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''The Patient'' is a 2020 novel by Jasper [=DeWitt=]. Starting originally on Reddit's NoSleep board under the title "The Patient That Nearly Drove Me Out of Medicine," the story was later optioned by Ryan Reynolds and then published as a standalone novel by Houghton Mifflin Harcourt. One of the few Reddit works to successfully make the jump to traditional publishing, with ''Literature/PenPal'' being the other big example.

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''The Patient'' is a 2020 novel by Jasper [=DeWitt=]. Starting originally on Reddit's NoSleep board [=NoSleep=] subreddit under the title "The Patient That Nearly Drove Me Out of Medicine," the story was later optioned by Ryan Reynolds and then published as a standalone novel by Houghton Mifflin Harcourt. One of the few Reddit works to successfully make the jump to traditional publishing, with ''Literature/PenPal'' being the other big example.

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* EvilLaugh: Parker's recurrent nightmare about his dog drowning has the river make a deep, liquid laughing noise.

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* EvilLaugh: Parker's recurrent nightmare about his dog drowning has the river make mother's death ends with a deep, liquid laughing noise.noise coming from a pool of piss.


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*SchmuckBait: Joe himself, which is why the director of the hospital leaves an abridged version of his file in the hospital records room in case people get curious. It usually scares people away who are curious about him. [[spoiler: It doesn't work on Parker.]]
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[[quoteright:350:https://static.tvtropes.org/pmwiki/pub/images/patient_jasper_dewitt.jpg]]
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Fixed red link.


''The Patient'' is a 2020 novel by Jasper DeWitt. Starting originally on Reddit's NoSleep board under the title "The Patient That Nearly Drove Me Out of Medicine," the story was later optioned by Ryan Reynolds and then published as a standalone novel by Houghton Mifflin Harcourt. One of the few Reddit works to successfully make the jump to traditional publishing, with ''Literature/PenPal'' being the other big example.

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''The Patient'' is a 2020 novel by Jasper DeWitt.[=DeWitt=]. Starting originally on Reddit's NoSleep board under the title "The Patient That Nearly Drove Me Out of Medicine," the story was later optioned by Ryan Reynolds and then published as a standalone novel by Houghton Mifflin Harcourt. One of the few Reddit works to successfully make the jump to traditional publishing, with ''Literature/PenPal'' being the other big example.

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* DrivenToMadness: Lampshaded by Parker as something that might have happened to him in the process of treating Joe. It's hard to tell how much of the story is real or a delusion of his.

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* DrivenToMadness: Lampshaded by Parker as something that might have happened to him in the process of treating Joe. It's hard to tell how much of the story is real or a delusion of his.his
* EvilLaugh: Parker's recurrent nightmare about his dog drowning has the river make a deep, liquid laughing noise.


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* ThingsThatGoBumpInTheNight: The creature that tormented [[spoiler: the real Joe, and later killed and replaced him]] is implied to be a boogeyman. At the least, it acts like one.
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* IKnowWhatYouFear: [[spoiler: The thing that calls itself Joe plays on people's fears or insecurities, to the extent that it's kept in solitary confinement after traumatizing several patients.]]
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* HumanoidAbomination: Joe’s true nature, being a bizarre, sadistic shapeshifter that pulled a KillAndReplace on the real Joe before going on to commit terrible crimes in his name.

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* HumanoidAbomination: [[spoiler: Joe’s true nature, being a bizarre, sadistic shapeshifter that pulled a KillAndReplace on the real Joe before going on to commit terrible crimes in his name.]]
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* HumanoidAbomination: Joe’s true nature, being a bizarre, sadistic shapeshifter that pulled a KillAndReplace on the real Joe before going on to commit terrible crimes in his name.
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''The Patient'' is a 2020 novel by Jasper DeWitt. Starting originally on Reddit's NoSleep board under the title "The Patient That Nearly Drove Me Out of Medicine," the story was later optioned by Ryan Reynolds and then published as a standalone novel by Houghton Mifflin Harcourt. One of the few Reddit works to successfully make the jump to traditional publishing, with PenPal being the other big example.

to:

''The Patient'' is a 2020 novel by Jasper DeWitt. Starting originally on Reddit's NoSleep board under the title "The Patient That Nearly Drove Me Out of Medicine," the story was later optioned by Ryan Reynolds and then published as a standalone novel by Houghton Mifflin Harcourt. One of the few Reddit works to successfully make the jump to traditional publishing, with PenPal ''Literature/PenPal'' being the other big example.
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''The Patient'' is a 2020 novel by Jasper DeWitt. Starting originally on [[Reddit]]'s NoSleep board under the title "The Patient That Nearly Drove Me Out of Medicine," the story was later optioned by [[RyanReynolds]] and then published as a standalone novel by Houghton Mifflin Harcourt. One of the few Reddit works to successfully make the jump to traditional publishing, with [[PenPal] being the other big example.

to:

''The Patient'' is a 2020 novel by Jasper DeWitt. Starting originally on [[Reddit]]'s Reddit's NoSleep board under the title "The Patient That Nearly Drove Me Out of Medicine," the story was later optioned by [[RyanReynolds]] Ryan Reynolds and then published as a standalone novel by Houghton Mifflin Harcourt. One of the few Reddit works to successfully make the jump to traditional publishing, with [[PenPal] PenPal being the other big example.
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* AdultsAre Useless: Joe's parents, and also [[spoiler: Dr. A------.]]

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* AdultsAre Useless: AdultsAreUseless: Joe's parents, and also [[spoiler: Dr. A------.]]
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[[quoteright:206:https://i.gr-assets.com/images/S/compressed.photo.goodreads.com/books/1565921644l/49602088._SX1200_SY630_.jpg]]
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[[quoteright:206:https://i.gr-assets.com/images/S/compressed.photo.goodreads.com/books/1565921644l/49602088._SX1200_SY630_.jpg]]
->''"I write this because as of this now, I am not sure if I am privy to a terrible secret or if I myself am insane."''

''The Patient'' is a 2020 novel by Jasper DeWitt. Starting originally on [[Reddit]]'s NoSleep board under the title "The Patient That Nearly Drove Me Out of Medicine," the story was later optioned by [[RyanReynolds]] and then published as a standalone novel by Houghton Mifflin Harcourt. One of the few Reddit works to successfully make the jump to traditional publishing, with [[PenPal] being the other big example.

The year is 2008, and Dr. Parker H----- (all the characters have their last names blanked out this way to protect anonymity) has just started work at the Connecticut State Asylum. On the day of his first interview, he witnessed an orderly being wheeled out of a room, tied down to a gurney, screaming about one particular patient. Parker soon discovers that this patient, known only among staff as "Joe" and rarely discussed due to his fearful reputation, has been kept in the hospital for 30 years with no diagnosis. Everyone who's tried has, apparently, gone insane and/or killed themselves before they could figure "Joe" out. Parker, being convinced that his Ivy League pedigree and mental toughness from witnessing his own mother's violent mental illness at a young age will shield him from a similar fate, decides that he should try his own hand at figuring out the mysterious "Patient." What could go wrong?

As it turns out, quite a lot.

----
!!''The Patient'' provides examples of:

* AdmiringTheAbomination: [[spoiler: Parker, sort of. He certainly has a healthy respect for Joe's [[EldritchAbomination species]] by the time the novel's over.]]
* AdultsAre Useless: Joe's parents, and also [[spoiler: Dr. A------.]]
* AffablyEvil: Joe wants Parker to think Dr. G----- is this. [[spoiler: In reality, Joe is [[FauxAffablyEvil much closer]] though still not so much "affable."]]
* AllInTheEyes: Parker describes Joe's expression in his hospital photo as a "feral, wide-eyed stare."
* AmbiguousGender: [[spoiler: Depending on what you think happened to Parker's wife, Joe's species may have this.]]
* AndIMustScream: [[spoiler: The real Joe's fate. Suffocating to death in your own wall while the monster that's tormented you for over a year takes your form and persuades everyone it ''is'' you.]]
* AxCrazy: The general consensus on what Joe is. [[spoiler: It's so much worse.]]
* DemonicPossession: One of the theories about what's wrong with Joe. [[spoiler: It's wrong.]]
* DrivenToMadness: Lampshaded by Parker as something that might have happened to him in the process of treating Joe. It's hard to tell how much of the story is real or a delusion of his.
* EvilSmellsBad: [[spoiler: When Joe escapes the hospital, he does so in the form of a torrent of what is implied to be (or at least smells like) piss and blood.]]
* UnreliableNarrator: Parker, and possibly every account of Joe's treatment.

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