). I still get anxious about it but my relatives keeps telling me to calm down and worrying about it might make the situation worse than it really is. Will have my follow up check up with my uro when we get the biopsy results. Right now I calm myself by praying, watching YT vids, playing Baldur's Gate 3. I can't play sports yet because of the surgical wound which sucks.

Okay so throwaway account, a little bit of backstory so u can understand better (also English is not my first language so sorry for any mistakes) I have 2 aunts which r my mother sisters, they both have a daughter: O has her daughter R and E has her daughter F When I was 4 my father left us and my mother had to work 3 jobs to support me (I will always be thankful for that), I was always a quiet kid and never complained about anything, my cousin F instead (f19) always complained about everything. I didn’t really have a good relationship with my cousin since my mother and my aunts always gave her more attention but I never said anything. Fast forward, I’m 8 and my father wanted the house my and my mother were staying in back, so we had to go away (we lived at my O aunt’s house for a month) and, as much as it hurt me to leave everything and everyone behind, I never said anything, but around this time I stared having emotional outbursts such as crying, screaming, going mute for days, not eating and many other things. No one really gave me any attention since they were focusing on my mom a lot and I felt so lonely and hurt (I also developed an herpes patch on my arm from stress). After a month of living with my aunt (O) we moved to our current house, my mom finds a stable job and I’m going to school, I loose all previous friendships I had at my old place and I start feeling numb, like not really having any emotions, my cousins F also goes to school but does so much worse than me and still everyone keeps telling her how good she’s doing (I had an all 9/10 report card and she had a 6/10 one, but I still never say anything). I start middle school trying to make new friends but, since I wanted to replace my old ones, I never had any friends there, and the third year I start going to a therapist (which I had to beg my mom for), I tell her everything that’s happened to me so far. Fast forward I’m 17 and have been doing good at school (F still does bad but has more recognition than me), my father calls from time to time and it makes me feel like I’m an option for him but that’s not really a big deal, around this time I also buy animal crossing to play with my mom since i know this is a game she would like. One day she sits me down and tells me that a few months ago F was raped and ofc I feel bad and offer my support and all and still keep my feeling aside for her. Once again all my family’s attention goes to F and I feel excluded and lonely so I start to not go to school cause I wanted to feel seen and my family tells me how much my absence from school hurts them and that I’m a bad daughter and that I’m a disappointment. So ofc I start feeling even worse, I can’t get out of bed sometimes and feel physically sick, so I’m not really going to school but when I go I get good grades and pass to the next school year. As for now, I’m not really going to school because I can’t get out of bed and my family tells me I only think about myself and that I’m a bad and awful person, I have emotional outbursts (I don’t know what’s wrong with me, I think I could have a mental illness but my family just tells me that I’m lazy). I pleaded my mom for attention a couple days ago (I wanted to play animal crossing together and we did for like 30 minutes before she didn’t give me any attention anymore because she was editing a pic of her and F together, which I told her i could do the next day but she said no) because she still gives F more attention than me, and today (I stayed home from school) she screamed at me that I only think about myself and that I’m a narcissist, keep in mind she always screams this nasty words to me when I stay home from school. What should I do? I feel like such a disappointment, I want a mom but she doesn’t understand that and keeps insulting me and not showing me love. Thank u in advance at anyone who will give me some advice!!

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.

About a month ago, I (38M) was diagnosed with a rare, slow growing neuroendocrine tumor (carcinoid) in my appendix which was discovered during an appendectomy. We have no data to suggest that 100% of the tumor was not removed during the appendectomy: the margins were clear and from a statistical perspective, the majority of people with a tumor the size of mine (~1cm) are cured by appendectomy alone.
However, there were some other findings that cloud the picture. The primary tumor was not growing quickly and had a Ki-67 index of 2%, which is compatible with grade 1 (good for me). Despite this, the tumor had almost broken through the appendix wall, showed signs of perineural invasion, mesoappendix invasion and lymphovascular invasion. (To be honest, only the last thing means much to me but I know it’s bad). Because of these attributes, the tumor was assigned a primary tumor stage of T3. Only one lymph node was dissected but no tumor cells were found there (N0) and there was no distant metastasis (M0). All three of these stages indicate an overall cancer stage group of IIA. My case was reviewed by the tumor board at the GI center at the local med school and they recommended further surgery to prevent possible metastasis of any cancer cells that remain. This surgery, known formally as a right hemicolectomy would remove the ascending portion of my colon. My rectum and anus would be unaffected and I would (in a sense) still use the toilet normally. From the literature, many people report more diarrhea, looser stools and sometimes fecal incontinence after the procedure, but it seems peoples experiences can vary greatly. I will add that the idea of having these challenges as a single person scares me quite a bit. Pooping my pants on a date seems very non-ideal and I’d really like to find someone to spend my life with.
The other compounding factor is that while the 5 year survival rate for neuroendocrine appendiceal tumors is luckily quite high (90% or so if there is only local spread) there is no approved radiation therapy or chemotherapy. My scientific understanding of this is that since the growth rate of these tumors is slow compared to other cancers, they grow at similar rates to normal healthy tissue. This makes cytotoxic chemotherapies that target rapidly dividing cells ineffective: the only treatment that would kill the tumor, would kill you just as fast. There are some therapies that can inhibit tumor growth (somatostatin I think?), but the tumors never shrink in size. Since there is no chance to completely kill the tumor, one appears to be left with the unavoidable outcome of living the rest of your life with cancer if surgery doesn’t work. And significantly, the survival rates for metastatic neuroendocrine tumors appear to be far less rosy than if they are caught early. I woke up the other night and sat straight up in bed to catch my breath thinking about that.
I am really wrestling with the idea that the surgeons are recommending a procedure, which will undoubtedly degrade my quality of life to some degree, and from a statistical point of view, is not expected to find any tumor cells. It seems that the oncologists view the surgery as insurance for me (and frankly for them). I get it, but…like…come on. Maybe I’m being crazy to even be thinking about this, given that if the tumor were to spread, I’m kind of screwed?
Some questions:

• did you have a right colectomy? How has your quality of life changed? Was it a permanent change or only temporary?
• did you have a different cancer but faced a similar dilemma ?
• how did you think about trading quality of life for “peace of mind”?
• did age affect your decision?

Thanks for reading. This community has been so helpful to me recently. I wish I could hug you all. You are the best.

Has anybody experienced a recurrence of eyelid retraction AFTER thyroidectomy?
Background: Dx 1/21. TED symptoms seemed to hit one eye at the time. Began with puffiness and watering, pain in the back of the eyes with upward gaze, very minor proptosis, eyelid retraction, then lid lag. Eye symptoms seemed to stabilize several months before my total thyroidectomy in 6/22. No antibodies detected by early 2023 and by mod mid 2023 I had no visible symptoms.
A few weeks ago, I noticed my lid retraction in my right eye returned. It seems to fluctuate. I have been under increased stress lately (I broke up with someone and while I was in the ER for a bad stomach flu, a CT was performed and I now need a follow-up CT to check on an enlarged pericardial lymph node.
Has anybody else had their TED symptoms return this long after thyroidectomy and lack of antibodies? (I’m going to ask for another round of antibody tests to confirm they haven’t returned)
I took a selfie and compared to a selfie pre-dx and the difference in my eyes is disturbing. I also feel like there’s some drooping so I want to get tested for Myasthenia Gravis, although I don’t think I have other symptoms.
I’m annoyed because my ophthalmologist was pretty dismissive the last time I talked about symptoms, but that was a year ago (during my last visit, 6 months ago, I wasn’t experiencing symptoms, but I was during the previous visit). He said my physical symptoms weren’t bad enough to operate on, but I’m so upset by how I look that I’m seriously thinking of going to a plastic surgeon who specializes in eyelid surgery.
Any advice or similar stories of TED symptoms coming back after surgery/remission would be helpful.

On Wednesday night, I drank. I don’t drink much these days after years of struggling with alcohol. The last 12 months I would say I’ve drank a lot less with about 5-7 episodes of binge drinking throughout the last year.
A handful of times (in recent times, first time it happened was February 2023) I have experienced numbness and tingling in mainly my arms but also my legs, after drinking.
The first time this happened, it happened following a 5 day binge in which I drank approx 30 standard drinks every night, eventually ended with a convulsive episode. The next day I woke up experiencing the tingling, numbness and heaviness in my arms and legs. It felt like everything I was doing I was doing in slow motion.
I think this has happened a handful of times since, although I can’t pinpoint an exact time other than then.
I have lost 30kgs since the first time it happened, and on the occasion that I do drink these days, I have a very reduced tolerance. Where I used to be able to drink as much as 40 standard drinks and remain mostly in control, now I am completely black out after as little as 8.
I drink quite quickly (always have) but I am slightly concerned after my most recent binge where I didn’t drink as excessively as I have in the past, but experienced symptoms I didn’t expect.
Please note: I spoke to a doctor on call and he said it seems fine given the amount of time that has passed since I drank, however I wasn’t really offered any advice on what it might be. I’m really just wondering if anyone can relate

Wednesday - Drank 16 standard drinks in 1.5 hours - Black out drunk - Convulsive episodes on and off after drinking
Slept 8+ hours
Thursday - Woke up still feeling drunk - Threw up over wall in bathroom, wet myself - Felt very disorientated - Felt unwell/exhausted - Walked to KFC to eat, couldn’t force myself to eat - Walked home, started to feel better - Couldn’t remember things from earlier in the day - Slurring words - Couldn’t make out a sentence - Slept 6+ hours (3pm to 10pm roughly) - Ate food - Still felt drunk when I went to bed
Slept 8+ hours
Friday - Woke up feeling still unwell - Went for a walk, deteriorated - Had tingles in arms and legs - Arms felt excessively heavy - Arms and legs became numb occasionally - Fingers felt difficult to move - Pressure in head starting at nose in whole head - Slurring words - Struggling to make out a sentence - Couldn’t remember earlier in the day - Started to feel better around 1pm, started to slowly remember things that happened over the day - Numbness, tingling, and heaviness in arms and legs stopped

I recently had surgery to remove an intermediate grade T2N1 mucoepidermoid carcinoma of the parotid gland. I was verbally told that the margins were clear in some areas and close in areas near the nerves. The one positive lymph node on the neck (which was removed along with a dozen other nodes) had 1 mm of cancer cells. My ENT referred me to radiation oncology for radiation treatment.
But he also scheduled me to meet with the tumor board to discuss my case, which has me concerned. Why would I need to meet with a tumor board? How common is it for a case to get reviewed by a tumor board?

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.

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.

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.