Trainwreck is the second full-length album from the emo/post-hardcore band Boys Night Out. It is a tightly-knit concept album that follows the loss of sanity of one man following the murder of his wife he committed in his sleep. A music video was released for the song "Medicating".
Introducing The doctor is talking about how he has released the patient from the hospital again, indicating it is not the first time he has been released. The patient was hospitalized because he suffered from violent horrible nightmares and killed his wife whom he loved very much in his sleep. The patient is catatonic, which is just a state of non-responsiveness, almost.
Dreaming This song is about the night that the Patient kills his wife. He suffocates her while having a nightmare.
Waking The Patient wakes up to realize what he's done. He calls the police and turns himself in and he is waiting for the ambulance. He can't believe what he's done, he wants to take it back. He covers the house with her perfume.
Sentencing The judge and the doctors decide whether to charge him with murder and send him to jail or declare him mentally unstable and send him to the hospital. The doctor thinks he should be hospitalized.
Medicating The Patient is in the hospital and tries to convince the doctor to release him. He wants to go back to his life and he thinks that the hospital is just making him worse. The doctor agrees and releases him from the hospital.
Purging The Patient has been released and is returning into society. Everyone is shocked at his quick return into society/work considering what he did. The guilt becomes overpowering inside of him and he cuts off his hands so he won't ever kill again.
Relapsing The Patient is back in the hospital after cutting off his hands and he begins to hear his wife's voice in his head. He begins trying to fill his emptiness by writing a song inside his head.
Recovering The Patient is on medication since he is catatonic and he is also obviously on painkillers due to his lack of hands. He begins taking more pills than necessary and all he can hear is the song inside of his head. He takes more and more pills to keep the song playing.
Composing The Patient convinces the doctor he's getting better and requests to see his friends and family because he thinks it'll help him recover. He starts inviting friends and family over for dinner to poison them. He is "composing" his song by killing people and he thinks that he can see his wife. He laments having to dispose of the bodies and having to repeat the process.
Disintegrating The Patient is completely isolated with the song inside his head. He is abusing alcohol and drugs and in a state between the living and dead. He's thinking of everyone he's killed and needs a finale to his song. In a dream he hears his wife tell him that although he killed his family and friends to see her, he still has to kill the doctor ("'The doctor has to go,' was the last thing that she said as I felt my body back in bed. But then I guess it's always been his job to fix this.")
Healing The Patient calls the doctor with the intent of killing himself so he can finally see his wife again.
Dying Dying is shown from the perspective of the doctor (though The Patient introduces the song) as opposed to the perspective of the patient. It is the same setting and situation as Healing, but while The Patient seems composed in the lyrics and delivery of Healing, the more haunting and bizarre singing style by which the strange and pained lyrics are delivered in Dying represents The Patient's actual state of mind. The Doctor proceeds to explain the situation; he speaks of the smell of the dead bodies, the perfume on the walls, the bottles of medicine and alcohol and finally the nearly dead patient, whose infections have spread from his wrists to his neck. With his last breaths, he sings, "We were inseparable."