few hospital releases granted to him". The Doctor diagnosing him with catatonia, dementia and depression. The Patient's first line on the album sees him describing that his hospital ID bracelet was the only proof of his existence. From "Dreaming" onwards, The Patient serves in the lead role, as the listener "follow[s] his attempts at recreating the aforementioned song", according to Shultz. "Waking" is a power pop song, complete with a Moog synthesizer. "Medicating", which recalls the work of Sunny Day Real Estate, sees The Patient attempting to convince The Doctor that is mentally stable for hospital release. Shultz said "Purging" features the majority of the "remaining screaming left in the band's system; if they're trying to convey The Patient's actual state of mind". Later in the album, The Patient is infected from a disease that he contracted from factory machinery. Dupuy's part as the wife appears in the Bright Eyes and Denali-indebted "Relapsing", where The Patient thinks he can hear her voice in his head. Peter Gaston of Spin referred to the song as a "Warped Tour-ready version of Fleetwood Mac" due to the vocal interplay between the pair. The other occurrence is in "Disintegrating", where she persuades The Patient that the only away to stop the song in his head is with the death of The Doctor. The Doctor makes a reappearance for the album's final track, "Dying". Release On April 6, 2005, Trainwreck was announced for release in three months' time. Boys Night Out embarked on a cross-country tour of Canada with the Fullbast, Blue Skies at War and As Tall as Lions, and supported Millencolin on their headlining US West Coast tour in May 2005. On May 29, 2005, the album's artwork and track listing was posted online; alongside this, "Composing" was made available for free download through the band's Myspace profile. On June 23, 2005, "Medicating" was posted online; the song's music video followed on July 15, 2005. The video, which features 50 of the band's fans, was filmed at the Player's Guild in Hamilton, Ontario. On July 25, 2005, "Healing" was posted on their PureVolume account. Trainwreck was released on July 26, 2005. Design company Switzerland did the layout for the album and Gordon Ball took the photography, which showcases The Patient at different points of the story. The layout is done in different shades of grey and one hue of yellow; the lyrics switch