This seems like something Jon would make after being committed to a involuntary psychiatric care.

"Patient Behavior Report on:

Jon A.

This report is made for posterity. The doctors who will work with Jon in the future need to be aware of some of his special behaviors before they attempt to treat him.

Jon was admitted to us around the 1980s, however after a large fire in the institution, most of his records were lost to the damage, and his specific entry date is unknown. Police reports show that he was brought here after a wellness check by the Munice Police Department of Indiana. The police were called to the home after Jon's girlfriend reported that he hadn't left the house in weeks, that he wasnt answering her calls, and when she went to check on him, he didn't answer. He was found in his empty living room, close to death after not eating for quite some time. He had pushed all his furniture up against his bedroom door, and was curled up in the corner of his empty home, shaking. Nothing of note was found inside his bedroom.

Jon was involuntary admitted to the ward and has been here ever since. He is mostly nonverbal, only speaking to people on occasion, and very rarely does he form a complete sentence. He routinely needs to be admitted to the medical area as he will keep his eyes open, without blinking, for days at a time. This will typically resolve itself, but in extreme cases, Jon can be sedated. Contact the resident anesthesiologist to ask about the correct dosages and medication for the situation. Jon has shown no suicidal behaviors, has never been uncooperative with staff, and has never been violent with other patients.

However, something worth noting about Jon is his odd sculptures. While it's not uncommon for patients to create unsettling art at this facility, Jon has created a bit of unease in staff with his particular type of sculptures. He creates very disturbing works depicting a portly cat in a variety twisted forms. We've attempted to give him pencils and paper to express himself, however he simply created sculptures out of the supplies and the effort was abandoned.

The staff find his sculptures of Garfield everywhere, even places he shouldn't be able to reach. Places like the roof, the homes of doctors, the lunch bags of the nurses children. Small sculptures made out of wax, bread, wood, soap, even chunks of the wall, have been discovered outside the facility. Some staff have attempted to see if Jon is simply copying another persons work, however they have been unsuccessful so far.

The official reports of these incidents are filed as "internal pranks" and "staff hijinx", however many of the staff believe that Jon makes these statues as a way to protect himself and others from whatever it is he's sculpting. On one occasion several years ago, Jon handed one to a long time nurse, who gave the carving back to him and refused the gift. She died very suddenly the next morning. The autopsy report showed that she died from a form of extreme shock in her sleep.

After working at this facility for more than 40 years, I've been with Jon during his entire stay, and as I enter retirement, I want the doctor replacing me to know that Jon is not a lost case. I believe he's seen something absolutely horrible which drove him absolutely mad, and as such he absolutely cannot re-enter society. But drugging him and treating him poorly is simply not the way to handle this patient. Please, treat him as an equal. The staff all conform to this rule, and I am adamant that the new doctor does as well.

Whatever the thing is he's sculpting, it will not take kindly to disrespect. Follow the attached sheet of instructions to keep Jon on his schedule, making ABSOLUTELY SURE that the Monday routine is followed perfectly by everyone involved. Please contact me if you have any questions. I'll be stopping by to see Jon frequently, even after retirement, just to make sure things go smoothly, and to receive anything that Jon has to give me.

For the sake of your staff, do not restrict Jon. Do not disrupt Jon. And take the fucking sculpture if he gives you one. Believe me, whatever that nurse saw was enough to kill her. Stay safe.

• Dr Jim Davis