The bloody ax lay at his side.
The dreadful deed was done.
His troubled mind sought answers now,
but he was finding none.

He looked in horror on the scene,
his mixed emotions blurred
with headaches he had felt of late
and voices he had heard.

His sister had expressed her fear
the madness had returned,
but she was loath to let him go,
although she'd been concerned.

Dementia was inherited.
The trait had been passed on.
His sister lay in gory shreds,
his loved ones now all gone.