Case notes, December 2013. 2b

A physical examination of the patient has revealed that what we initially believed to be a turban is in fact a huge swathe of bloodied bandages.

Carefully removing the padding we uncovered a badly stitched wound running the full circumference of the patient’s skull. Beneath this skin flap, the cap of the skull rotated freely.

In order to fuse this man-made skull fracture, the cap was removed. On its underside, we discovered the initials K.K. scratched in impeccable gothic script.

The brain itself is severely damaged. Neural pathways have been crudely severed and cauterised, leaving the patient with little or no long-term or episodic memory. The occasional flash of a synapse firing has been noted to cause a painful-looking twitch in the patient. Cognitive reasoning and short term memory function well.

Until we can find a way of encouraging the formation of new neural pathways, we are unlikely to learn what may have happened to him or, indeed, his true identity.

Psychologically the patient seems happy but looks ‘lost’. He constantly mutters the mantra “Remember to forget” beneath his breath. We will be encouraging this behaviour in the hope that the constant mind numbing repetition may find a way of forming a permanent neural pathway which may, somewhere down the line lead to a sudden flood of trapped memories doing the same.

It is a slim hope but a positive one.

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