Crime Bosses running operations from inside the Institution for the Criminally Insane.
The Doc gets credit with having a progressive and forward thinking ideas of patient care and respect. In reality, the Doc was on the payroll and kept his mouth shut.
Orderlies, Nurses, and certain other Psychiatrists on the outside form an effective communications network. It is ultra secret. The penalties for fucking up are brutally sever always cast in some comic fashion.
Such is the nature of our Boss. Who comes into focus in the cup of coffee...its you.
You wear the finest cotton inmate garb. You sip coffee from plastic tables in the cafeteria.
Your current thoughts revolve around a perfectly hilarious crime.