She sat in the Starbucks cafe, sipping her
coffee and staring out of the window. The blood stained knife lay next to her
handbag, covered with her blue silk scarf…...The weather outside was as gloomy
as it could get. There could be a heavy downpour any moment. She had made up
her mind by then. Suddenly, her thoughts were abruptly put to a halt by a phone
call which she dreaded to attend. Nevertheless, bundling up courage she
answered the call.
‘Where are you Dr. Aarti?’ Dr. Choudhary
cried out aloud.
‘We have been frantically looking for you.’
Aarti did not reply.
‘Are you alright?’
[Pause]
‘Why did you run away?’ he continued.
Aarti tried to speak but she was not able to
utter a word. She felt as if her vocal cords were paralysed. She was just recovering
from the shock when Dr. Choudhary had called. His shrill voice was enough to
bring back the shudder.
By then, the people around had also started
looking at her quizzically looking at her changed expressions. She passed a
faint smile to them in order to prevent any suspicion. The waiter took the
empty coffee mug from the table. He tried to look around at her table in case
there was anything to be cleared. Aarti
waved a hand gesturing that she was fine and did not need anything. The waiter
left with a smile.
‘Can you tell me what happened there in the
afternoon?’ Dr. Choudhary continued.
[Pause]
‘How can you be so irresponsible Dr. Aarti?
You should have stayed.’
‘Escaping from there can raise doubts against
you.’
‘You have been summoned to the department
right now by our Chancellor,’ Dr. Choudhary said slamming the phone down.
‘But I am concerned Inspector. She must not
be alright. After all, this exercise is not easy. She had a brave heart to
accept this case,’ Dr. Choudhary said resting his head on his palms.
The waiter approached Aarti with the bill.
While the waiter was away with her credit card she quickly put the knife in her
bag. After getting her card back she left for the institute. She was feeling dazed.
The injury was deep and it was hurting her. She opened the door and ushered
herself in. After locking the door behind her, she threw her bag on the floor
and burst into tears. She took out the bandage and put her hand under running
tap water. She had started feeling weak again with the blood loss. She dabbed
the antiseptic cream along the cut, placed a gauge on it and wrapped it with a
bandage. She made sure it was tied neatly so that no one could make out the
intensity of the injury. She gulped down an analgesic and left taking one last look
at her pale self in the mirror. The journey to the Chancellor’s room seemed
endless which otherwise would have taken her just five minutes. There were ten
missed calls from Dr. Choudhary. She felt nauseated looking at the ambulance
and the piled up police vehicles. There couldn’t have been a worst nightmare
than this for Aarti. Somehow she managed to maintain a normal gait.
As soon as she reached the entrance, a
frantic Sukriti came and hugged her tightly. ‘Oh! My God!! Aarti are you
alright?’
‘Where have you been all while? We were all
so worried,’ Sukriti said almost bursting into tears. She hugged Aarti tightly and then looked at her hand.
‘I am absolutely fine Su,’ Aarti said with a
laugh. That was the first time she had laughed during the day.
‘What!!!! Absolutely fine Dr. Aarti??? It
could have cost us your life,’ said a furious Dr. Choudhary who had come out
hearing Sukriti’s loud cries. Their entire department was standing outside the
Chancellor’s room. Aarti was accompanied inside by Dr. Choudhary who had
forgotten all his anger seeing an injured Aarti. He felt responsible for her
situation.
Aarti was taken by surprise when she saw the
Chancellor’s seat being occupied by a tall and well-built man. He looked at
Aarti and indicated her to sit. Aarti’s
legs were shaking already. She was feeling a little drowsy because of the
analgesic. All she could dream of was her cosy bed and her soft rug. Her sweet
thoughts were soon interrupted by the strong voice from the stranger.
‘Dr. Aarti, M.B.B.S, M.D, Psychiatry, posted
in Psychiatry Social Work Department from 10th July 2012. Am I right doctor?
IPS Rana read out from Aarti’s file.
‘Yes Inspector,’ Aarti said in a weak voice.
Seeing her a little petrified Dr. Choudhary placed a hand on her shoulder. She
relaxed a bit.
‘I am IPS Rana Dave, the officer allotted to
probe into this case. If you are alright madam can I carry on with my
interrogation?’ IPS Rana said keeping her file down.
Aarti nodded in agreement. She was feeling a
little relieved seeing his casual demeanour. Noticing the bandage in her hand
with a patch of fresh blood IPS Rana asked Aarti, ‘Do you need any medical help
madam?’
‘I am doing fine. I cleaned the wound and
treated it myself. It is just a minor injury, ’Aarti replied in a shaky tone.
‘
So, if you are in a comfortable state, could
you please tell us about the incident that happened in Ward no-6, Room no- 10
this afternoon.’
Aarti was searching for words to answer him.
His sharp gaze was making her uncomfortable. Seeing Aarti pause for a while,
Dr. Choudhary spoke up.
‘No doctor. I want to hear it from her. I
have heard your part of the story,’ said IPS Rana sternly.
Dr. Choudhary had no other option but to
remain quiet.
‘Dr. Aarti, shall we continue?’
‘I was on the case from the last six months.
He was referred to me by Dr. Choudhary,’ Aarti replied calmly.
Before she could continue further, IPS Rana
questioned her again.
‘Why was he referred to you by Dr.
Choudhary?’
‘Because…….’
‘Because I was too busy with my clinic hours
and I had asked Aarti to follow up the cases in which she had assisted me,’
interrupted Dr. Choudhary.
‘Hmmm….. ,’ said Rana Dave as he flipped
through Ramesh’s case file.
‘You may continue….’, he said turning towards
Aarti.
‘Sir, I had been seeing Ramesh from the past
six months.’
‘You have been telling the same thing madam.
Please go ahead,’ IPS Rana said in an irritated tone.
The pain in her palms was slowly pricking
her. It was a throbbing pain.
‘Ramesh reported to us with severe mental
instability. He was confused and, disillusioned. We felt at times that he
showed symptoms of depression and anxiety. We had put him on medications to
relieve him of anxiety. Since he complained of sleeplessness we gave him
tranquilizers and also suggested to his brother that we would need to put him
on anti-depressants if the symptoms persisted.’
‘Ramesh was well educated. He was holding a
good position in an MNC but one year ago his company suffered heavy losses and
they had to sell it to someone else. He was not happy with the managers who had
taken over. His brother told us that he was extremely stressed. One day he had an
argument with his employer because of which he was sacked from office
immediately. His changed attitude was noticed by his family as well. That
is when his brother brought him to our hospital.’
‘Dr. Choudhary advised a regular fortnight
check-up and counselling.’
Saying this Aarti took a large gulp of water.
Dabbing her wet lips with a handkerchief she continued.
‘On one of Ramesh’s visit with his brother
Dr. Choudhary was unavailable so I had to take up the case.’
‘I felt his condition was also worsening. The
antidepressants were also not working much. He used to be normal while talking
but at times was also very anxious. He had anger issues too. He was not too
happy being brought to a mental hospital for treatment. He told me this during
one of the counselling sessions.’
‘So, did you give me any more medications
after that?’ IPS Rana asked.
‘Yes, I changed the course of the medicines
after discussing with Dr. Choudhary,’ Aarti said looking at Dr. Choudhary.
He nodded in agreement.
‘I reduced the doses of tranquilizers and
antidepressants and tried to increase the counselling sessions. I felt he
needed more of psychiatric counselling than medications. He got a little
aggressive at times when I asked him a lot of questions. I advised his brother
to monitor his activities at home and give me a feedback.’
‘Today was one such clinic hour where Ramesh
was supposed to come for a follow up. He came with his brother. I was not
seated in my usual out-patient department. That room had been occupied by
another doctor for the day so my clinic had been shifted to Ward no-6, Room no-
10 which is in the ground floor of the Neurosurgery block. That was a room
allotted for neurosurgery consultation. Ramesh and his brother were the last
patients in my list for the day.’
After saying this Aarti paused for a while.
Her mouth had gone dry with the continuous round of explanation. Taking another
sip of water, she continued.
‘Ramesh seemed to have improved a bit but his
brother’s explanations did not match with my diagnosis. I was still confused
about the course of my treatment. I advised him for an EEG since I had reduced
by doses by then. Ramesh’s brother requested me to keep counselling him while
he came after paying the bill for the EEG. I was a little hesitant but I had no
other option then.’
‘I was in the process of my counselling
session when I noted that he wasn’t too keen to talk. He was dull and very rude
while answering. He did not seem to cooperate. I stopped for a while and
continued again by advising him to do Yoga which could relieve his stress.’
‘What happened further?’ asked IPS Rana.
‘I was casually asking him about his family
when he suddenly got into a fit of rage and hurled himself towards me. I
panicked and rushed towards one corner. Later, he pushed me and my palm hit
against the edge of the metal cot. He came very close and was going to injure me again when I
pulled my bag from the cot and rushed out of the door. I screamed and ran out
of the room. I ran as fast as I could.’
‘Did he just push you or do anything more
violent Dr. Aarti?’ asked IPS Rana.
‘No, he just pushed me very hard. Before he
could react further I escape.’
‘Are you sure there was no more harm done?’
he asked again.
‘No, ’Aarti replied confidently.
‘Where did you vanish off Dr. Aarti?’ asked
IPS Rana.
‘Yes, where did you run to after this
incident?’ asked Dr. Choudhary
‘Sir, I was too tensed and scared to
understand what had happened. I ran towards the staff clinic. It was past 3:00
PM so there was no clinician there. The nurse was also not to be seen. I
grabbed a gauge piece and a bandage roll from the first aid box and went out of the campus not knowing what to do. I headed to Starbucks Café which is next to our
campus.’
‘There was so much that had happened and you
managed to go to a cafe?’ Dr. Choudhary said in amusement.
‘Sir, I was too scared to think logically so
I just left the campus,’ Aarti said in a composed and calm way.
‘What happened after these incidents? Can anyone
explain?’ IPS Rana asked out aloud in the room.
A ward boy came forward and answered. ‘Sir,
we were in the same ward but in a different room. Hearing the shriek of a woman
we came out and saw a doctor madam running and a man was running after her.
That is when we rushed and prevented him from running. More ward boys came and
helped us. He was very violent Sir. He also hit my friend with his fist. Mad
fellow’
‘Who called the police?’
‘Sir, it was me,’ told the security guard.
‘Sir, don’t you think there should be more
security designated in such areas?’ IPS Rana asked turning towards Dr.
Subbarao, the Chancellor.
‘Yes, inspector, I do agree. We have had a
very rare incident today and we would like to investigate on the internal
security breaches. I will be meeting the security supervisor tonight.’
‘So what is the conclusion inspector?’ asked
Dr. Subbarao.
‘Sir, if I may interrupt your investigation,
can you please tell me how is Ramesh and where is he now? Aarti asked. She had
suddenly realized that Ramesh was nowhere in the picture and she had forgotten
about his condition too.
‘I will summarize this in a while.’
‘And…. Ramesh is in the police station with
his brother,’ IPS Rana said looking at Aarti.
After completing the report he asked Dr.
Choudhary, ‘Sir, I need to record Dr. Aarti’s final statement in order to take
further action on this case. The media can print a different version of the
incident tomorrow. ‘We need to file this case report by today.
‘You can go ahead,’ said Dr. Choudhary.
‘Dr. Aarti, what is your final opinion,’ IPS
Rana asked.
‘As a doctor who has been treating Ramesh I would
advise him to be released from jail and admitted to our rehabilitation center.
He requires counselling and rehabilitation. This incident is an unexpected
psychotic episode. He could be potentially drifting towards Schizophrenia if we
do not treat him soon. This patient needs another chance,’ said Aarti.
‘But doctor, he might be potentially
dangerous to the other inmates,’ said IPS Rana.
‘We have special cells for such patients who
need to be in isolation,’ said Dr. Subbarao.
‘That is at your risk Sir. However, we would
keep him under observation in your rehabilitation cell for six months. If
another such incident happens then it might be difficult for us to follow the
same course of action,’ Rana Dave said while he stood up to leave.
‘I do agree. Meanwhile we will also work on tightening our security system. Today, one of the most able clinicians of our hospital has
been injured. I don’t want anyone to be harmed in this way,’ said Dr. Subbarao.
‘Thank you for your cooperation and timely
help Inspector,’ said Dr. Subbarao and Dr. Choudhary as they shook hands with IPS
Rana.
‘Thank you Sir,’ said Aarti looking at IPS Rana.
‘We are here to help you. Please inform us if
you notice anything unusual about Ramesh and…..madam, please be careful next time,’
said IPS Rana.
While on her way home with Sukriti, Aarti kept
thinking about the blood stained surgical knife that lay in her house - An evidence which could route the entire episode against
Ramesh. She wanted to protect an innocent man who had just had a psychotic episode.
Originally written for TOI Write for India Contest- Author of the Month- Chetan Bhagat