You Are Not a Stranger Here - Adam Haslett [62]
[end of final tape]
MCLEAN’S HOSPITAL
115 MILL STREET
BELMONT, MA 02478
Office of Dr. Anthony Houston
February 11, 1998
Winston P. Gollinger, M.D.
231 Pine Street
Brookline, Massachusetts 02346
Dear Win,
You inquired about the progress of Daniel Markham. As of a week ago, he is no longer a patient at the hospital, having checked himself out.
He was under my care for three months. After coming off his initial manic high, he was moderately to severely depressed nearly every day of his stay. I tried several drug regimens, some with partial efficacy. If there was any real progress, and I’m not sure there was, it came in our twice-weekly therapy sessions. Here he exhibited brief periods of animation. Once I’d read the transcript and listened to the tapes I was able to engage him on the topic of philosophy. This seemed to provide some bearing for him. A friend named Kyle Johnson brought him books and this appeared to boost his mood somewhat. The nurses report that on his better days he spent most of his time reading.
Around Christmas, his father made an unfortunate visit to the hospital. He was in a full-blown manic episode, soliciting staff and nurses for investments in an offshore hedge fund. Needless to say, the visit didn’t help Daniel, and a week later I increased his dosage of Depakote.
We both know these refractory cases are out there. We did the best we could. Without medication, I’d be surprised if Charles Markham doesn’t commit suicide within five years. Daniel’s still young, the course of his disease difficult to predict.
If I hear anything further I will contact you. If Daniel reenters treatment with you, please let me know.
Sincerely,
Anthony Houston, M.D.
THE TRAIN CLICKS past the backyards of Bradford. One strewn with children’s plastic toys. Another with its ground churned up, ready for the sod of a new lawn. Daniel leans his head against the glass, letting his eyes drop out of focus, the trees becoming a gentle blur. Without looking, he takes the papers from his lap and places them facedown on the seat beside him. Soon the train begins to slow. At Bradford Hills, he watches the father two rows up gather his briefcase