Eyes Wide Open (aka Killing Hour)

“But then they call and tell us they’re going to release him! This social worker. Brian. After around four days. He says Evan is stable now and they had found a place for him. Four days? They said three weeks! I’m telling you this kid was psycho, Jay. I said, ‘Are you sure, so soon…?’ But they said, ‘Your son is an adult, Ms. Erlich,’ and that they couldn’t hold him indefinitely against his will, now that he had calmed down and was no longer a threat to himself. What kind of a crazy thing is this? I said, ‘You can’t do that. Maybe he’s an adult, but I am his mental guardian. You see the shape he was in.’ But they say Evan agreed, and they’re gonna put him in a good place.”

“What kind of place?” I asked.

“They didn’t tell us shit!” Charlie snorted. “They wouldn’t even talk to us. That’s what happens when you’re poor and on disability in this town.”

“But now they’re scared,” Gabby said in a haughty tone. “Now they all see what happened. It was on the TV. On the news. They know they screwed up. They’re all running to cover their own asses now.”

Something brushed against my leg. I looked down. A gray and white cat was nuzzling against me.

“That’s Juliet,” Gabby said. “Poor baby-she misses Evan too.” She reached down and lifted the cat up, took her to the back door, and put her gently outside. “Get back outside. You can’t be bothering us now.”

The cat slinked back to the yard and jumped onto the fence.

“So where did Evan finally end up?” I asked.

“You want to know where they put him?” Gabby replied, her tone hardening. “You want to know where they threw my son, like some sack of garbage? In this unsupervised home in Morro Bay. Completely unrestricted. With a bunch of fucking old people. Alzheimer’s patients. Walking around like the living dead. Evan called me. He said, ‘Why did they put me in here? Why did they put me with all these old people, Mommy?’

“The woman who’s in charge there said he went to take a walk. She just let him go. Waved him out the door. They don’t give a shit. They get their money. Evan was just a voucher to her. A check from the state. That’s all! They had him on so much medication. Seroquel. Two hundred milligrams. Two hundred milligrams is enough to drop an elephant, Jay. You know this stuff. You know what it does. It makes you act like a zombie. It takes away your will. She didn’t care, as long as she got paid. My son went to take a walk and never came back. This woman, Anna, she called us late that night. Two days ago. Evan was missing. Where is he, she asks. She said she thought maybe he came home to us. But you know where he was, my son…? You know where Evan was? He had climbed the fucking rock there, that’s where he was. He was probably already dead.”

Anger flared up inside me. This just didn’t wash. Every patient had a medical history. Treatment charts. Diagnoses and evaluations. They don’t just dump people at will. In a place where they won’t be watched.

“She just let him leave?”

“Yes. Walk out. I told you, she don’t give a shit, Jay. That’s the way it is here. But, believe me-she was scared when she called us. She knew she screwed up. And the next morning, my son, he turns up dead. He was up there on the rock, Jay. The whole stinking night. In the cold. Alone. Without anyone to watch over him.” She started to sob again. “My boy was on the rock. I want to sue that bitch.”

“You want to know what really hurts?” Charlie took her face and brought it against his shoulder. “We were watching the news that morning. Friday, I think. Or Saturday… I don’t keep track of time so well anymore. They said some kid had jumped off Morro Bay Rock. A John Doe. No ID on him. We go, ‘Thank God that’s not Evan. Thank God he is in a safe place.’ And it’s our own son, Jay! They were talking about Evan. We’re listening to a report about our own son…”

He started to sob, loud choking tremors. Gabriella held his head in her arms. “We just failed you, Evan… We let you die.”

It was horrible. I didn’t know what to do or feel, other than my hands balling into tight fists. Rich or poor, it didn’t matter. There was a complete breakdown. Not only of treatment, but also of responsibility. And Evan was the victim of it. I knew in my world, this could never happen. Not without some kind of response, accountability.

“Where is he now?” I asked.

“At the coroner’s,” Charlie said. “They’re doing their autopsy and tests. We can’t even see him.”

Gabriella wiped her eyes. “He called me, you know. The day before. I asked, ‘Are you all right, Evan? You know I love you, don’t you, my son?’ And you know what he told me? He said, ‘I’m gonna make the best of it, Mommy.’ Make the best … Does that sound like some kid who wanted to kill himself the next day? They say it’s a suicide, but it doesn’t sound like that to me. You know what I think? I don’t think my son would kill himself. It sounds like murder, Jay. By the state. They took my son and screwed his head up on drugs, then dropped him in a place that wasn’t right for him. They murdered him. ”

As a doctor, I was always quick to assume that the system handled things correctly. Sure, mistakes were made, but generally it did things right. But as an uncle, I couldn’t disagree.

It was like murder.

We sat around in silence for a while. Charlie and Gabriella just hugged each other, helpless and crying. Then Gabriella got up. She cleared the table, put the coffee mugs in the sink, and ran the water over them. Then she turned and faced me, her palms back against the counter. “At the end, it was very, very bad, Jay. You have no idea. Our son never left the house. He would just sit there, on that couch all day, never even talk, just smile at me. You know that little smile he had, like he had the whole world figured out. Like he knew the truth and no one else did.”

“I know it.” I wasn’t sure whether to smile or shake my head in sorrow. I smiled.

“He said to me, just last week, before he did this… He said, ‘I think maybe I’d like to be a cop. Or an FBI agent.’ He said he was talking to the police and they wanted him.” She cleared her throat derisively. “ A cop? My son barely left the house. He didn’t talk to anyone, Jay. No friends. No girls. Not even us. Only to the fucking furnace! He was dreaming. Like he always did, Jay- dreaming .” She looked at me. “He might never have gotten better-I understand that. But he didn’t deserve to die.”

She came back to the table and sat down next to me. “We took care of our boy for twenty-one years. Then we give him to the state-for four lousy days… And he’s dead! Maybe we don’t deserve medals, Jay. But we damn well deserve to know why, don’t we? We deserve to know why my son had to die!”

I looked back at her, my gut tightening.

Years of the differences between us peeled away.

I said, “Yes you do. You damn well do deserve that, Gabby.”

Chapter Seven

My life had been easy, to this point.

I mean, we’ve all faced hardships and disappointments. I was no genius, but I always did well in school. I could whip a mean underhanded crank shot that got me a ride to Cornell; I married the girl of my dreams. We raised kids who seemed to be equally achieving, who were polite and self-assured and didn’t seem to mind being around us.

I’d worked my butt off to get where I was: I’d put in the eighty-hour weeks and still remained on call twice a week. We had friends; we went on bike trips to Spain and Italy. For my fortieth birthday I got myself flying lessons and now had my own Cessna. Two years ago, when it came time for the hospital to name a new head for our department, the chief of staff didn’t hesitate and turned to me.

Still, I felt like I’d barely broken a sweat in life. The world always seemed to open up just enough for me to slip through. But for Charlie, the world always seemed to close at every chance and shut him down.

I don’t know if I was a good brother. I don’t know if I ever lived up to that vow I made regarding Evan. I knew