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That I commune with the dead as I oil your feet. My house at the throat of the river, the door to this world, I wait for you. That I ask of the spirit and receive the knowledges: yerbabuena, vela de virgen, baño de alhucema. Cut the joint at the hoof & fatten the soup. Accept this offering, thank the plant. That I love you with the knowledge of our ways lost to violence. That you will call me up from the silt in your bones.

You are told when to sleep and when to wake up. If you spend too much time in your bedroom, it indicates that you’re being antisocial; if you do sit in the common areas, but don’t interact with the other patients, you’re probably depressed or overly inward or perhaps even catatonic. Humans might all be ciphers to one another, but people with mental illness are particularly opaque because of our broken brains; we cannot be trusted about anything, including our own experiences.

Panther. Painter. Puma. Cougar. Mountain lion. Whatever you want to call it, by the end of October, half a dozen more people claim they have caught a glimpse of it: a pale sliver in the distance, a flash of fur through the trees. In the woods, hunters linger in their tree stands, hoping they might be the next. In the houses, the big cat creeps nightly, making the rounds of dinner tables and dreams.

While I sit with all the other patients in the waiting room, I always think that I will ask Dr. Wald what exactly is happening to my eyes, but when I go into his examining room alone it is dark, with a circle of light on the wall, and the doctor is standing with his back to me arranging silver instruments on a cloth. The big chair is empty for me to go sit in, and each time I feel as if I have gone into a dream straight from being awake, the way you do sometimes at night, and I go to the chair without saying anything.

Book Mansion was overwhelming. China’s largest bookstore occupied 172,000 square feet and carried 230,000 titles. Bestsellers included Chinese titles such as I Was an American Police Officer; I’m Only Raising You for 18 Years; Chinese-Style Divorce; and Harvard Girl, a memoir that revealed the parenting style that made her stand out from her Chinese classmates and gain acceptance to the school. That book was in its sixty-third printing.

Downstairs, Monica’s Story lay between Bill and Hillary Clinton’s autobiographies. A boxed set about Göring rubbed shoulders with What’s Behind Jewish Excellence? Translated American titles ranged from the predictable – The Da Vinci Code, The Atkins Diet—to the surprising—Henry Rollins’s Get in the Van, and a Woody Allen collection whose Chinese title promised MENSA Whores. An entire floor held English-learning materials. Love English taught pickup lines and pillow talk, including cultural hints such as “‘I’m bored’ really means ‘Do you want to have sex?’”

I feel I could eat women.

Driving alone, I’m hungry,

hawking bus stops and sidewalks.

Eyeballs grinding, I harden.

My mind, a bulging ice box.

My computer, a deep freeze.

The bingeing grows out of hand –

my wastebasket coughing up

the napkins hiding the bones.