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reveriequill-rai · 3 years

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Shroud: Withered Soul

A/N: Sorry it’s been a while. As of right now I’ve just been uploading stories I’ve written in my newspaper club, and now that I’ve graduated I hope that can now expand to short stories generally. I’m not gonna promise that posts from now on will be more consistent, but I would like to at least speed up my uploads a bit before they actually wind down, as I imagine I will be working on more stories in the future. Everything being uploaded right now is previous work, but nothing too old--probably like, from last year tops. This was completed sometime in May, I believe.

This is an introduction to a character I created called ‘Shroud,’ an amateur self-proclaimed ‘detective’ who exclusively investigates occult-based crimes and malefic.

Content Warning: death, descriptions of corpses, graphic descriptions of violence and pain, cults

[My blog will usually contain PG-13 stories, and as of right now I am writing some darker content, but I will tag anything that may be especially disturbing or uncomfortable. I’ll include this warning in my bio, too.]

----------

The corpse in front of me wasn’t all that disturbing by itself. I had seen dead people before–comes with the territory. I had been dead before. Murder rates in Twilight were, naturally, much higher than any other district in New Fable–especially further south of the district where I was–considering how much wild magic was around, and not even the police force sent here from the northern district of Bastion could do anything about it. So the corpse itself didn’t bother me, all things considered.

What did disturb me, though, was a number of other things.

For one, the corpse just being there was a problem. They weren’t stopping, and they were getting far too close to home.

Its eyes were still open, for another thing, and nearly colorless, and looking at me specifically, and I can swear to you that had not happened when I first laid eyes on it. Even worse, like me, the man lying dead in front of me appeared to be wearing a few bandages like I was, perhaps just recovering from an injury.

And for yet another thing, and perhaps the worst part of this, was the connection I felt with this dead man. Something about the state he was in struck a familiar chord that only I and a select unlucky others knew. As if we were kindred spirits–undergoing the same fate, yet with (probably) different outcomes.

I had been at this–whatever you would call tracking down cults as someone with zero prior detective experience with the help of almost no one–for…a few months now? And I’ve made a bit less progress than would be expected from someone who has seen just about everything the darker sides of magic had to offer. I did have one solid lead, though, and hopefully one that would lead me to exactly who I was looking for.

“Everyone move,” I ordered, pushing my way through the crowd.

Ignoring their complaints, I made my way over toward the body and began to examine it, hoping for any hint of who had done this, and more importantly, if it was exactly who I had suspected. There didn’t appear to be much damage, but what first caught my attention was the note tucked into the man’s pocket. I took it out and unfolded it, and immediately flinched.

Demon tongue.

Hellish whispers ran through my head, and I wasn’t sure if they were just in my head or not. It was hard to tell these days.

I honed in on the note, written on some old paper as if torn from an ancient book. The more I stared, the louder the whispers got. I ignored the throbbing in my head as best as I could–humans were not mentally equipped to engage with the infernal language at all, and I much less so. My hands shook as I read the brief message, which I must have read dozens and dozens of times already; I wasn’t counting and didn’t care to.

Some people studied demon tongue despite…well…everything, even the illegality. It probably didn’t matter to them. It didn’t matter to me, either, but someone had spoken to me in demon tongue before–though, in their defense, likely not out of their own volition–and the trembling and rapid heart rate was not worth the ability to communicate with infernals. (Nothing was, honestly.)

For these reasons–and also not wanting to be arrested or have my mage license revoked–I personally didn’t speak or write demon tongue, but I at least knew a little bit and could recognize some of the infernal runes. And those runes were enough for me to know that this was the exact same message that the abyss had been trying to send me in my last moments.

—

Can’t run home, I thought. They’ll follow me.

Just gotta run until I find a phone booth.

I ran until I finally spotted one on the street corner near a bridge. I let out a sigh of relief, taking a quick moment to catch my breath. Then, I quickly crossed the street and ran toward the phone booth, quickly dialing the police station.

“Hello?” I said into the phone as quietly as I could manage. “My name is [……………………………] I’m at the corner of Coral Avenue by the Armada IV Memorial Bridge. I’m being pursued by a group of kids in demon-charmed cloaks and shawls, please I need your help they have knives and they’re trying to kill me-“

The tears stinging at the edge of my eyes began to overflow as a human voice at the end of the line responded in perfect, uncharacteristically calm demon tongue. It was a short sentence, repeated over and over again, but with the little knowledge I *did* have, I could translate it by about the sixth loop:

“You are going to hell.”

I hung up the phone immediately, resisting the urge to yell, “I KNOW” directly into the phone.

Humans can’t speak demon tongue here. It’s illegal.

So how did an officer know demon tongue?

—

Unsurprisingly, the body was still in semi-good condition. After all, little damage was done to the body—only the soul. The only physical marks I could make out were marks around the wrist and neck, likely to restrain the victim. Couple of bruises here and there, too, but nothing was broken.

This…disturbed me, to say the least.

Cults around here were usually known to be violent. After all, a lot of them stood for violent causes–executing the ‘impure,’ plunging everyone into the dreams of a volatile eldritch creature, usurping the throne and forcing everyone to convert, rallying the youth to their bloody cause with claims that they alone possessed special powers…I had heard it all, all of them violent to some degree. But the ones that had gotten me…they seemed to worship oblivion itself. Or maybe whatever was in it. That was beyond even my knowledge.

But…even then, they still had arguably the least violent cause. The deadliest, yes–they seemed to just be destroying souls–but strangely not as bloody. Yet their means of carrying out this objective has historically been, well, bloody.

Or maybe that was just me.

Either way, this victim had certainly not gotten the worst of it. There were no twisted limbs, no bloodied nose, no wounds from blade or bullet, basically no magic-driven attacks aside from the terminating consumption of the soul…only marks of the initial restraint, bruises from the subduing, and the abyss claiming and destroying the soul.

I could almost picture it in my head: they likely jumped him in the middle of the street, kicking him around a bit to possibly weaken him, throw him off balance, but not too much as to rouse resistance, then restraining him–to the floor? A wall? I couldn’t tell, but there were no rope burns so they must have done this by hand–and calling, somehow, for their god, for lack of a better word, to devour its newest victim’s soul.

What did he see as he died? Did their eyes turn as colorless as his would become? Had they shown any sign of enjoying his torment? I doubt it; it didn’t seem like a very ‘fun’ kill. And likely not as personal as it was for me.

They were getting much better at their kills. It probably wasn’t as fun, but more precise.

And a lot less violent than I had gotten.

—

I caught a glimpse of the charm from earlier out of the corner of my eye, but just as I looked it vanished. Just then a cold breeze hit me as the door behind me opened, and I was yanked out onto the street, leaving the phone dangling by the cord. The book dropped from my hands.

The four delinquents appeared in front of me from nowhere, likely having turned off their Moonlight Shroud charms.

“Gotcha,” Ransley said, smiling as he picked up the book.

“Give it BACK!” I roared, lunging for him. Ransley hit me hard across the face with the book, sending me flying a few feet back onto the brick road. Quickly I realized that my safety was not worth keeping that book. I didn’t know where or how Ransley learned to hit that hard but I wasn’t going to stick around to find out. As he and the others examined the book, I began to scurry away as Ransley gave an order to the others:

“Get him.”

An instant later, I heard something click far behind me, and a sharp pain ripped through my knee. I collapsed to the floor, letting out an agonized cry. I examined my knee, and saw a hole much bigger than a bullet hole should be. I looked up at my attackers.

A gun?!

“What the HELL?!” I shouted. “You’ve already got what you want! LEAVE ME ALO-“

Ardent appeared behind me and punched me square in the face. I held my probably-broken nose as a muffled shriek of pain escaped me. Each of them vanished and took turns raining blows and slashes on me as I tried to step back and run. They gave me almost no chance to react. My body ached everywhere; the knife wounds, though shallow, stung just as bad, if not worse, as any bee. I could barely stand. I used my remaining strength to try and push them off of me whenever I felt them, but I stumbled each time I did, giving them room to knock me around further. Finally I collapsed, and Ardent grabbed my shirt and dragged me to the bridge.

“W-wait-“ I cried, still wincing and crying from my bruises and decayed knee. “STOP IT!-”

—

I examined the bandages on my hand and knee. The ones from that night must’ve been amateurs, or at least new to the cult’s way of doing things.

Focus, Shroud.

The victim’s eyes were still open, and almost completely empty.

Almost.

The body must not be entirely empty, then. This wasn’t exactly a kill—whoever this person was, they would not be dead for much longer, or at least depending on your definition of ‘dead.’

How long ago had this attack been, then? I touched the skin—still warm-ish. This had to be recent.

By that logic, if this was meant not as a lethal attack, but as one of induction into their group…

I wasn’t sure how long I had been out, but I at least knew it wasn’t for very long.

So…I didn’t have much longer, then.

I instinctively jerked away from the body. Would he come back? He wouldn’t be under anyone’s control, at least for the first few minutes–how long does it take to kill someone? Would it be long enough for him to kill me?–no, he probably wouldn’t go after me; I had barely any soul left for him to long for…unless he’s just that desperate enough to take scraps from a near-husk.

What would he do when he came back? Would he wander around, lost, confused, until they welcomed him with false promises of salvation and freedom from the ‘burden’ of having a judgement-tied soul? Would he be violent, as they had been to him?

Then again…I came back after one of their attacks, but with a will of my own. Did they want me to come back? Why would they want me of all people to come back?

—

“You know how much trouble you caused us, […….…]?!” Ransley shouted as he kicked me in my injured leg. “Don’t act like you didn’t have this coming, you little weasel.”

“I didn’t-“ I tried to say.

Ransley propped me up on the sidewalk, just by the edge of the bridge, right above the river. He placed his hand on my bruised shoulder, looking at me with a bone-chilling grin.

Again, I got a good look at his eyes. This time, everything except the pupils was entirely white. As I looked I almost felt like I was staring at something beyond; further, even. But the harder I looked the more I could see how much nothing there was. And yet, in spite of that, this nothing seemed to be staring back at me.

The others had the same white eyes too, looking on with a horrible satisfaction.

“What…” I barely managed to say, “…what are y-you…?”

“Free,” Ransley answered, without his usual cruelty and instead with an uncharacteristically sanctimonious tone. “And with our help, so too will you be free.”

With a hard shove, I was pushed off the bridge.

I grabbed onto the edge with my hand, barely having the strength to pull myself up.

“T-this is insane-!” I cried. “Ransley! Please! Y-you can keep the book; I won’t call the police, just help me up-“

Ransley frowned and put his boot on my hand. He leaned in as he brought his foot down harder, crushing my hand. Bone splintered and crumbled under the weight of the shoe, and I let out a shriek as a cold look crossed his face.

“You really should stop holding on so much,” he said. “That’s your problem. That’s why you’re here. Just let go, and face oblivion.”

Ransley took his foot off finally, but my hand had run out of strength. I slipped, and fell into the river.

—

Either way, I had to work fast.

“Hey, kid!” Someone from the crowd called. “What’re you doing? Leave this to the professionals.”

I turned around, and maybe it was the speed at which I had whirled around to face them, or he did just flinch.

Was it my eyes?

“The police won’t find them,” I explained. “I know what I’m doing. I’ve studied demonology for a few years.”

I went back to the body.

“You mean you know who did this?” he asked.

“Maybe,” I answered. “I just wanna be sure…”

I pressed down on the bruises on their shoulder and arms. Hollow. I felt no bone or extra layer of skin or muscle underneath.

Just as I suspected, I thought. Soul devouring.

My only question now was, how much of the soul was left?

—-

The bridge wasn’t particularly tall; just enough for any small cargo ships to run under. But the fall felt much longer than it had any right to.

I never hit the water. I was swallowed by something but it certainly wasn’t the river. It was as cold and sharp but nothing wet ever touched my skin or clothes.

I did not fall into water. I fell into something foreign, something dark, something alive, something evil.

Its eyes were beady and attentive, focused, eager, and it had long rows of sharp fangs. It appeared to smile at me, expecting me, welcoming me. Whispers in demon-tongue surrounded me, and I overwhelmed myself trying to find a single word I could understand. The only thing I could catch was “going to hell” again…was this it? Was this hell? What circle was this?

I was immobile, unable to look away from the creature in front of me, unable to scream as it opened its fang-filled mouth. I couldn’t even let out a scream of protest; no, not against this, as it brought down its jaws and took a large bite out of a deep part of me even I could never access. The pain from my bruises and wounds no longer burned; only ached, as if the pain had been there forever.

I was hollow. If there was anything left, I barely even felt it. My wounds glowed a hot white color and became shallow. I felt nothing but an aching nigh-emptiness that seemed to have no origin I could place; no past; only a present and a long future.

I didn’t know how long I was in that void. But as much as I despised that thing for robbing me of my life, I was grateful that it chose to let me go.

—-

 I took out my pen from my pocket and a couple of mini-candles from my satchel. I flicked a lighter and lit the candles, surrounding them at different points around the body. I began to draw an evocation circle around the body. I’m not sure what had stopped this cult from performing forced evocations as opposed to beating everyone into submission until they blacked out enough to face the abyss and have their soul devoured, but I wasn’t about to find any sense in a group of people who literally worship the abyss.

I took my time with the intricate webs of the circle, carefully connecting whatever remained of the soul to the points where I would draw in the runes, and connected those to the candles.

I then drew in symbols in the language of the spirits at the different sub-points that would draw up souls from the afterlife, adding a desperate prayer in each pen stroke that I evoke the right thing and not something unwelcome. I had to steady my hand as I did this, reminding myself that this was merely a human soul who was recently killed, so the chances of him having ended up in hell – was he that kind of person? – were slim; they had to be, of course they were; there was no need to panic so stop panicking. Yet knowing I was drawing the same symbols, the same webs, lighting the same candles as the deadly evokers around town who would break into people’s houses and draw evocation circles under their beds to call up who-knows-what from the pits of hell to torment the living…to think I was drawing the same circle that I checked for every night when I went to sleep…

The pen snapped in my shaking hand against the concrete, getting ink all over my hand. I swore, and rubbed some on my finger tip so I could start to finish the circle.

“What the hell are you doing, kid?!” someone cried, making me jump. “You’re tampering with evidence! That’s illegal!”

“You’re gonna screw up the investigation!” someone else shouted.

I steadied myself from being startled.

“This…this is the investigation,” I replied bluntly.

“Wh–okay…? Are you a detective or something?” the first guy asked.

I shrugged.

“I think so,” I said.

“You think-”

I could hear further shouts from the crowd as I turned the body over to draw the rest of the circle underneath, but I held up my hand to stop them from getting closer.

“Just let me work!” I cried without looking back.

That’s when I noticed some of the rapidly-decaying skin near the shoulder and side of the ankles. The skin had withered and given way to bone, the effect cutting through flesh and muscle. Even the bone had begun to decay.

Well, so much for minimal damage.

I unzipped the victim’s jacket and pulled back the shirt just slightly to get a better look at the damage. The withering had spread further—the entire shoulder seemed about ready to decay. I took a camera out of my bag and took a picture of the decaying wounds.

With the remaining ink, I drew another sigil on the bandage of my injured hand, a heart-shaped eye-like symbol with two lines running up my index and middle finger. It was a painful process and I was just careful enough to have the pen not tear through the bandage, and I placed my shaking hand on the decaying shoulder and closed my eyes. I saw all of the injuries on the man’s body, including where he had been injured–he had a broken arm that had almost finished recovering, and a fractured foot that was also healing, but wasn’t as near completion as his arms. Either way, both of these had stopped healing, and had actually gotten worse, with the bones beginning to decay in both areas.

What was the point of beating people up, breaking them, letting them decay, and then expecting them to join you after you had broken them? My attackers probably went through the same thing as this man had–as I had, if this cult was larger than them. So why do the same thing to others?

But that was just it, though, wasn’t it?

They knew what it was like to be soulless, and only they knew not only how to recover from the injuries suffered, but how to disguise themselves as living to avoid trouble with the law.

I looked again at the bandages on my hand, and unraveled it slightly, careful not to let the crowd see. There, too, did my flesh begin to decay. This was the primary issue with not having a soul: without the very essence that gives us life, our bodies aren’t capable of self-healing anymore. Any injuries are permanent unless fixed by a doctor, or if we tend our own wounds.

Fortunately my bones—at least in my hand—hadn’t completely withered away. I managed to revive just in time, fortunately.

Just in time.

——

I don’t remember much about the day I woke up. Just the excruciating, aching pain.

What I did know was I had washed up on the shore of the city, and I couldn’t stand up for a very long time. A burning sensation enveloped my entire hand and knee, and I felt a throbbing sensation in both areas. The bruises from the beatdown stuck on me like a leech, but most vividly, my chest felt hollow. And it hurt. The emptiness gnawed at the inside of my chest, and it, too, burned and ached. Like a stomach ache in the wrong place.

With my good hand I crawled my way off of the shore until I found a lamppost. I grabbed onto it, and propped up my good knee. I swung my arm toward the lamppost, grabbing onto it with my bad hand, shocks of pain running through my body. I tried to haul myself up, but the weight of my body caved my knee in, and I collapsed. That’s when I got a good look at my hand.

Bits of skin had completely come off, seeming to have withered away. Pieces of bone underneath had chipped off.

I grew nauseous and I felt the blood drain from my face. I let out some inhuman noise that I reckoned was some attempt at a scream but came out as a cross between that and a moan of agony.

How had this happened?

It was a horrible sound, but at least I had been found. Otherwise, who knows what would’ve happened?

Or who else would’ve found me?

——

Finishing the circle grew tricky as my hand trembled, though I was unsure if it was from the injury or from the reality of the process itself.

“Kid, we don’t even know who you are,” the guy from earlier said. “Are you even a licensed detective?”

I ignored him and wiped some of the ink from my pen on my hand, pressing my hands together to activate the circle. As the soul fire candles flared, what little color was left in their eyes drained slowly, and a small, glowing, deteriorated wisp of a soul rose out of the victim’s body.

This was all that was left…

Somehow this dead man was just the same as I, who could still breath, still walk, still talk, still live—but only just.

What had this man’s soul seen before it was decimated? If, in fact, the same people who killed me are responsible for this, did he, too, see the same grinning face in the abyss that I had? Was he as afraid as I was? Or did he accept this as death?

I took my mage’s license out of my pocket and showed it to the crowd.

“I’m a licensed magic user,” I said, “is that enough?”

“…that’s not a detective license,” the same guy said. “I’m calling the police.”

“Great!” I said. “Tell them the Brotherhood of Abyss Walkers did this.” At this point it was all but confirmed.

“The…what?”

“The cult that keeps tormenting this forsaken town,” I explained. “The one behind all the unexplained murders.”

The guy—along with the rest of the crowd—stifled a laugh. Some of them couldn’t hold it in.

“There’s no cult in New Lumanore,” someone else said. “Our security’s airtight; no way they would’ve been able to form a guild without a license.”

“Just call the authorities, Aaron,” a lady in the crowd said. “This kid isn’t worth persuading.”

“W-wait-“ I said before letting out a resigned sigh. I packed up the candles and pocketed my pen, and took off. I knew who the culprit was. What the police had to say didn’t bother me.

They’ll believe me when I put the culprit behind bars.

—————

In previous investigations I managed to pin down the general area where the Abyss Walkers operate. Prior murders took place at least within a mile’s range of Eclipse Avenue, an area further south of New Lumanore. It was a relatively quiet and empty area; there were quite a bit of shops and buildings of unknown function that no one ever seemed to go into, not even during the day.

The entire place screamed occult activity.

Sure enough, just as I hit the corner of the avenue I caught a glimpse of a Moonlight Shroud charm, pinned to the outwear of a hooded figure. They were walking along the other side of the street, hanging close to the bare wall of a wide building.

Once they were some distance along I crossed the street quickly and began tailing them.

Confrontation wasn’t new to me, just…unfavorable. Is that why I trembled? Either way I knew the procedure: Walk with the same beat. Same path, same pattern of step. Stop when he stops. Walk like this until the shadow is close enough for contact.

Once I did I took out a capsule from my coat. It contained shadow ink, allowing me to either create my own shadow, or to hide within someone else’s. I didn’t have enough of a soul to perform any magical feats on my own–whatever I could do would probably just come out as sparks–so this was the best I could work with. Unfortunately the capsule was nearly empty, and I made a mental note to contact my supplier after I was finished. In the meantime, I used what was left to lather my hand in ink as I silently crept behind the lone cultist, and pressed my hand against his shadow. I latched on and eventually got pulled in. Inside the shadow realm, I had a black-and-white view of the street from inside the wall. I couldn’t breathe, though, and I couldn’t hold my breath for very long so I knew I had to jump him sooner rather than later.

I took a coin out of my pocket and tossed it outside behind the cultist. He stopped and turned around, as expected, and I took the moment to lunge out and grab him by the throat.

—————

The cultist narrowed his eyes, and an amused smirk came on his face.

“Hey…” he said. “I know you.”

I flinched. How?

He kicked me off and stood up.

“You…you’re the kid we got that book from!” He chuckled. “You don’t quit, do you? This is really what you chose to do after death? Vigilante work?”

I felt the blood drained from my face.

“…what are you talking about?” I lied. “What book?”

“The demonology book, stupid,” he said. “The thing damning you to begin with. You forgot already? Or did you lose your memories alongside almost all your soul somehow?”

I clenched my fist, resisting the urge to charge at him again. I couldn’t take him in a head-on fight. I was too weak for that.

“Tell me,” he said. “How’s it feel? Being so close to freedom, so close to ridding yourself of that moral creed weighing you down…no fear of rapture…just your life and your…well, I suppose now broken…body, and your heart and mind.”

“Shut up,” I snapped.

“Good thing you came back, though. We’ve been slacking on our initiations recently…Ardent went a little too hard on too many people. We’re behind on our quota.”

“Wait a sec…” I took a step back. “What do you mean ‘too hard?’ Aren’t they supposed to come back?”

“The idiot decided to use magic to slow the initiates down,” the cultist explained. “As if that wouldn’t damage the soul at all. I’m sure you of all people know. You’ve taken enough beatings form him, right, D–“

I punched him in the face. The second I made contact I realized I had used my bad hand without thinking. Bone snapped, collapsed, and even shifted through the hole in my hand. I let out a far-too-loud shriek of agony as I recoiled and caressed my hand, trying to relocate the bone.

The cultist looked at me and laughed, and I raised a finger on my good hand and threatened him:

“Don’t try that again,” I said. “I’ve still got one—ahh…—perfectly functioning hand.”

“Fine by me,” he replied. “You hit hard for a dead person…”

My hand still ached from the punch. I imagine it probably hurt me way more than it hurt him.

“Do you mean to turn me in, Shroud?” the cultist hissed. “Just try it. I know who you are. They’ll find out you’re undead and investigate you to hell and back. Whatever decimal of a soul you have left won’t save you. Not even close.”

“I can’t trust you with that information even if I let you go,” I said. “But even if you do…I’ll know sooner or later if you’ve said something. You best not try it if you don’t wanna die twice.”

The cultist grinned.

“I’m shaking,” he said, deadpan. “I’ll just come back again.”

“What, are there no revival limits in your little group?”

“Nope. He’ll bring us back again and again as long as he needs us.”

“That sounds terrible.”

“Oh, you’ve only been resurrected once, you big baby,” the cultist said. “You’ll get used to it.”

“I’m not joining you.”

“You have no reason not to,” the cultist said. “We can fix your broken body; make you look and seem as alive as the next person. Those remnants of a soul may not matter to the police, who’ll mark you as soulless anyway, but you know who it does matter to?” He pointed at the sky and at the group. “Them. Someone like you, who’s spent hours learning about heaven’s enemies…you think you have any chance of reaching heaven? HA!”

I fell silent. Just when I thought being registered as ‘dead’ to everyone you know meant they wouldn’t bother you about being a (rookie) demonologist anymore. That reminder worked my last nerve, yet every time it was brought up I could never muster up a proper defense.

“…I’m aware,” I mumbled.

“Besides, I’m sure you’re just livid at the police, who never caught who got you. I’m sure you’d like your vengeance against them for failing you…we can help you out with that, if you’d like. After all, why should we fear death, or judgement, from this life or the next? Like I’ve said, we’ve got no soul to weigh us down to heaven or hell. No death, no judgment. Just you, whatever you wanna do, and a welcoming oblivion who’ll spit you back out as many times as needed. As long as you keep it fed, that is.”

“It doesn’t matter if the police know or if they don’t know,” I said. “I know. And I’ll know more than they ever will. Besides, why the hell would I trust you to give me closure about my death–the death YOU caused?!”

The cultist frowned.

“And that’s just the trouble, isn’t it…you’re just about soulless, and the only soulless person New Lumanore who isn’t with us and…for what? You lose nothing by joining us!”

“First of all,” I shouted. “I am not soulless. Your stupid demon didn’t take all of it.”

“Yeah. Still not sure why that happened,” the cultist replied, “but who am I to question the great abyss–”

“Oh, shut up. And second of all–just in case you forgot–YOU KILLED ME! I don’t owe you loyalty, or gratitude, or mercy…I owe you nothing.”

“You may be upset now,” the cultist said, “but you’ll learn to thank us later.”

“I will not.”

His frown turned into a scowl. He took out a small cylinder from his pocket.

“I was gonna use this the day of the attack,” he said, “but I didn’t see any point. Seemed like the others were doing just fine without the staff.”

Sure enough, the cylinder popped open into a metal bo-staff. He walked towards me, twirling it through his fingers.

“You’ve been chasing the wrong thing, Shroud,” he said. “You think you need vengeance, but what you really need is security. We all know what being soulless is like. You’re weaker, you can’t heal your wounds, you can’t do magic, and it’s pretty obvious when you’ve just come back from the dead. I don’t care what three-percent of a soul you do have; it’s nowhere near enough for you to enjoy all the privileges of being fully human. Face it. You’re basically the same as us.”

As I stepped back, he stopped spinning the staff and instead gripped it with both hands.

“So you can either let go of those remnants you have the audacity to still call a soul, then come with us and let us give you the safety you so desperately need,” he said, rearing the staff back, “…or we’ll just break you further and let oblivion do what it wishes with your remains.”

He started to bring the staff down.

“WAIT!” I yelled, bringing my hands to my face.

Surprisingly enough, he actually froze, the staff a couple inches from my face.

“Okay…I get it…” I said. “You’re right. I won’t turn you in. Just…promise me you won’t tell anyone who I am.”

“What’s stopping me?” the cultist asked, cocking his head slightly and raising an eyebrow.

“Look. I didn’t turn you in,” I said. “You owe me.”

“No I don’t. I’m not tied to anything but oblivion.”

I let out an annoyed huff.

“Like I said. I’ll know if you exposed me,” I reminded him. “I don’t care if that scares you or not, just…let me go.”

“Let YOU go?! You jumped ME!”

“And I had—I…thought…I had the right to. Look…I’m backing down. You go about your night. I go about mine. We don’t speak of this.”

The cultist hesitated, then put the staff away.

“Fine,” he said. “But we’ll still come back for you. Whether or not your initiation goes smoothly is entirely on you.”

With that, he pulled out the same charm he had on the day of the attack, and vanished.

“See you around,” he said.

That was the last I heard of him that night.

Once I thought I was safe, I let out a loud groan of annoyance.

I had him. He was literally a few feet away. If I *just* had more shadow ink that would’ve been it for him.

But…he was right. I was at every possible disadvantage. And I couldn’t work like that. I shouldn’t have jumped him. I should’ve just taken note of his appearance and went from there. That was foolish on my part.

But…I did have his appearance now.

But he had my identity.

I still wasn’t at a complete advantage. And I couldn’t work like that. I had to lay low, and rebuild. My hand was wounded and I was lucky I didn’t get my skull bashed in. There was no way I could have recovered from that. But I wouldn’t give up. I had a lead and I wasn’t letting go of it.

I didn’t care about their ‘freedom’ or ‘not being tied down’ or anything like that. Fact of the matter is, they were hurting people, and their demon lord had more control over them than they’d realize.

They were beyond redemption. The demon didn’t bind them through any soul manipulation or contract–it was some weird combination of free will, gratitude, and the threat of permanent death.

These cultists had to go, and quickly. They had to pay, and dearly.

I know I’m weak, but once I’m back up and running I would do as much damage from the shadows as humanly possible.

They weren’t bound by any rules, so why should I have to be?

I didn’t care how many times I would get hurt. They ruined my life, and I was going to pay them back tenfold.

#original story #fiction story #creative writing #dark fantasy #urban fantasy #violence cw #death cw #cult cw #death tw #violence tw #cult tw

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stephenmccull · 3 years

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How ERs Fail Patients With Addiction: One Patient’s Tragic Death

Jameson Rybak tried to quit using opioids nearly a dozen times within five years. Each time, he’d wait out the vomiting, sweating and chills from withdrawal in his bedroom.

It was difficult to watch, said his mother, Suzanne Rybak, but she admired his persistence.

On March 11, 2020, though, Suzanne grew worried. Jameson, 30 at the time, was slipping in and out of consciousness and saying he couldn’t move his hands.

By 11 p.m., she decided to take him to the emergency room at McLeod Regional Medical Center in Florence, South Carolina. The staff there gave Jameson fluids through an IV to rehydrate, medication to decrease his nausea and potassium supplements to stop his muscle spasms, according to Suzanne and a letter the hospital’s administrator later sent her.

But when they recommended admitting him to monitor and manage the withdrawal symptoms, Jameson said no. He’d lost his job the previous month and, with it, his health insurance.

“He kept saying, ‘I can’t afford this,’” Suzanne recalled, and “not one person [at the hospital] indicated that my son would have had some financial options.”

Suzanne doesn’t remember any mention of the hospital’s financial assistance policy or payment plans, she said. Nor does she remember any discussions of providing Jameson medication to treat opioid use disorder or connecting him to addiction-specialty providers, she said.

“No referrals, no phone numbers, no follow-up information,” she later wrote in a complaint letter to the hospital.

Instead, ER staff provided a form saying Jameson was leaving against medical advice. He signed and Suzanne witnessed.

Three months later, Jameson Rybak died of an overdose in his childhood bedroom.

Missed Opportunities

That March night in the emergency room, Jameson Rybak had fallen victim to two huge gaps in the U.S. health care system: a paucity of addiction treatment and high medical costs. The two issues — distinct but often intertwined — can come to a head in the ER, where patients and families desperate for addiction treatment often arrive, only to find the facility may not be equipped to deal with substance use. Or, even if they are, the treatment is prohibitively expensive.

Academic and medical experts say patients like Jameson represent a series of missed opportunities — both medical and financial.

“The emergency department is like a door, a really important door patients are walking through for identification of those who might need help,” said Marla Oros, a registered nurse and president of the Mosaic Group, a Maryland-based consulting firm that has worked with more than 50 hospitals nationwide to increase addiction treatment services. “We’re losing so many patients that could be identified and helped,” she said, speaking generally.

A spokesperson for McLeod Regional Medical Center, where Jameson went for care, said they would not comment on an individual’s case and declined to answer a detailed list of questions about the hospital’s ER and financial assistance policies. But in a statement, the hospital’s parent company, McLeod Health, noted that the hospital adhered to federal laws requiring that hospital ERs provide “immediate stabilizing care” for all patients, regardless of their ability to pay.

“Our hospitals attempt to manage the acute symptoms, but we do not treat chronic, underlying addiction,” the statement added.

Suzanne said her son needed more than stabilization. He needed immediate help breaking the cycle of addiction.

Jameson had been in and out of treatment for five years, ever since a friend suggested he try opioids to manage his anxiety and insomnia. He had insurance through his jobs in the hotel industry and later as an electrical technician, Suzanne said. But the high-deductible plans often left him paying out-of-pocket: $3,000 for a seven-day rehab stay, $400 for a brief counseling session and a prescription of Suboxone, a medication to treat opioid use disorder.

After he lost his job in February 2020, Jameson tried again to detox at home, Suzanne said. That’s what led to the ER trip.

Treating Addiction in the ER

Hospital ERs across the nation have become ground zero for patients struggling with addiction.

A seminal study published in 2015 by researchers at Yale School of Medicine found that giving patients medication to treat opioid use disorder in the ER doubled their chances of being in treatment a month later, compared with those who were given only referrals to addiction treatment.

Yet providing that medication is still not standard practice. A 2017 survey found just 5% of emergency medicine physicians said their department provided medications for opioid use disorder. Instead, many ERs continue to discharge these patients, often with a list of phone numbers for addiction clinics.

Jameson didn’t even get that, Suzanne said. At McLeod Regional, he was not seen by a psychiatrist or addiction specialist and did not get a prescription for Suboxone or even a referral, she said.

After Jameson’s death, Suzanne wrote to the hospital: “Can you explain to me, especially with the drug crisis in this country, how the ER was not equipped with personnel and/or any follow-up for treatment?”

Hospital administrator Will McLeod responded to Suzanne, in a letter she shared with KHN, that per Jameson’s medical record he’d been evaluated appropriately and that his withdrawal symptoms had been treated. Jameson declined to be admitted to the hospital, the letter said, and could not be involuntarily committed, as he “was not an imminent danger to himself or others.”

“Had he been admitted to our hospital that day, he would have been assigned to social workers and case managers who could have assisted with referrals, support, and follow-up treatment,” McLeod wrote.

Nationwide, hospitals are working to ramp up the availability of addiction services in the ER. In South Carolina, a state-funded program through the Medical University of South Carolina and the consulting firm Mosaic Group aims to help hospitals create a standardized system to screen patients for addiction, employ individuals who are in recovery to work with those patients and offer medication for opioid use disorder in the ER.

The initiative had worked with seven ERs as of June. It was in discussions to work with McLeod Regional hospital too, program staffers said. However, the hospital backed out.

The hospital declined to comment on its decision.

ER staffs around the country often lack the personnel to launch initiatives or learn about initiating addiction treatment. Sometimes affordable referral options are limited in the area. Even when the initial prescribing does occur, cost can be a problem, since Suboxone and its generic equivalent range in price from $50 to over $500 per prescription, without insurance.

In South Carolina, which has not expanded Medicaid, nearly 11% of the population is uninsured. Among patients in the state’s program who have been started on medications for opioid use disorder in ERs, about 75% are uninsured, said Dr. Lindsey Jennings, an emergency medicine physician at MUSC who works on the statewide initiative.

Other parts of the country face similar concerns, said Dr. Alister Martin, an emergency medicine physician who heads a national campaign to encourage the use of these medications in the ER. In Texas, for example, hundreds of doctors have gotten certified to provide the medications, he said, but many patients are uninsured and can’t pay for their prescriptions.

“You can’t make it effective if people can’t afford it,” Martin said.

Too Late for Charity Care

Throughout the night at McLeod Regional hospital’s ER, Jameson worried about cost, Suzanne said.

She wanted to help, but Jameson’s father and younger brother had recently lost their jobs, and the household was running on her salary as a public school librarian.

Suzanne didn’t know that nonprofit hospitals, like McLeod, are required by the federal government to have financial assistance policies, which lower or eliminate bills for people without the resources to pay. Often called charity care, this assistance is a condition for nonprofit hospitals to maintain their tax-exempt status.

But “nonprofits are actually doing less charity care than for-profits,” said Ge Bai, an associate professor at Johns Hopkins University who published a study this year on the level of charity care provided by different hospitals.

That’s in part because they have wide leeway to determine who qualifies and often don’t tell patients they may be eligible, despite federal requirements that nonprofit hospitals “widely publicize” their financial assistance policies, including on billing statements and in “conspicuous public displays” in the hospital. One study found that only 50% of hospitals regularly notified patients about eligibility for charity care before initiating debt collection.

McLeod Regional’s most recent publicly available tax return states that “uninsured patients are screened at the time of registration” and if they’re unable to pay and ineligible for governmental insurance, they’re given an application.

Suzanne said she doesn’t remember Jameson or herself receiving an application. The hospital declined to comment on the Rybaks’ case and whether it provides “conspicuous public displays” of financial assistance.

“Not once did anybody tell us, ‘Let’s get a financial person down here,’ or ‘There are grant programs,’” Suzanne said.

Mark Rukavina, with the nonprofit health advocacy group Community Catalyst, said most hospitals comply with the letter of the law in publicizing their assistance policy. But “how effective some of that messaging is may be a question,” he said. Some hospitals may bury the policy in a dense packet of other information or use signs with vague language.

A KHN investigation in 2019 found that, nationwide, 45% of nonprofit hospital organizations were routinely sending medical bills to patients whose incomes were low enough to qualify for charity care. McLeod Regional hospital reported $1.77 million of debt from sending bills to such patients, which ended up going unpaid, for the fiscal year ending in 2019.

Believing they couldn’t afford in-patient admission, the Rybaks left the hospital that night.

After the ER

Afterward, Jameson’s withdrawal symptoms passed, Suzanne said. He spent time golfing with his younger brother. Although his application for unemployment benefits was denied, he managed to defer payments on his car and school loans, she said.

But, inside, he must have been struggling, Suzanne now realizes.

Throughout the pandemic, many people with substance use disorder reported feeling isolated and relapsing. Overdose deaths rose nationwide.

On the morning of June 9, 2020, Suzanne opened the door to Jameson’s room and found him on the floor. The coroner determined he had died of an overdose. The family later scattered his ashes on Myrtle Beach — Jameson’s favorite place, Suzanne said.

In the months following Jameson’s death, hospital bills for his night in the ER arrived at the house. He owed $4,928, they said. Suzanne wrote to the hospital that her son was dead but received yet another bill addressed to him after that.

She shredded it and mailed the pieces to the hospital, along with a copy of Jameson’s death certificate.

Twelve days later, the health system wrote to her that the bill had been resolved under its charity care program.

Bill of the Month is a crowdsourced investigation by KHN and NPR that dissects and explains medical bills. Do you have an interesting medical bill you want to share with us? Tell us about it!

KHN (Kaiser Health News) is a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at KFF (Kaiser Family Foundation). KFF is an endowed nonprofit organization providing information on health issues to the nation.

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gordonwilliamsweb · 3 years