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The
Big
Nurse
tests
a
needle
against
her
fingertip
.
"
I
'm
afraid
"
--
she
stabs
the
needle
down
in
the
rubber-capped
vial
and
lifts
the
plunger
--
"
that
is
exactly
what
the
new
patient
is
planning
:
to
take
over
.
He
is
what
we
call
a
'
manipulator
,
'
Miss
Flinn
,
a
man
who
will
use
everyone
and
everything
to
his
own
ends
.
"
"
Oh
.
But
.
I
mean
,
in
a
mental
hospital
?
What
could
his
ends
be
?
"
"
Any
number
of
things
.
"
She
's
calm
,
smiling
,
lost
in
the
work
of
loading
the
needles
.
"
Comfort
and
an
easy
life
,
for
instance
;
the
feeling
of
power
and
respect
,
perhaps
;
monetary
gain
--
perhaps
all
of
these
things
.
Sometimes
a
manipulator
's
own
ends
are
simply
the
actual
disruption
of
the
ward
for
the
sake
of
disruption
.
There
are
such
people
in
our
society
.
A
manipulator
can
influence
the
other
patients
and
disrupt
them
to
such
an
extent
that
it
may
take
months
to
get
everything
running
smooth
once
more
.
With
the
present
permissive
philosophy
in
mental
hospitals
,
it
's
easy
for
them
to
get
away
with
it
.
Some
years
back
it
was
quite
different
.
I
recall
some
years
back
we
had
a
man
,
a
Mr.
Taber
,
on
the
ward
,
and
he
was
an
intolerable
Ward
Manipulator
.
For
a
while
.
"
She
looks
up
from
her
work
,
needle
half
filled
in
front
of
her
face
like
a
little
wand
.
Her
eyes
get
far-off
and
pleased
with
the
memory
.
"
Mistur
Tay-bur
,
"
she
says
.
"
But
,
gee
,
"
the
other
nurse
says
,
"
what
on
earth
would
make
a
man
want
to
do
something
like
disrupt
the
ward
for
,
Miss
Ratched
?
What
possible
motive
...
?
"
She
cuts
the
little
nurse
off
by
jabbing
the
needle
back
into
the
vial
's
rubber
top
,
fills
it
,
jerks
it
out
,
and
lays
it
on
the
tray
.
I
watch
her
hand
reach
for
another
empty
needle
,
watch
it
dart
out
,
hinge
over
it
,
drop
.
"
You
seem
to
forget
,
Miss
Flinn
,
that
this
is
an
institution
for
the
insane
.
"
The
Big
Nurse
tends
to
get
real
put
out
if
something
keeps
her
outfit
from
running
like
a
smooth
,
accurate
,
precision-made
machine
.
The
slightest
thing
messy
or
out
of
kilter
or
in
the
way
ties
her
into
a
little
white
knot
of
tight-smiled
fury
.
She
walks
around
with
that
same
doll
smile
crimped
between
her
chin
and
her
nose
and
that
same
calm
whir
coming
from
her
eyes
,
but
down
inside
of
her
she
's
tense
as
steel
.
I
know
,
I
can
feel
it
.
And
she
do
n't
relax
a
hair
till
she
gets
the
nuisance
attended
to
--
what
she
calls
"
adjusted
to
surroundings
.
"
Under
her
rule
the
ward
Inside
is
almost
completely
adjusted
to
surroundings
.
But
the
thing
is
she
ca
n't
be
on
the
ward
all
the
time
.
She
's
got
to
spend
some
time
Outside
.
So
she
works
with
an
eye
to
adjusting
the
Outside
world
too
.
Working
alongside
others
like
her
who
I
call
the
"
Combine
,
"
which
is
a
huge
organization
that
aims
to
adjust
the
Outside
as
well
as
she
has
the
Inside
,
has
made
her
a
real
veteran
at
adjusting
things
.
She
was
already
the
Big
Nurse
in
the
old
place
when
I
came
in
from
the
Outside
so
long
back
,
and
she
'd
been
dedicating
herself
to
adjustment
for
God
knows
how
long
.
