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Fieldnotes (Bellevue Hospital)

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Fieldnotes No. 5 (3/3/10): Care, Control, and Vision: Medical Structures of Sentiment (Bellevue Hospital)- 28th Street, Main Lobby, Secondary Lobby, Prayer Room, Back of Bellevue 1:55 PM-4:05 PM

Mind to Hand Mapping of the Bellevue and Periphery

Link to map: here.

6 Train to 28th Street Stop: Feeder Route Into the “Eye” (Main Lobby) of Bellevue 1:55 PM

Notes: I want to trace the feeder street (E. 28th) into the “Eye” of the Bellevue, mapping the approach on the street which runs perpendicular to the main lobby (from now on referred to as the “Eye”) of the Bellevue.  Slicing off of 1st Avenue, heading straight into the Bellevue, what are the ways that people can enter the space of the Bellevue? How can people walk there, what are the differing avenues by which people come upon this space? Through parks, past churches, within closed spaces of vehicles?

I feel like I am chipping away at the Bellevue, attempting to understand it from different angles. Connections are being made but I am unconscious of what they are at this time–I have yet to feel a whole picture come to light–I chip away from different physical angles in the hope of seeing differently.

The Approach: E. 28th Street and Park Avenue

FedEx, StoneyBrook, ConEdison building covered in pink and black tiles. Park South Hotel at 124 E. 28th Street, across from it a parking garage and the parking attendant and others passing by watch me as I jot this down. I wonder why I am doing this, how noting specific buildings is going to help me get a sense for the environment through which people wade in approaching the “Eye” of the Bellevue.

The Approach: Lexington and E. 28th Street

Little Michael Corner Deli and Grocery store at 118 E. 28th Street. AY Kitchen across the street, Haandi Pakistani, Indian and Bangladesh restaurant nearby. In the span of one block, three people are caught talking to themselves. The Bellevue is not far. Ajunta Travel Service, Curry in a Hurry. Little India presents itself to me in a myriad of small, hole-in-the-wall shops and bodegas and I continue searching for some meaning that separates E. 28th street from all the other streets in NYC. How will this street tell me anything different? Why focus here as a “feeder street” into the Bellevue rather than 1st Ave?

The Approach: Between Lexington and 3rd Ave.

Bollywood Corner and Bollywood Grocery next to Coup de Couer. Across the street sits Epiphany School, founded in 1888. On a soiled blue and yellow flag waving in the winds on E. 28th is written, “The Epiphany School: A Tradition in Excellence”. It’s architecture is reminiscent of the Old Psych Ward, angels carved in brown stone leer at me over shields and feathered leaves. Next door there is a Catholic Church, erected around the same time period. I wonder if these are sisters to the Bellevue knowing that education, church and madness are never far apart and note a few dates of interest from Wikipedia:

  • 1879: A pavilion for the insane is erected within hospital grounds—an approach considered revolutionary at the time.
  • 1883: Bellevue initiates a residency training program that is still the model for surgical training worldwide.
  • 1884: The Carnegie Laboratory, the nation’s first pathology and bacteriology laboratory, is founded at Bellevue.
  • 1888: The first American nursing school for men is established.
  • 1889: Bellevue physicians are first to report that tuberculosis is a preventable disease.
  • 1892: Bellevue establishes a dedicated unit for alcoholics.

The church next to the Epiphany School has a cross which is etched into the corner stone of the aged building. The stones are painted sky blue, an odd pairing with the mold and grime-encrusted red stones just above. It is a Roman Catholic Church and the sign outside says, “Our Lady of the Scapular and St. Stephens”. There are tarot card readings next door, Thai NY next to that and a Friends Shoe Repair and Tailor aside the 3rd Avenue Quick Stop. An older woman in tattered clothing slaps a yellow cab with the brunt of her cane asking for change. Awaiting the light, the cabbie calmly practices an air of indifference and she grunts and moves on as the light changes and he drives forward. Again I wonder what it is that I am looking for. A parade of crazy people, remnants of the lasting effects of the Bellevue psych ward? I begin to wonder if it is true that many of the old patients of the Bellevue remain in the vicinity of the site of their incarceration and if it is true, what this means? E. 28th Street is a lens through which the Bellevue will be approached.

The Approach: Between 3rd Ave. and 2nd Ave.

The Rosehill Apartment complex, Chesapeake House across the street. I am in the residential areas now filled with apartment complexes and parks. On my left, the Self Realization Center with its gold leaf signage rises, constructed in 1893, not long before the tuberculosis outbreak where the Bellevue was thrown into overtime. Euro Beauty: Men, Women and Unisex and Aurora’s Bead and Jewelry, Basal Deli and Grocery on the corner of 2nd Ave and E. 28th Street.

The Approach: Between 2nd Ave. and 1st Ave.

Kips Bay Court 500.510.520 sits on the outer edges of 2nd and E. 28th. This is the entrance to the park, a buffer between the Bellevue and the wider NYC. Between Kips Bay and other apartment complexes there is a wide, gray-stoned path, each mass-produced brick interlocking with those around it. The plants lining the path are deadened, the tree branches from the aged trees above rattle against one another. I walk down the path, camera in hand and stop to take a few shots of the apartment complexes and the park. An older woman with orange and brown hair pushing a green laundry cart stops at the sight of my camera. She looks trapped and slightly perturbed and graces the presence of the lower section of my photograph. I finish, lower my camera and she shakes her head as if admonishing me for slyly taking her picture. I want to tell her that it was not her that I was focused on but I do not and instead simply walk past. She is gone and I continue walking down the rolling hill towards the Bellevue.

The Approach: Mount Carmel Plaza and E. 28th Street

The Mt. Carmel Plaza cordons off the section of land directly in front of the Bellevue “Eye”: 344 E. 28th Street. This is property of NYC Housing Authority, a towering 15-20 floors of apartment buildings carved in dark red and black brick. At its base, the barren grounds of tiered garden beds lined with railroad ties sit idly by, a soiled and torn American flag flapping in the winter winds and facing the “Eye” of the Bellevue. I wonder if these gardens are ever used and if so, by whom? I wonder who lives here, watching the Bellevue, being watched by the “Eye”. Are they past or present patients, shuffling through a halfway house on their road to the “real” world or are they simply residents, not unlike any other residents marking the streets of NYC and beyond?

I look up from the barren grounds to the “Eye” beyond. The outer facade is constructed of iron “curtain” and slabs of rectangular, clear glass in a manner quite similar to that of a 50′s office building. Many of the blinds are open to 1st Ave. Inside stand the doctors, the patients, the blood pressure gauges hanging on the walls, the patient chairs wrapped tightly in bright, white butcher paper, the doctor’s and nurse’s tools in stainless steel containers. The blinds on 90% of the facade to the modern wing are open and I wonder if this is an attempt to make Bellevue’s practices transparent and visible?

I look down 1st Ave. and take in the parade of the “Eye”, the Old Psych Ward and the NYU “Ceter,” all sitting next to one another. I look up again at the windows on the “Eye” and take notice that none of them are tinted. Hanging on lampposts just outside the main entrance there are small blue signs with yellow and white writing and an NYPD crests that read, “Bellevue Celebrates Peace Officer Week”.

The “Eye”: Main Lobby, 2:39 PM

I enter the “Eye” and immediately begin searching for a seat from which I can observe the main lobby. Above the Au Bon Pain cafe in the corner, I notice for the first time that etched into the old building are the words, “Waiting Room” and laugh. I mill around, unable to find a seat and find it odd for me to simply stand for the only other people that are seemingly doing this are policemen and food delivery individuals, of which I am neither. I walk over to the the Au Bon Pain and buy a cup of coffee to attempt normalcy and gain legitimacy through finance and consumption. The police officers, one man and one woman are at the entrance to the “brain” of the Bellevue, blocking entrance to the “optic nerve” hallway. I approach and they stare at me. I feign a fake phone call, draw my cell phone from my pocket and begin a fake conversation to gain some sense of legitimacy, talking to this fictional person at great lengths about what section of the C ward they have been admitted to and how I would go about getting there. They both look away and begin talking to one another. I take the opportunity to memorize the Bellevue map as much as possible, the map precariously set between the police officers and the visitor’s desk which is manned by the Bellevue’s private security force. I continue my fake conversation, finding it comical and I think to myself that perhaps I need to be admitted to the psych ward. One more look to the police officers and the visitor’s desk and I walk through the “optic nerve” into the “brain,” searching for my long-sought C ward.

I traverse the “optic nerve”, see the adult emergency room, the stairs to the prayer rooms and the empty mural room straight ahead and turn left towards the secondary lobby. On my right, at a fold-out table, there sits a blond-haired woman dressed in a tight white suit in her late 40′s manning the HIV and blood pressure testing table. I note that in a place so marked by disease and deep, red blood, white seems to be the color most aptly used to deny that any such things exist in this space as if to say, “This is a place of sterility and cleanliness, far from the earth tones of feces or ruby-red blood.” I look up and see a sign that reveals that the C ward is down the hallway to my right. Too nervous to make the turn and feeling completely out of place, I continue straight to known lands, the secondary lobby where I had visited once before.

Secondary Lobby, 2:50 PM

I face the large, tinted, rectangular slabs of windows lined with iron beams and look outside to the blue parking structure, three stories high. I have stopped here and sat on the orange, modern, bean pod chairs to gain a sense of the space and calm my increasing sense of anxiety in roaming the Bellevue aimlessly. I look across the floor, notice the other section of the lobby which I have never visited before opposite the entrance doors and make my way to that location. The space is vast and empty and the 4′ by 4′ black, stone tiles, well-worn on the edges and curving into the grout, reflect the light from outside. In the middle of the entryway, dividing the two spaces of the secondary lobby, there sits a diamond-shaped art piece that rises up to the gray, bumpy ceiling above from the black tiles below. It is an odd piece, covered in shiny stones in a manner which bespeaks of a young child let loose with glitter and a bottle of glue. From the ceiling jut out sliced, cylindrical lights about 1′ in length that shoot countenanced beams to the floor below.

The oddity of this space by far is the shiny black piano which sits in the middle of the large black tile floor. Upon noticing this, the ghastly smell of a homeless person floats my way: stale urine, unwashed clothes and greased, unkempt hair. I look around me and cannot locate from where this smell might have come from for I am nearly alone in this space and I am unnerved. On the piano there is a sign which reads, “The auxiliary to the Bellevue Hospital thanks Pfizer, Inc. for its donation of the piano and furnishings in the hospital building lobby,” and then at the bottom in all caps, “KEEPING THE HUMANITY IN HEALTH CARE.” A piano cord lies loosely on top of the cover. It is well-polished but seemingly rarely used. I wonder who would use it anyway. Someone from the street? A doctor or nurse on their break? No, this piano seems rarely used but far from disrepair. It is blocked off from the rest of the space and the people by steel posts and cloth, guarded from use by physical barriers. I look over to the windows near the FDR expressway and see three NYPD police officers patrolling the street just outside the Bellevue. They look in and I briefly make eye contact with one of them.

Having built up the courage, I stand and walk back through the optic nerve of the Bellevue, turn left at the hallway entrance to the C ward and walk down. I project an air of confidence and legitimacy and come upon an elevator bank. A white woman with brown hair with highlights, a neatly-pressed red suit, lightly-dusted makeup and a kind face looks over to me and smiles. I smile back and take notice of the name tag she has on her coat lapel. She is a Bellevue employee, ostensibly someone that works in the very ward I am trying to get in to see. I say excuse me and tell her I am lost, that I am looking for the C ward because my friend, whom I call Daniel, was admitted to the psych ward recently and I am here to visit him. She seems to be in her early 60′s, and holds my arm as she speaks to me. “Well, if he was admitted, he is most likely in inpatient,” she says. “That’s not here you see. He’s most likely in building H.” I remember from the map that the H building is in the main hospital as well and includes inpatient care and a number of psych services. She tells me that I need to get a visitor’s pass in the main lobby, the “Eye”, walks with me down the hallway forgoing her elevator which dings in the background. She has taken her time and effort to make sure I am taken care of and know the way. I feel slightly bad and notice that what I have done has directed me away from the very ward I was interested in getting access to. I thank her and remain in the hallway around the corner, waiting for her to leave. I send texts to friends asking if they know of anyone admitted to the Bellevue and get nothing. I know I need someone to visit to get a visitor’s pass and place this firmly in the back of my mind.

I am at a loss of where to go next and see the prayer room sign on the wall in front of me. I climb the stairs, turn to my right and pass a strange art piece lining the wall. It seems to be a 9-11 memory wall and I find it slightly creepy. Opening the main doors to the prayer room corridor, I notice that to my left there is a synagogue. I turn to my right and head towards the Catholic prayer room. I know this space from movies and limited exposure and cross myself as I enter in case anyone else is in the room.

Catholic Prayer Room, 3:10 PM

I am the only one here and I take some pictures of my surroundings. It is completely quiet. Occasionally the elevators open and ding in the background. The occasional muffled chatter of people roll through the hallways, most of it coming from down the long hallway where the HR department is. A woman enters, sits and the benches creak. Her cell phone goes off and she mutters to herself, praying. The elevators ding readily now and I imagine waves of people coming in to pray. No one else enters and no one seems to exit the elevators. Next to the air vent I notice there is peeling paint on the wall next to where the strange combination of white and surgeon green paint meets. It is calm here and quiet, smells of churches and air purified or heavily filtered. I think that perhaps it is the scent of sandalwood and it reminds me of the small, stone church that sat nestled in the woods near my grandmother’s home in California.

This is a good place for me to work and I will return. Another person comes in and I decide to leave. I exit the prayer room and take notice of a bulletin board where people have pinned prayers up. I take a photo, look to the floor and find yet another piece of 9-11 memorial artwork. This too I take a picture of and move on, leaving the hallway, exiting the “optic nerve” and the “eye” and I walk over to E. 26th street. 

E. 26th Street, The Back of the Bellevue, 3:35 PM

I walk down E. 26th, past the modern forensics building and along the darkened corridors cast in shadows from the tall buildings flanking it. There is a row of ambulances and two EMT men exit their ambulance and enter a steel grate door to what looks to be the EMT garage/hang-out spot. I ask them how I can get to the blue parking structure from where I am and one of them stops and points out that I need to walk around the bend in the road and I will find it. He is in his late 30′s it seems, carries a burly mustache across his face and is visibly fit but with great care, explains that I need to cross the street and use the sidewalk because cars won’t be able to see me coming around the bend. I thank him and continue on my way, taking pictures of the FDR Expressway, the strange apartment towers and the “Bellevue Sobriety Garden” which sits at the base of the three story, blue parking structure.

Walking behind the Bellevue gives me a different perspective on things. I think back to the late 1700′s/early 1800′s when the hospital was being built. The East River back at that time was reportedly lined with disease-ridden cesspools and bogs and I imagine what the smell must have been like. NYPD trucks sit parked behind the hospital, “NYPD: The Boldest” emblazoned across the sides. This seems to be the EMT trail, men and women dressed the part carousing the back alleyways of the hospital en route to their chariots. As I walk further, I know this is a space of the Bellevue to explore further, see the views of the Empire State building from over the corners of the Old Psych Ward on E. 30th. There is a strange white tent behind the Old Psych Ward. I take pictures and see as I spproach the many signs warning people not to enter, that guards are armed and the premises are fully on camera. As I walk up E. 30th towards 1st Ave, I look through the gates to the entrance to the structure, note the torn pictures and illustrations and weathered wood paneling lining the entrance way. The place is eerie, a modern-looking structure lined with eons of time-now-past. I take more photos and continue walking up E. 30th. Stopping an older black man, I ask him what the building is. He tells me it is where they kept the remains of the World Trade Center victims and the torn pictures and illustrations now make sense. They are the remnants of loved one’s grieving. This spaces around the Old Psych Ward and the Bellevue as a whole are marked by the stench of death.         

 Photos: http://www.flickr.com/photos/47478409@N06/sets/72157623441033741/

Fieldnotes No. 4 (2/18-2/19/10): Care, Control, and Vision: Medical Structures of Sentiment (Bellevue Hospital): The Dream, 11:30 PM-12:30 PM

I wake up at 11:30 PM with an image in my head of the Bellevue as a body. My past obsessions with light photons and their travel through the eye into the brain and manifesting in action resurfaces and grafts itself onto the Bellevue project. I draw it as best as I can which leaves much to be desired.

Bellevue as Body: Attempted Drawing

Link to drawing: here.

Bellevue as Body: The Face

The office building facade, steel “curtain” facing with wide slabs of windows. Steel frames as bone structure. 

Bellevue as Body: The Eye

The modern wing of the Bellevue Hospital main lobby is an eye, gathering visual data from the people that enter. People are light photons in this image and as they walk in, they are sent as visual data, as electrical impulses down the “optic nerve” of the Bellevue, that long hallway that connects to the entrance of the old Administration building encased within the new modern wing, the “Eye”. I think to myself how people are electrical impulses, driven by voltage, producing voltage, as if we are batteries, amalgamations of light bundled together. The three white floors of the modern wing are in fact shaped like an eye looking out to the city, to the busy 1st Ave moving by.

Bellevue as Body: The Brain

Beyond the facade of the old administration building and through the curving hallways of the “optic nerve”, one enters the “brain” of the Bellevue, that multi-storied, multi-purpose construction, the hospital apparatus. The photons (people) move in and through the “brain”, moving in and through the collection of buildings. Off to the side of the brain sits the Old Psych Ward, the darkened corner of the “brain” where more than questionable things have occurred.

Bellevue as Body: Action

Through the actions of the “brain” what then occurs? What are the emotions engendered, allowed? I equate emotion with action. The processes of the “Eye”, the “Optic Nerve”, the “Brain” as creating emotions, engendering emotions, denying or promoting particular affective states.

People are seen through the “Eye”. In entering, they are processed continually by the “Body” of the Bellevue. The “Eye”, in effect, not only sees but processes, frames the ways in which people see and move.

This dream stays with me for weeks afterwords. It will greatly inform the way in which I present my final work.

Fieldnotes No. 3 (2/24/10): Care, Control, and Vision: Medical Structures of Sentiment (Bellevue Hospital)- Old Psych Ward, Main Lobby 11:59 AM-1:34 PM

Note: this should be read in conjunction with Fieldnotes No. 1 and 2
1st Avenue and East 30th Street, New York, NY: 11:59 AM, The Old Psychiatric Ward

Park Ave. South stop on the 6 train. I walk down East 28th street, turn left on 2nd Avenue and right down East 30th. I want to see the old psych ward of the Bellevue from a different angle of approach. The streets are quiet, muted from the recently-fallen snow. Near the corner of E. 30th and 1st Avenue, there stands an apartment complex, multiple identical windows 3 feet wide by 4 feet tall, spotted with air conditioning units lodged in their faces. The inhabitants which live on the E. 30th street side of this apartment building (which wears its years within the grudge and grime of its corners and recesses) are and have been privy to the workings of the old psychiatric ward just a few hundred yards away from it. I wonder what they have seen, if anything. I wonder what it must have felt like to know that they were living so close to an inhabited psychiatric ward, particularly one so laden with histories, at times quite sordid. Across the street on the left hand side of E. 30th and 1st Avenue stands the NYU Medical Center, one of its purple, circular signs have lost the word “Medical” altogether and the “n” has been blacked out. This is the sign that faces the old psych ward of Bellevue, the sign which reads, “NYU Ceter”. What have the inhabitants of this building seen from the 14-15 floors of the center which rise across from the Bellevue?

I walk down E. 30th to 1st Avenue, take a few pictures from different angles this time. There is an older black man who has walked with me incidentally down E. 30th and now stands next to a forgotten phone booth, its phone dangling from a mangled chrome cord, its plastic walls cracked and soiled. He simply watches me from within the booth while I take pictures, saying and doing nothing. I smile and cross the street.

Even in broad daylight, the building of the old psych ward sends chills down my spine. It is only 8 stories tall, far from the most imposing building in New York City but for some reason never have I felt more uncomfortable near a space than this one. I take in the dead ivy once again, the yellowed windows and cross the street. I am now on the corner of E. 30th and 1st Ave., the corner where the murals are. I look at them closer this time, capture them with photos the best that I can. The dead gardens at their base are photographed as well and I turn the corner and head down E. 30th to the main entrance where I hope to take a clearer photo of the original entryway. After shooting a few distanced photos, I watch cautiously as an NYPD officer exits the gates and walks to the left towards 1st Ave. He pays no attention to me and as he turns the corner to the left, I enter the old Bellevue gates and approach the security booth once again, this time with another security guard whose name I come to find is Santos.

Santos comes out of the security booth as I enter and I ask him if I can just take a picture of the entryway and he says, “Absolutely not”. Santos is a tall man, seemingly in his early to mid 30′s with a piercing in his left ear, a large fake diamond lined with gold dangling from his elongated earlobe. He wears Dolce and Gabana eyeglasses, is around 6’3″ tall (slightly taller than myself), is lanky and slumps his shoulders over his chest, closing off the chest cavity, a physiological move of protection-habituated. His skin is splotched with past and current acne markings. He has picked some and carries the resulting scars, particularly on his right cheek near his lower jaw bone. His arms seem to go on forever. Stringy and out of control, they ride the movements of his skinny legs like young children in a carriage, never seemingly in tune with one another, prone to indifferent swayings this way and that. When he tells me that I cannot take a picture, he says it with a down-turned mouth, a mouth that tells me he would rather not be saying this, that it is his job that forces him to be this way. He walks towards me calmly, as if he is coming out to meet an old friend. Smiling, I say, “But I can go across the street to take one, right?” He smiles and says, “You said it. Nothing I can do ’bout that.” I turn and he continues walking with me, continues saying that he can’t do anything about me taking pictures from across the street and as soon as we hit the sidewalk, his manner changes, his shoulders relax even further. “Couldn’t tell you anything on Bellevue property but I can out here,” he says smiling, his teeth crooked, oddly spaced, the silver from the back of his mouth catching my attention. “This isn’t their property.” He wears a big smile now out of the left side of his mouth. It is a clever defiance that he practices, one that has no way of getting him in trouble and he is eager to talk. I smile and approach him. There is now only three feet between us but it is a comfortable three feet, one that bespeaks of secrecy and sharing. I ask him how long he has worked at the Bellevue and he tells me two years and that he has been working in mental hospital security for five. He repeats everything twice, as if confirming these facts for himself. He tells me that he grew up on the Lower East side for his whole life, tells me about how he and his friends used to walk by the Old Psych Ward when they were young. “There’s some stories. There’s some stories,” he says, reapeating this again and again. I am intrigued but cognizant of the fact that we have just met and am reticent of scaring him off with intrusive questions. I simply listen to what he is willing to say.

I ask him if he ever works the night shift and he tells me he tries not to, that the place is creepy as hell. I ask him if he ever hears stories from those that do and he tells me there are tons, tells me that the 9th floor is completely off limits to everyone, that they shut it down when there were too many voices and people were hearing regular tappings on the windows when there weren’t any birds outside. He tells me that when the voices became too loud on the 9th floor, they shut it down and totally forbade anyone to go there. He continues and tells me that pictures are totally forbidden inside and outside on Bellevue property, that the Bellevue is a landmark building and mentions Bloomberg and says that he never wants to be on that man’s bad side. It is odd in the way that he mentions Bloomberg, as if the man himself has forbade photographs, and we laugh. This interests me: the security guards cannot take pictures inside or out nor can the public. They are taught to look for cameras from the male homeless people that now inhabit the old psych ward, are taught to be on the lookout for flashes and confiscate any cameras they encounter. Santos talks about how many people want to expose the Bellevue, that they want to document the dirtiness and the violence. He says that it can’t be exposed, that it is highly protected by the government. He tells me that there are so many stories to tell and that it is his job to stop people from telling them as much as possible. In addition to the private security firm that is employed by the Bellevue, the NYPD has officers specifically assigned to the hospital. These policemen (and they are all men from what I gather) watch the private security guards and reinforce the laws of Bellevue. The inside of the Bellevue is guarded and watched over by the Bellevue Hospital police (separate from the NYPD and the private security firm from what I could gather) and the orderlies inside. Something begins to unfold. As fear-inducing as the old psych ward of the Bellevue is, it becomes apparent that the Bellevue is fearful of outsiders, fearful of exposure with too many bad stories locked within. The building has become a composite of its historically-insane inhabitants, a collection of the traces of its psychiatric patients. The Bellevue is afraid and I think about this for a while, try to discern what this means for a building to be afraid. I then imagine the old psych ward as an old man, veined hands and lonely. It is the old man that has lost touch with reality, the man that was always an asshole to his kids and perhaps drank too much. It is an old man that has withdrawn and recoils at the approach of anyone or anything that threatens to disrupt his stagnant, habituated lifestyle. I imagine this building as deeply unhappy, its walls resounding with the voices and cries of its past patients in pain and insane laughter.

Santos tells me that beneath the nine floors there are two sub-basements, the bottom sub-basement being what they still refer to as the “chambers”. These rooms still have all the original equipment including the tables where they administered drug treatments (many experimental) from when the psych ward closed in 1984 and its inhabitants were moved to the Southern section of the hospital. Everything remains exactly as it was when the psych ward closed. All remains. This fascinates me. What does it mean that nothing has changed in 26 years, that the original equipment lies untouched? What are they preserving? Is it mere laziness or is it something else? Are they afraid and if so, of what? What lies dormant in the stagnation of the old Bellevue psych ward?

I ask Santos about the murals outside on the corner of 1st Ave and 30th street. Cracked and sordid, these were painted by the psych patients themselves he tells me. There are gardens in front of them, still with the stakes in the ground and dying plants at their base. Santos tells me that these too are from the psych patients. 26 years and nothing has changed, not even the landscaping? I air my doubts and sense of surprise but he reassures me, laughing and pointing to the bushes near the original intake entryway of the old psych ward. “Ha. It’s all the same man. Just like it was. Nothin’s changed.” Why remain the same for so long? Stagnant and fearful. Highly patrolled, largely protected.

I look up at the ivy walls again, ask him if the ivy grows back in Spring and he tells me it does. I say, “Good, cause this dead stuff just adds to the creepiness.” He laughs and says, “It is such a creepy place. You should come back at night and see it.” He clicks his fingers as if remembering something and says that he wishes a certain lady was around but she just took off. I ask what her name is but he can’t recall. “She’s an African lady,” he says. “Man, I wish she was here ’cause she can tell you some stories. She could tell you stories for days.” I ask him if it would be okay for me to leave my number with him so that he could text me when she was around and he agrees. I say text and not call intentionally, thinking a text is less intrusive, doesn’t take up his minutes in calling a stranger. He agrees and we walk back through the Bellevue gates, enter the security guard booth. He calmly hands me a pen and sets a piece of paper on the table. The air is comfortable, the company loose and trusting. I notice a log book with lots of red and black scribbles but I don’t want to seem intrusive. I write my name and number, thank him and he walks me out to the gates. Santos is a man willing to share what he has seen and experienced but obviously feels bound by his job. On multiple occasions, he tells me unprompted that he wishes he could take me inside but he would lose his job and as if to prove this says, “Here. Come with me. I can’t take you inside but I can show you this.” He takes me to the entrance of the psych ward and pushes a bush to the side with his arm to reveal a plaque on the wall covered in algae and soil. “I don’t read Roman numerals very well but believe me, its old.” We laugh and he releases the bush and it flies back to hide the plaque once again. He apologizes for not being able to let me in but I reassure him time and time again that I completely understand and tell him that I have been looking for a legitimate way to get inside. I ask him if they allow volunteers at the men’s homeless shelter. They do not. Everything is highly regulated and restricted. I tell him I will probably see him around and he tells me good luck.

Questions: The rooms are exactly the same. What is this stagnant nature about? Why remain the same when so much bad existed there? How have the past bodies imprinted themselves in the walls? The lines between bodies and buildings are becoming blurred. There have been serious rumblings from real estate developers of the old psych ward being turned into a fancy hotel and conference rooms. What does it mean to simply cover up the layered histories of the psych ward? What does it mean for the sordid conditions of the psych ward to be repainted and repaved for some of the wealthiest individuals in New York City? What happens to the voices of the ninth floor? Are they sealed within new drywall, muted by pink insulation or do they remain unscathed, haunting the new inhabitants that have paid millions of dollars for a top-floor penthouse overlooking the East River? Where do such voices, such spirits, the remnants of past inhabitants and workers go?

1st Avenue and East 27th Street: 12:40-1:10 PM, Main Lobby

I leave Santos and quickly enter the main lobby to jot down remaining thoughts and insights from our conversation and my observations which takes me 30 minutes.

1st Avenue and East 27th Street: 1:10-1:34 PM, Main Lobby

I buy lunch at the Au Bon Pain and begin eating lunch near the manikins wearing red. Above me in the three curved floors of the modern wing, I see a circled “C” on each floor indicative of the psych ward, one in orange and one in blue. I make a note to find out what these colors denote next time.

The building is not passive. It communicates with bodies just as bodies communicate with it. I am coming to terms with this, realizing that this is the challenge that I face and know that Michelle Murphy’s book, Sick Building Syndrome and the Problem of Uncertainty will be indispensable to the process of building my case. I realize too that few people believe the onus of an investigation can be placed on what is taken to be an inanimate object by many such as a building, that ethnographies are by their very nature studies of human beings. I have no doubt that buildings, being assemblages of human being’s ideas and energies, are worthy of any investigation that would normally be reserved for a flesh and bones human being. To offer an exploration of the flesh and bones of buildings and the indivisible co-existence between human beings and buildings is my challenge. I think as I sit there on that marble bench that at no time are people not physically touching the building whether walking, sitting, or leaning. People, once inside the building, are in constant communication with the forced boundaries of the structure.

An older Hispanic woman (perhaps in her 50′s) has an amputated leg and rolls herself in a wheel chair with a small boy to her left. She is slightly overweight, is dressed in a light floral top with short sleeves and a longer dark blue skirt made of heavy cotton, and carries joy in her facial expressions, crow’s feet showing at the corners of her eyes. She says, “Mira, mira,” to the child and points skyward to the translucent ceiling above. The child looks upwards and giggles. She pulls him closer in a warm embrace as I notice from behind her on her left, a young girl most likely in her teens comes up on crutches, both legs bandaged from the knees down. She speaks to the older woman and they both laugh. She is related somehow, a daughter or granddaughter perhaps. I watch as the girl moves past them and sits down hard on the marble benches a few feet down from where I am sitting and I wonder if they are recovering from a car accident. They have come to the hospital through pain and suffering of some sort but the older woman and boy seem joyous, the girl despondent in a common teenage way but seemingly happy. There is a multiplicity of emotion experienced within these walls.

I look up and notice that the modern wing is shaped like an eye pointing outwards to 1st Avenue. People can and do look over the glass walls of each floor to the lobby to where I sit below. I notice a man strapped down to a bed being pushed by two medics. He is a black man in his late 30′s and he peers down at me from the 2nd floor, C orange. “A psych patient?” I wonder and take further notice of the multiple black straps lining his torso and legs.

I look around and notice as I am sitting in a dynamic space where visitors and patients can view each other through the glass of each floor of the modern wing. It is a space of being watched and watching within a space of the Bellevue which is shaped like an eye.

1:29: Recording Made of Main Lobby

Audio Clip (Main Lobby): http://chirb.it/dz22Kd

The unnerving sound of a child crying from behind me can be heard. It seems to come from the walls themselves but I eventually look up to see an open window in the old administration building. The glass barriers on each floor are at least five feet high–someone would need to struggle to jump over. A white marble carving to my left of a man and a woman huddling with children sits poised precariously on a small slab of salmon and black marble. The scene depicted sends chills down my spine with the accompanying sound of the bloodcurdling screams of the child either in serious pain or scared out of its wits. A man in medical scrubs sits down next to me on the left with lunch and starts to eat. An older man in a fur-lined black jacket and well-pressed khaki pants sits down to my right and simply looks straight ahead. Two Chinese men in their early 30′s stand next to each other, silver cell phones in their right hands, bags of food with yellow smiley faces in their left. I make a note to study the presence of food deliverers at some later time and decide to leave.

Side Notes:

Treat 28th street as a feeder street into the eye of the Bellevue.

Spend next week on one of the C floors looking down.

Try to come again when Santos is working.

Photos: http://www.flickr.com/photos/47478409@N06/sets/72157623382715999/

Research:

Weekends at Bellevue
Review: http://cityroom.blogs.nytimes.com/2009/10/19/from-bellevues-psychiatric-er-a-doctors-memoir/

“Checkout Time At the Asylum” (NY Mag): http://nymag.com/news/features/52176/index1.html

  • -In 1975, Saul Bellow memorialized him as Von Humboldt Fleisher in the novel Humboldt’s Gift: “To me, Bellevue was like the Bowery,” Bellow wrote. “It gave negative testimony. Brutal Wall Street stood for power, and the Bowery, so near it, was the accusing symbol of weakness. And so with Bellevue, where the poor and busted went … And poets like drunkards and misfits or psychopaths, like the wretched, poor or rich, sank into weakness—was that it? From Bellevue he phoned me … He yelled, ‘Charlie, you know where I am, don’t you? … This isn’t literature. This is life.’ ”
  • Bellevue, he says, was “always a zoo. Never enough rooms, never enough space for people to be waiting—and the people who were waiting were not exactly calmly sitting around until they could be interviewed.” When patients came up the 29th Street ramp to the first-floor admitting area, “the majority were probably brought in by the police, since severely mentally ill people don’t have the insight to know they’re severely mentally ill. So usually you’d have cops all over the place in the psych ER.” Adding, literally, to the boiling-point atmosphere was the fact that the hospital had very spotty air-conditioning—a particular problem since summer heat waves exponentially increased the kind of behavior that tended to land patients in Bellevue in the first place.
  • After 54 years, the facility looked and felt outmoded. There were treatment rooms still filled with bathtubs covered with canvas sheets that left just enough room for a patient’s head to stick out; the huge basins, which were once thought to calm the manic, had lain unused for decades, museum relics of a less enlightened time.
  • As for the actual rather than the figurative Bellevue, it’s now a more modern hospital, in a different building, in a new era. It seems unlikely that anybody would be sorry to see the words “Psychiatric Hospital” chipped off the northern entrance of its old quarters. And while the EDC’s plan to turn Bellevue into the latest in luxe accommodations has occasioned a certain number of jokes about the Sid Vicious Suite (yes, he’s an alum) and the Electric Kool-Aid Acid Casualty Atrium, those memories aren’t likely to have much traction. After all, nobody is more expert at eradicating swaths of urban history with great dispatch and little sentimentality than a real-estate developer.

Allen Ginsberg, “Howl”: http://sprayberry.tripod.com/poems/howl.txt

Fieldnotes No. 2 (2/17/10): Care, Control, and Vision: Medical Structures of Sentiment (Bellevue Hospital)- Old Psych Ward, Main Lobby, Secondary Lobby 5:40 PM-6:50 PM

Note: this should be read in conjunction with Fieldnotes No. 1
1st Avenue and East 28th Street, New York, NY: 5:40 PM, The Old Psychiatric Ward

Fear. It rolls across my chest as I visit the old section of the psychiatric ward, now covered in the bare vines of ivy. Fogged yellow windows, the remnants of unused medical equipment can be seen through the grated window panes, and the red brick building towers seven stories high into the darkening skies of winter. The barren vines wind their way across the face of a building that bespeaks of pain and anguish, the tall rusted gates with lamps adorning the tops keep onlookers at a safe distance and the inhabitants or inmates safely within. At the base of the building on the corner of 28th and 1st Avenue, pixalated murals of joyous cartoon figures (now barely visible) adorn the chipped walls. They deeply disturb me, seem far out of place. On the gate hangs a sign: “Intake and Vacancy Control Entrance”. It points to a darkened corridor with a rather large black man standing guard in a fur-lined winter jacket. He eyes me as I pass. I nod but he does nothing.

I continue walking down 1st Avenue and enter the side entrance on 28th street and approach the security guard holding my camera. “There are no pictures here,” he says. “You can’t take them here–you need to go over there.” He points to the other side of the street. I say okay and say, “I just have one question: is the psych ward still here?” I point up sweeping my hand over the image of the worn building. He tells me it has closed, tells me that it has moved. “To Rikers?” I ask. He says he doesn’t know and I move on and continue taking pictures from across the street and down 28th which is in the midst of renovation. I know that what he says is untrue, that what has actually happened is that the pysch ward was simply moved inside and that this building has now become a homeless shelter.

I feel I am chipping away at an emotional puzzle, slowly letting the environment inform me of its pasts and presents. There is an air of strict control matched with a realization that bad things have occurred here, things which over the Bellevue’s long history have leaked out to the press and city inspectors, much of which I am now just coming to read. I walk back towards the main entrance of the Bellevue and enter.

1st Avenue and East 27th Street: 6:00 PM, Main Lobby

Audio Clip: http://chirb.it/hfOGM2

Vacuous. Empty space abounds in the space where the modern wing has been grafted on to the original architecture of the Bellevue. Sweeping architecture, half circles sweep above me and slam into the old architecture of the original administration building of the Bellevue. The expanse of the space is grand, off-white columns jut downwards into the black, white and salmon marble. Light pink brick on the walls tinged with black. The roof is made of glass panels with beige, metal pole framing. The old exists fully encapsulated by the modern facade, a relic of time’s passed. Au Bon Pain cafe in the corner, heavy metal chairs, steel circular tables–there are six of them, each with three chairs and they sit off to the side, lonely in this great expanse of space. A policeman stands guard at the entrance to the old administration building and looks bored but vigilant. I ask him about the old psych ward next door, confirms that that was its initial purpose but that now it serves as a homeless shelter. “Where is the psych ward now?” I ask, feigning deference to his badge. “Here,” he states curtly, pointing up to the original Bellevue architecture behind him. I thank him and move on. He is busy and I am merely a spectator to this space of suffering.

I look up to the bright halogen lights that shoot across the poles lining the roof. It is as if I am in a museum, strategic lighting accentuating the modern architecture of steel and glass while framing the old Bellevue with a sense of controlled preservation. I walk over, order a coffee and strategically place myself at a table on the side, away from the open space. This is the place I will come to observe this particular space of the Bellevue.

Voices bounce off of the marble floors, reverberate in the hollows and seem lost, empty souls roaming the halls of empty space. I record the sounds of the marbled halls as people far and near discuss their work schedules, doctors, nurses and interns on their breaks. Invalids sweep into the main lobby from the cold and damp 1st Avenue limping, wearing the tattered clothing of better days unseen. Some seem crazy, talking to themselves in overzealous bouts of frustration. Others are merely quiet, perhaps subdued. Wheelchairs, canes, limps, pain, quiet voices. Signs on the glass lining each floor read in all capital letters “FLU” for no apparent reason. A banner on the old administration building underneath the oxidized green lanterns reads “Bellevue Goes Red for Health” and two white manikins wearing red dresses stand on either side. A marble bench in front has patient’s family members and friends sitting on the bench, seemingly unaware of the strange scene behind them.

This is an easy place to sit as a visitor. Interns sit next to me discussing their night shift which I gather is about to begin. Whether a patient awaiting admittance or friends or family members of those who have been admitted, this is a space of waiting. Not a space of joy or laughter, it is subdued, a space of suffering, a space interpolated between the known and the unknown, the past and the ever-enfolding present of architectural traces. I stand and walk down the hallways towards the Psychiatric Evaluation Services Building, building C2.

Moving from Main Lobby to Secondary Lobby on 27th Street, 6:30 PM

 Catholic church, synagogue, prayer rooms for every religion imaginable just down the hall. People wait here for long periods of time, enough to need churches. I move down the hallway as a spectator of other people’s pain and joy. I am uncomfortable, feel as though I do not have a right to be here. This is a space where people come for comfort from their ailments and admittance is granted to only those that suffer. Suffering and the employment of lessening suffering is the connection to the building, the reason that people from all five boroughs of New York City and beyond make their way to the Bellevue Hospital. It is the reason people come here and the reason people stay. I work my way down the forest green hallways spotted with white tiles and come upon the secondary lobby on 27th street. Mentally, I am still mapping out the territory, learning the crooks and crannies and hidden recesses of the Bellevue.

Secondary Lobby on 27th Street, 6:30 PM

Audio Clip: http://chirb.it/0F1DJg

Another common sitting area, this one with darker tiles, gray stony pillars beige in color. The lighting is painfully florescent, the ceiling lower. Strange white bean pod seats adorn the ground with orange cushions. Sitting diagonally from one another, primary red flower pots with dead plants in them spot the floor and seem to fit nicely into their drab surroundings. People sit and talk in hushed tones, voices from the hallways echo against the marble floors. I cannot understand what they are saying nor can I locate them visually. Behind me, large rectangular windows framed with brown metal open out to a drop-off area and a primary blue parking garage not far off to the left.

“MRI”, “Parking”, “Pharmacy” signs line the hallways. I am nervous and anxious, as if a nurse or doctor is about to come out and give me the bad news about a non-existent relative that has been treated at the Bellevue. The air is tinged with stale food and another Au Bon Pain cafe, bright yellow in color, is over in the corner. I smile and find it comical that “pain” is the last word in the restaurant’s name, regardless of its obvious meaning in French. Police walkie-talkies can be heard but I see no policemen. Cell phones ring, the sound of  a man rolling a garbage bin down the hallway comes closer but stops. He is a janitor and stops to talk to a woman that is lost, then continues. There is a humming in the background, the crinkling of paper bags. The sound of music is distant, people walk by talking, I am encapsulated in a cave of inaudible murmurs and stale air. My head hurts. The light is dim. I exit.

Questions that arise:

What does it mean for the Bellevue to be a space of suffering? What of joy, happiness, boredom? What else is felt within this space?

How does one unfold the history of a space through observation alone? What can be told about the nooks and crannies of the Bellevue? Can one extrapolate a history of the space from the mossy grooves of a worn brick wall? What do broken, yellowed windows and wrought iron gates say?

What does it mean to keep people’s stories out of this exploration? Can I tell the Bellevue’s story as a physical space without interviewing people and asking them how the space affects them? Is it appropriate to observe people and at times, place my readings of their emotions on them? What then happens to their agency and if it is lost, does that really matter?

This piece moves from the notion that physical spaces literally and figuratively frame the possibilities of particular emotions to be felt. Within this physical structure then, do people have the agency to feel the ways in which they want to feel or is the array of possible emotions drawn into the architecture of the building itself?

Map of Bellevue Hospital: http://maps.google.com/maps?f=q&source=s_q&hl=en&geocode=&q=bellevue+hospital,+ny+ny&sll=42.794243,-73.969569&sspn=0.026893,0.073042&g=bellevue,+ny+ny&ie=UTF8&hq=Bellevue+Hospital+Center&hnear=Bellevue+Hospital+Center,+New+York,+NY+10016&ll=40.738982,-73.976376&spn=0.006536,0.01826&z=16

Photos: http://www.flickr.com/photos/47478409@N06/sets/72157623335347155/show/with/4367244613/

Fieldnotes No. 1 (2/10/10): Initial Sketch of Care, Control, and Vision: Medical Structures of Sentiment (Bellevue Hospital)

Note: These are fieldnotes from the Bellevue Hospital project I am currently involved in through which I am exploring the ways in which the physical spaces of the Bellevue carve out, allow for, produce, engender, transmit, perform, disallow, and inhibit particular affective states in those that enter it.

__________

I approach the space of Bellevue Hospital having never seen it. All I know of it is what I have heard from others that have spoken of relatives admitted involuntarily to the psychiatric ward within. I imagine a darkened space with winding corridors, the type of ward featured in One Flew Over the Cuckoos Nest, Kesey slumped in the corner high on peyote and wildly scratching away at his notepads. There are nurses in crisp, white uniforms in this image, most having severe features, most having the look of having given up a part of their humanity in an attempt to maintain sanity and keep distance between themselves and their patients. The doctors are apparitions in this imagining, existing only in the dimly-lit rooms where sturdy, worn machinery lies seemingly unused and a humming can be heard throughout the hallways, perhaps the occasional cry of a patient now-realizing where they have been placed resounds.
The history of the Bellevue, constructed in 1736, lies silent within the aged walls, travels through the rusted pipes, oxidized copper ornamentals and worn down tiles, and slams up against the newly-renovated modern wing which has been grafted onto the aged original buildings of the Bellevue. Within the old and new, there is a dormant history reenacted every day with a new face, new people performing the duties of the hospital, the duties of care and control. “What relationships have coursed through this physical building?” I think to myself. “What power structures between nurses and patients, doctors and nurses, families and the institution, and perhaps most importantly, between the patients and the building itself course through the aged organizational structures?”

I begin to think of the space of the cubicle that I have written previously about (see here), the affective states such a historical space engenders, produces, and performs and I mentally transpose this space on to one of the imagined holding cells for mental patients: four walls, bright white, well-lit from far overhead, the light hidden behind a steel mesh cage to avoid breakage, and  a steel bed in the corner with well-pressed, white linen. This is only what I imagine as I have never been inside. To this project I bring such imaginings and I am cognizant of their presence but unaware of how they may inflect my research.

I wonder what it would mean to study a space with humans as the ornaments to the physical structure of the hospital. What it means to think of the emotional capabilities of us as human beings as directly informed, honed, and limited by the physical structures we exist within. I begin to wonder too if, when we remain for long periods of time within one physical structure, the organizational structure embeds itself within our facial expressions, rears its head though our views of life and the world around us, lingers under our fingernails, and importantly, informs what we deem to be emotionally available to feel.

Leading questions: what affective states does an organizational space such as Bellevue Hospital allow for, produce, engender, transmit, perform, disallow, and inhibit? What if we begin to imagine, as others have, the physical space as a living being, a ruin of past lives, emotions and experiences which hold traces of such things within its very walls, floors, facades, lighting, and fabric? Do human beings have agency when encapsulated within an organizational space or does their vision become limited not only by what the space allows us to see given the particular positioning of walls and lighting but also by what movement is allowed within the spaces of the hospital (i.e. If I want to walk down the hall, there are particular boundaries to that desire)?

Beginning approach: A reflexive study of three, three-hour sessions of observation per week from particular sites around and within Bellevue Hospital: the Southwest public gardens, the main public lobby and the public eating area. The structure of the Bellevue will be noted, historically researched, photographed, and drawn from the inside and out. Observations of the affective states the physical structure engenders within myself will be noted. Observations of other’s actions, visible emotions, and movements while visiting the hospital will be noted. All will remain anonymous. A feel for the place and people will be noted and an essence of the place will be allowed to percolate up through time spent observing.

Photos of the first trip to Bellevue (a grounding): http://www.flickr.com/photos/47478409@N06/sets/72157623412143184/detail/

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Films Worth Watching

The Three Colors Trilogy
Bunny and the Bull
Delicatessen
MicMacs
The Girl With the Dragon Tattoo
The Girl Who Played With Fire
The Girl Who Kicked the Hornet's Nest
The Edukators
Carlos: Miniseries: Parts 1-3
Mesrine: Part 1: Killer Instinct
Mesrine: Part 2: Public Enemy #1
Manhattan
Annie
Shadows and Fog
Bananas
Manhattan Murder Mystery
Crimes and Misdemeanors
Clockers
Me and You and Everyone We Know
Life Stinks
Man on Wire
Time Bandits
Fear and Loathing in Las Vegas
Barton Fink
The Big Lebowski
The Adventures of Baron Munchausen
Blue Velvet
Eraserhead
Punch Drunk Love
Eternal Sunshine of the Spotless Mind

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