The old PAAZ building is demolished
UpThe demolition of the old PAAZ building removes more than a structure: it makes Emma’s former place of treatment inaccessible even as she is preparing to leave it. The book traces that loss through two visits to the grounds. First, Emma encounters a landscape being dismantled and rebuilt; later, she stops at a locked gate and finds the old site cleared to sand. The new PAAZ may be taking shape nearby, but it cannot make the vanished place return.
A familiar route transformed
After leaving Rajid’s room, Sergei automatically heads for the stairs. Emma stops him, pointing out that she is wearing her coat and has permission to go out. She offers to walk him out herself, and suggests they pass the coots. On her previous stay, that route had been part of their routine. Now, when she goes walking with the nursing staff, they take the other direction. The change in the path is an early sign that the grounds she remembers are already becoming unfamiliar.
The reason soon comes into view. Where a broad ditch, walking path and little bridge had been, there is now a murky pool surrounded by construction materials: steel plates stacked at angles, large concrete sewer pipes, a mound of sand and thick mud where grass used to grow. Sergei gestures back toward the hospital and identifies the nearly completed concrete frame of the new PAAZ. The juxtaposition is stark: the replacement is rising while the old outdoor route has become a building site. Emma nods absently and looks at the water, not treating the new construction as an uncomplicated substitute for what is being lost.
Departure and the knowledge of loss
The building’s disappearance acquires greater force on Emma’s last day as a patient. The evening before, she has brought farewell custard pie to the ward, where the group discussed the future. But when Karel and Gwen enter the office on her final day, the sounds of construction seem hollow there, and the fact of the coming disappearance suddenly reaches her in full. She wants to go home, yet seeing Karel, Gwen, the others and the PAAZ makes the departure difficult to bear. She understands that she will not only be leaving: in a few months the PAAZ itself will be gone. She avoids dwelling on the thought because she knows it will make her cry.
That moment holds two losses in tension. Emma says she never wants to return, yet the prospect that she will no longer be able to return is painful in a different way. Leaving is her immediate choice; the demolition makes the separation permanent and beyond her control. Her mother is coming to collect her. Gwen offers the final discharge papers, including a letter for the general practitioner and prescriptions, grounding the emotional farewell in the practical arrangements for life after the ward.
The cleared site
Later, Emma and Sergei approach the grounds by bicycle with Siem. Emma calls for them to stop, jumps from the luggage rack, and feels the halter rope jerk as Siem settles onto the grass at the roadside. Sergei’s brakes squeal behind her, but she is already at the large metal construction gate, fingers caught in its wire mesh. She tries to show him the place, correcting herself as she speaks: this is where something is, or was. The hesitation marks the difficulty of matching memory to what is now visible.
There is nothing left of the old PAAZ—not walls, ruins, rubble or machinery. A wide plain of sand occupies the site. Emma searches the surroundings for landmarks: the hospital, the new building, the parking lot and the monastery bell among the trees are still there; the PAAZ is not. Her disbelief is directed at the scale of the absence, at the fact that there is simply nothing there anymore. Sergei handles the large lock joining the two halves of the gate and points out that the new building is now in place. His practical observation does not erase the difference between a replacement and the place Emma remembers.
What demolition changes
The two visits make the demolition legible as a sequence rather than a single witnessed act. On the first, the ditch and path have given way to mud, water and construction materials, while the new building remains a concrete skeleton. On the later visit, the old site has been cleared altogether and the replacement stands among the surviving landmarks. Emma does not see the building being torn down; she experiences its disappearance through the altered ground and the contrast between what she recalls and what she can find.
The event also binds the physical site to the ending of Emma’s hospitalization. The construction is audible during her last-day farewell, and the cleared sand becomes evidence that the place she has left cannot be recovered simply by returning. The new PAAZ continues the institution in another building, but Emma’s response is to the vanished original and to the particular paths and memories attached to it. The demolition therefore closes one kind of return while leaving the surrounding landscape intact enough to make the absence unmistakable.


