Praying for Sleep

psychiatry—and some out of medicine altogether.
    But Richard Kohler was a man who’d always tested himself. An honors art-history graduate student, he’d abruptly given up that career path at the ripe age of twenty-three to fight his way into, then through, Duke Medical School. Those grueling years were followed by residencies at Columbia Presbyterian and New Haven General then private practice in Manhattan. He worked with inpatient borderline and near-functioning psychotics, then sought out the hardest cases: chronic schizophrenic and bipolar depressives. He battled bureaucratic resistance to get visiting-physician status at Marsden, Framington and other state Bedlams, where he put in twelve-, fifteen-hour days.
    It was as if Kohler thrived on the very stress that was his schizophrenic patients’ worst enemy.
    Early in his career the psychiatrist developed several tricks for combatting anxiety. The most effective was a macabre meditation: visualizing that he was slipping a needle into a prominent vein rising from his arm and drawing out a searing white light, which represented the stress. The technique was remarkably successful (though it usually worked best when accompanied by a glass of Burgundy or a joint).
    Tonight, sitting in a car smelling of old leather, oil and antifreeze, he tried his old trick, though without the chemical assist. It had no effect. He tried again, actually closing his eyes, and picturing the mystical procedure in vivid detail. Again, nothing. He sighed and gazed again at the parking lot.
    Kohler stiffened and slouched further down into the front seat as a white van, on whose side was painted Intertec Security Inc., appeared and zigzagged slowly through the parking lot, casting its spotlights on suspicious shadows.
    Kohler clicked on the penlight he used for neuro exams and returned to the papers in front of him. These sheets represented an exceedingly abridged version of Michael Hrubek’s personal history. The records about the young man’s life were woefully inadequate; since he was an indigent patient, very few details of his hospitalization and treatment history were available. This was another sin that Kohler couldn’t lay at the hospital director’s feet. Michael was the type of patient whose files were virtually nonexistent and whose past treatment was largely a mystery. He’d lived on the street so often, been expelled from so many hospitals, and used so many aliases with intake personnel that there was no coherent chronicle of his illness. He also suffered from a particular type of mental disease that left him with a jumbled and confused sense of the past; what paranoid schizophrenics reported was a stew of lies, truth, confessions, hopes, dreams and delusions.
    Yet, for someone with Kohler’s experience, the file he now scanned allowed him to reconstruct in some detail a portion of Michael’s life. This fragment was startlingly illuminating. He was vaguely familiar with the file, having acquired it four months before, when Michael came under his care. Kohler now wished he’d paid more attention to its contents when he first read it. He wished too that he had more time now to review the material it contained. But having skimmed the pages once, he noticed that the white van had left the parking lot. Richard Kohler set the folder on the BMW’s floor.
    He started the car and drove over the wet asphalt to the one-story building he’d been watching for the past half hour. He circled behind it and located the back door, which was near a battered green Dumpster. He braked to a stop, debated for a moment and then—after wisely clipping on his seat belt—drove the right front bumper of the auto into the door at what seemed to him a leisurely rate of speed. Still, the impact shattered the wood so violently that the door cracked free of both hinges and flew deep into the darkness inside.
     
    He pulled the Chevy onto the shoulder of Route 236. The battered truck listed hard to the left and an Orange Crush empty rolled against the door. The brakes squealed as the truck stopped.
    Trenton Heck pushed the door open and stepped out. The soda can fell clattering to the road’s rocky shoulder and Heck stooped painfully and pitched the empty under the seat.
    “Come,” he said to Emil, who, already aimed down the incline of the seat, relaxed some muscle or another and slid forward then out the door. He landed on the ground and stretched then blinked at the flashing lights of a