section_path: Life/Artistic breakthrough/Hospital in Arles (December 1888)
section_name: Hospital in Arles (December 1888)
paragraph_text: Hospital in Arles (December 1888)
  
  The exact sequence that led to the mutilation of van Gogh's ear is not known. Gauguin said, fifteen years later, that the night followed several instances of physically threatening behaviour. Their relationship was complex and Theo may have owed money to Gauguin, who suspected the brothers were exploiting him financially. It seems likely that Vincent realised that Gauguin was planning to leave. The following days saw heavy rain, leading to the two men being shut in the Yellow House. Gauguin recalled that van Gogh followed him after he left for a walk and "rushed towards me, an open razor in his hand." This account is uncorroborated; Gauguin was almost certainly absent from the Yellow House that night, most likely staying in a hotel.
  
  After an altercation on the evening of 23 December 1888, van Gogh returned to his room where he seemingly heard voices and either wholly or in part severed his left ear with a razor causing severe bleeding. He bandaged the wound, wrapped the ear in paper and delivered the package to a woman at a brothel van Gogh and Gauguin both frequented. Van Gogh was found unconscious the next morning by a policeman and taken to hospital, where he was treated by Félix Rey, a young doctor still in training. The ear was brought to the hospital, but Rey did not attempt to reattach it as too much time had passed. Van Gogh researcher and art historian Bernadette Murphy discovered the true identity of the woman named Gabrielle Berlatier, who died in Arles at the age of 80 in 1952, and whose descendants still lived (as of 2020) just outside Arles. Gabrielle, known in her youth as "Gaby," was a 17-year-old cleaning girl at the brothel and other local establishments at the time van Gogh presented her with his ear.
  
  Van Gogh had no recollection of the event, suggesting that he may have suffered an acute mental breakdown. The hospital diagnosis was "acute mania with generalised delirium", and within a few days, the local police ordered that he be placed in hospital care. Gauguin immediately notified Theo, who, on 24 December, had proposed marriage to his old friend Andries Bonger 's sister Johanna. That evening, Theo rushed to the station to board a night train to Arles. He arrived on Christmas Day and comforted Vincent, who seemed to be semi-lucid. That evening, he left Arles for the return trip to Paris.
  
  During the first days of his treatment, van Gogh repeatedly and unsuccessfully asked for Gauguin, who asked a policeman attending the case to "be kind enough, Monsieur, to awaken this man with great care, and if he asks for me tell him I have left for Paris; the sight of me might prove fatal for him." Gauguin fled Arles, never to see van Gogh again. They continued to correspond, and in 1890, Gauguin proposed they form a studio in Antwerp. Meanwhile, other visitors to the hospital included Marie Ginoux and Roulin.
  
  Despite a pessimistic diagnosis, van Gogh recovered and returned to the Yellow House on 7 January 1889. He spent the following month between hospital and home, suffering from hallucinations and delusions of poisoning. In March, the police closed his house after a petition by 30 townspeople (including the Ginoux family) who described him as le fou roux "the redheaded madman"; Van Gogh returned to hospital. Paul Signac visited him twice in March; in April, van Gogh moved into rooms owned by Dr Rey after floods damaged paintings in his own home. Two months later, he left Arles and voluntarily entered an asylum in Saint-Rémy-de-Provence. Around this time, he wrote, "Sometimes moods of indescribable anguish, sometimes moments when the veil of time and fatality of circumstances seemed to be torn apart for an instant."
  
  Van Gogh gave his 1889 Portrait of Doctor Félix Rey to Dr Rey. The physician was not fond of the painting and used it to repair a chicken coop, then gave it away. In 2016, the portrait was housed at the Pushkin Museum of Fine Arts and estimated to be worth over $50 million.