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to Isabel.

      “All right, hon.” Her voice is craggy but gentle. Her tone betrays a hint of resignation, as if she has seen a thousand Isabels come and go. “Let’s go sit down for a second.” She tries to lead Isabel into the single room she has been assigned. Isabel pulls her arm away and focuses on her mother.

      “Mom? The car keys?” Her stare is intense. Her lips are pursed and her throat is trying to choke back vomit. She sees, for the first time, that she is here to stay. Her mother is not even reaching into her cavernous bag to hunt for the keys.

      Oh, my God. Why isn’t Mom doing anything? Why is she looking at me like that?

      “Mom? Mom? Please, Mom. Please take me home.” Isabel is crying again as the nurse helps Katherine lead Isabel to her stark room with an ominous stain on the industrial wall-to-wall carpeting. “No. No, Mom. I’ve changed my mind. I don’t want to come here, Mom. Seriously, I’ve changed my mind. Mom, do you hear me? Mom?”

      When she sees that yelling is not advancing her case, Isabel begins to beg.

      “Mom! Please, Mom…”

      Isabel sees the same mix of dread, shock and disgust on her mother’s face she had seen two nights before in Manhattan. On that night Isabel had announced to her parents that she had decided to follow her doctor’s advice and was checking into a psychiatric facility in upstate New York, “before they check me in involuntarily.”

      “Just give it twenty-four hours, Isabel,” the nurse is saying as she guides Isabel to the bed by the elbow. “Just twenty-four hours.”

      * * *

      As she tries to unscrew the cap of her water bottle, she frantically scans the room and sees she is surrounded by the dregs of society. Losers, both literally and figuratively. Literally because they lost the battle to end their lives. Figuratively because, collectively, they look like the rejects from a One Flew Over the Cuckoo’s Nest casting call.

      Isabel’s hands are shaking so badly she gives up the thought of hydration. Her pupils are so dilated by fear her green eyes appear black.

      Across the room a woman with short, thick jet-black hair is staring at her. Slowly, still staring at Isabel, the woman brings her own bottle of water to her lips and sucks, like an infant, through the sport spout.

      Jesus. Where am I? What is this place?

      Isabel shrinks into herself when, moments later, a large man stumbles into the room. The only free seat is next to her. He lumbers toward it and loudly exhales as he squeezes into one of the mismatched Naugahyde armchairs. His fat pasty-white thighs begin to melt uncomfortably into the chair. The hot weather has intensified his body odor and the only thing separating Isabel from the man’s stinky armpits is a useless polyester mesh jersey that adds a gamey scent to the sweaty giant.

      “I know exactly what I’m gonna talk about today,” he gleefully declares to his miserable neighbor. He resembles a puppy with huge paws and baby fat that he hasn’t yet grown into. He appears to have the mentality of a six-year-old.

      Isabel continues to stare straight ahead, knowing that looking at him will only encourage his conversation. She is willing the day to be over, willing the clock to tick faster.

      This is a nightmare.

      “Barbecued chicken wings!” shouts the smelly man-child. She thinks he meant to whisper to her, but he is too excited to regale the group with this topic that he forgets to adjust the volume and instead loudly blurts it out. It doesn’t seem to bother him that Isabel is pointedly ignoring him.

      These people are freaks and this is a nightmare.

      “Shhh,” everyone in the bedraggled group hisses. Everyone but the black-haired sport-spout girl, who is laughing disproportionately hard at the outburst. And another, younger woman with long, stringy hair, who is staring off into space. Two people over on Isabel’s left sits an older woman in restraints because, the smelly man loudly whispers to Isabel, “Yesterday she tried to hit the group leader when he asked her what she was thinking.”

      Isabel takes it all in, frozen in her sleek black gabardine slacks and Barney’s New York black T-shirt, her arms tightly wrapped across her chest in an invisible strait-jacket, her legs tensely crossed, her thick blond hair dried out and brittle.

      How the hell did I end up here?

      * * *

      Hours later, Isabel has not changed out of her clothes and is lying on her back, wide awake, her purse still on her shoulder so that if tipped upright, she could walk straight out. Through the cinder-block walls, Isabel hears something slamming into the wall and strains to identify the sound.

      Slam!

      After five more minutes trying to block it out, Isabel sits up. With her heart beating rapidly, she inches off the bed, which is several inches higher than a normal one, so, upon sliding off, she is startled when it takes her feet longer to find the floor. After waiting a few seconds she swallows hard and takes a few steps to the doorway, following the crack of light beaming from its edges. The hallway is deserted. She waits while her eyes adjust to the bright overhead lights. The sharp sounds next door echo her panic and amplify her fear.

      She moves silently toward the sound, her body pressed up against the painted concrete wall like a cat burglar. Again she swallows hard. Her heartbeat is now pulsing in her ears. She jumps when she hears something crash to the floor several feet away from her around the corner.

      Maybe I should go back to my room. This is stupid. I’m going back to my room.

      After several seconds of silence, Isabel peeks around the corner and in through the doorway of the adjacent room.

      Inside, the dark-haired sport-spout woman is a blur of activity ripping apart her room. Drawers are pulled out, sheets untucked, closet emptied. Every twenty seconds or so the woman kicks the wall.

      Just as Isabel is about to turn and creep back to her room the woman whips around and sees her.

      “Are you spying on me?” she asks, her eyes darting from side to side. “What do you want?”

      “Huh?” Caught off guard, Isabel panics. “Um, want help or something?”

      Goddammit, why did I just offer to help? I don’t want to help her…she’s crazy.

      The woman has already turned away and is dumping the contents of her purse onto the floor in the middle of her bright room. “My name’s Melanie,” she says breathlessly.

      Isabel backs up and looks up and down the hallway.

      Shouldn’t an orderly be in here calming her down? Doesn’t anyone else hear all this noise she’s making? Hel-lo? Nurse Ratched? Anyone?

      “Hey?” Melanie shouts. “You helping me or what?”

      “Uh, okay.” Isabel cautiously kneels down just inside the doorway and, not knowing where else to begin, delicately picks up Melanie’s lipstick.

      Get me out of here….

      “What’re you looking for, anyway?”

      Melanie breaks into a sob. Her hair is angrily pulled away from her face with a simple barrette. Her pajamas are splashed with primary colors, exaggerating the sense of chaos. Melanie must have been told she’s arty and eccentric and then capitalized on the compliment.

      “My beaded bracelet,” Melanie answers in an annoyed tone that suggests Isabel should have known the object of the search. “I made it in art the other day and now I can’t find it.” More sobbing.

      Isabel looks up to see someone else joining in the hunt.

      “Hi. I’m Kristen.” The woman cheerfully introduces herself to Isabel as though she’s in a sorority meeting. “What’s up, Mel? Want help?”

      Isabel is still holding the lipstick. “Okay, well…I’m going to go now,” she says to no one in particular.

      The

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