AI Summary
5 min readOpening
“The dead are a river. Around us all the time.” That line, spoken by a traumatized former POW who has checked himself into a sanatorium demanding a lobotomy, is the image around which this entire episode of the NoSleep Podcast revolves. Host David Cummings frames the volume around doctors—medical, psychological, and mathematical—who encounter things their training cannot explain. The two central stories share a single unnerving thesis: that the boundary between the living and the dead is not a wall but a membrane, one that certain places and certain minds can wear thin enough to see through.
The Sanatorium and the River of the Dead
The first tale, by Sean Brooks, follows Dr. Winston Carlisle, a psychiatrist who has taken a job at Sparrowhead Sanatorium after losing his private practice. His first patient is Clifford Walker, a 32-year-old veteran of the Burma campaign who spent two years in a Japanese POW camp. Walker has not slept in months. He has voluntarily committed himself and is requesting a lobotomy—not because he wants relief from nightmares, but because he wants the nightmares stopped permanently. Dr. Carlisle, who detests lobotomies as barbaric, tries to talk him out of it.
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What you'll learn
- 1 (00:36) **Introduction & Theme** - David Cummings welcomes listeners to Sleepless Decompositions Vol. 25, introducing the theme of doctors confronting strange and esoteric horrors.
- 2 (04:20) **Story 1: "The Dead Are a River" - Dr. Carlisle Meets Patient Clifford Walker** - Dr. Winston Carlisle, a psychiatrist at Sparrowhead Sanatorium, reads the file of his first patient, Clifford Walker, a WWII veteran requesting a lobotomy for his nightmares.
- 3 (12:05) **Clifford's War Story and the "River of the Dead"** - Clifford recounts his time in the POW camp, describing the forced labor of digging trenches filled with sharpened bamboo spikes, which later became a trap for his own countrymen.
- 4 (17:00) **The Vision Escapes the Office** - Clifford has a violent panic attack after closing his eyes, screaming about things "crawling in the walls," and is restrained by an orderly.
- 5 (20:24) **The Nightmare Becomes Real** - Dr. Carlisle receives a call from the sanatorium informing him that Clifford has killed the orderly and gouged out his own eyes, writing "In the walls now" in blood.
- 6 (26:29) **Mid-Episode Break & Sponsors** - A break for sponsor messages, including Indacloud cannabis products and BetterHelp online therapy.
- 7 (30:03) **Story 2: "Geiston's Cave" - A Mathematician's New Home** - The second tale begins, narrated as diary entries of Dr. Mark Royland Jones, a Professor of Mathematics who has moved into the house of his predecessor in Bristol, England.
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Guests on this episode
Show Notes
We have a PhD in horror this week as we present two tales about doomed docs from our Sleepless Decompositions.
"The Dead Are a River" by Shawn Brooks (Story starts around 00:04:20)
TRIGGER WARNING!
Produced by Jeff Clement
Cast: Narrator - Ash Millman, Dr. Winston Carlisle - Andy Cresswell, Clifford Walker - Jake Benson, Marcus - James Cleveland, Martha - Erika Sanderson
"Camera Obscura" by C. E. Rex (Story starts around 00:30:00)
TRIGGER WARNING!
Produced by Claudius Moore
Cast: Dr Mark Royland Jones - David Ault
This episode is sponsored by:
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Betterhelp - This episode is sponsored by BetterHelp. Take a step towards a better you. Our listeners get 10% off their first month at betterhelp.com/nosleep.
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Click here to learn more about Shawn Brooks
Executive Producer & Host: David Cummings
Musical score composed by: Brandon Boone
"Sleepless Decompositions" illustration courtesy of Kelly Turnbull
The NoSleep Podcast is Human-made for Human Minds. No generative AI is used in any aspect of work.
Audio program ©2026 - Creative Reason Media - The copyrights for each story are held by the respective authors. No duplication or reproduction of this audio program is permitted without the written consent of Creative Reason Media. No part of this audio program may be used or reproduced in any manner for th
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