West wrote, “the patient became convinced that all Jews in America were being slaughtered. This was in retaliation for him, Jack Ruby, the Jew who was responsible for ‘all the trouble.’” The delusions were so real that Ruby had crawled under the table to hide from the killers. He said he’d “seen his own brother tortured, horribly mutilated, castrated, and burned in the street outside the jail. He could still hear the screams… The orders for this terrible ‘pogrom’ must have come from Washington.”