57 pages 1-hour read

Last Patient of the Night

Fiction | Novel | Adult | Published in 2023

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Symbols & Motifs

Content Warning: This section includes discussion of graphic violence/torture, sexual violence, and death.

Nicknames

Nicknames are a motif in Last Patient of the Night, and they serve as a dual symbol of both intimacy and emotional distance. The first nickname that appears is Doc’s own: He prefers to be called Doc by everyone, which indicates both his title as “doctor” and is a shortened version of his surname, “Docker.” Doc lets everyone call him by his nickname, indicating his desire to build close relationships with everyone around him. Another nickname that informs a close relationship is Doc’s nickname for Tom. When Doc first sees Tom after Tom’s introduction to the narrative, Doc says, “Well, if it isn’t Officer No Clue and his much better-looking partner. Come here, Banshee. Give me a kiss” (17). Doc pretends to prefer Banshee to Tom, but Doc and Tom are close friends.


Doc frequently makes fun of Tom throughout the novel, from his ironic nickname that indicates he’s bad at being a police officer to insulting Tom’s mustache. Laughter can be an important element of any friendship, and Doc and Tom’s friendship is full of mutual ribbing. Tom reciprocates Doc’s nicknaming, calling Doc “Doc Holliday” (100) after Little D proposes the nickname after the shootout with Bohdan. Little D is also an affectionate nickname, though Doc never reveals Little D’s real name in the novel.


Another person with a nickname whose name is never revealed is Dyyavola. Dyyavola keeps his old identity a complete secret so effectively that even the police cannot figure out who he is after his death. Dyyavola uses a nickname for the opposite reason that Doc uses nicknames: Instead of seeking friendship or closeness, Dyyavola keeps his identity hidden to keep distance between himself and everyone else. This distance is essential to Dyyavola keeping his power over others, as his mysterious persona, coupled with his gratuitous violence, makes everyone else afraid of him.

The Glowing Window

The glowing window that Doc sees from the warehouse next door to the U is a symbol of secrecy. When Doc first sees the window, he describes what he sees clearly: “Only a dim light crept around the edges of a blacked-out window. I would never have seen it except for the total darkness of the surrounding area. I was about to mention it, but blinked, and the light vanished” (175). The surveillance team that Skinny Jeans assigns to the case focuses on watching the U, but they ignore the warehouse next to it. Doc, however, looks for things that the surveillance team doesn’t. The police investigate what they can see on the surface, but Doc is more aware of the secrecy lurking deeper within the case.


Doc acknowledges that he keeps his own secrets over the course of his investigation, as he thinks, “The intelligent thing would have been to leave and let Skinny Jeans know about my suspicions in the morning, but they were already mad at me and would be furious if they found out I was nosing around down here” (178). Doc keeps the window’s existence a secret because he plans to break in and conduct his own investigation, further illustrating the window’s continuing connection to the notion of secrecy.

Jenny’s Tattoo

Jenny’s tattoo is a symbol of the truth. When Doc first notices Jenny’s tattoo, he asks her about the sorceress and her spell of random letters and numbers. Jenny tells him, “That spell is the answer to her problems. All she has to do is untangle the letters to get the spell right, and everything will be perfect. Silly, but I enjoy knowing that the answer is right there” (23). Jenny doesn’t outright tell Doc that the sorceress’s spell is the key to unlocking the mystery of her murder and Dyyavola’s blackmailing scheme, but she implies that the tattoo holds a deeper truth and will somehow fix her life. With access to the over $600 million, Jenny could start over anywhere, but Dyyavola murders her before she gets the chance to flee Houston. Doc spends the entirety of the novel searching for answers about Jenny’s murder, and the last answer he finds is the password to her Bitcoin account that’s hidden in plain sight in her tattoo. The truth stares Doc in the face, but it still takes him a significant amount of time to find it.

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