I was trying to explain my situation to myself. My situation was that I was in pain and nobody knew it, even I had trouble knowing it. So I told myself, over and over, You are in pain. It was the only way I could get through to myself. I was demonstrating externally and irrefutably an inward condition.

Confuse was the nurses' word for abuse.

Don't separate the mind from the body. Don't separate even character - you can't. Our unit of existence is a body, a physical, tangible, sensate entity with perceptions and reactions that express it and form it simultaneously. Disease is one of our languages. Doctors understand what disease has to say about itself. It's up to the person with the disease to understand what the disease has to say to her.

By the time we hit the streets they were silent and closed in on us, and they had assumed the Nonchalant Look, an expression that said, I am not a nurse escorting six lunatics to the ice cream parlor. But they were, and we were their six lunatics, so we behaved like lunatics.

The world didn't stop because we weren't in it anymore.

Emptiness and boredom: what an understatement. What I felt was complete desolation. Desolation, despair, and depression. Isn't there some other way to look at this? After all, angst of these dimensions is a luxury item. You need to be well fed, clothes, and housed to have time for this much self-pity.

Tell me that you don’t take that blade and drag it across your skin and pray for the courage to press down.