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BUT INSIDE I'M SCREAMING
 Excerpt

   The next morning it is impossible for Isabel to pull herself out of bed. She lies on top of the covers and stares at the acoustic tiled ceiling, focusing on the mess of holes punched in each square.
   Someone has the mind-numbing job of running a machine that pokes the holes into each of those perfectly measured squares. How can they live with themselves?
   A knock on the door breaks the embryonic whoosh of her sound machine.    "Yes?"
   "Isabel, you've got to take your meds," the nameless nurse pokes her head in the door.
   "Okay, okay," she sighs, not moving from her bed, "I'll be there in a minute."
   Here we are, scurrying around like ants: 'you have to take your meds, Isabel,' 'line up, kids,' 'it's time to file your income tax returns,' 'would you like this for here or to go?' Each person has their little job and they do it, then they go home, then they eat, then they sleep and then they get up and do it all over again the next day. What's the point. We're all just filling up space. Why do people want to reproduce? So they can bring more children into this already overpopulated world so they can fill up space with some meaningless job and then go home and do it all over again the next day? Like those ceiling tiles.
   The knock comes again. "Isabel?" it's the nurse again and this time she looks annoyed when she sees that Isabel hasn't moved. "You have to come get your meds, Isabel. After that you can get back in bed for a little while if you want but you have to come take your medicine," she says emphatically.
   I wonder what she thinks of her job. What does she do when she leaves here? Does she talk about all of us to her husband?
   Isabel hauls herself out of bed and puts shorts on over her boxers.
   "Okay, okay," she says to no one in particular as she heads down the hall to the medicine distribution window. After swallowing the controlled substances that will beat back nature until the next dispensation (all have foreboding names packed with too many late alphabet consonants -- Serzone, Zyprexa, Trazedone) she shuffles back to her room and crawls back into bed, this time assuming the fetal position.
   Doesn't anybody else see how meaningless this is? How we are all consumed with our chores, which are ultimately useless because with the swipe of a broom we can all be swept away into the abyss. Here I am in a mental institution, trying to get better so that I can go back into the world and rush from job to job, killing time until I die of something other than suicide. I take medicine to help me deal with the nothingness of my life. Millions of us have to take pills to distract us from the sheer boredom of it all. We hurry from thing to thing like ants when we're all going to end up suffocating anyway.
   "Isabel," the voice on the other side of the door sounds like Kristen's. "We're getting ready for the morning meeting. You coming?"
   Isabel looks at her watch. An hour has passed.
   "I'll be right there."

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