Thanks for going ahead and reading so far in!
The main character isn't supposed to be a good guy in any way, and I don't want to do the old 'bad guy finds redemption in family' or something, because that's been done plenty of times before and I wanted to try something. Maybe that page was a bit too much, at least with the violence, but I can reword or tone it down if I reread it and it seems to be a glaring issue.
The way I wanted to have the story planned out was by introducing the situation like I did, and slowly drawing flashbacks of what happened while he was in prison as a means of storytelling and putting the pieces of the puzzle together while the reader plays. I will agree on the fact that the doctor part was written because I was feeling whimsical, but I want the characters to be memorable and even a bit far-fetched. I do want to keep the realism there however, so thanks for bringing that up.
I do plan on making all the characters you interact with special in some way, and the writing and characters inhabiting the story are supposed to represent the corruption and insanity that is the prison.
Thanks again for taking the time to read!