re: Wayne -- I got the sense he was standing guard, not just watching. Perhaps he didn't win the YOG Whataburger because he's full-time in the Quebec insurgency now? Of course, that interpretation would suggest that the Quebec'ers got possession of whatever (presumably the Entertainment master) Hal & Gately recovered from the grave, and there's no evidence that it was used as had been threatened -- but of course that could be due to Maranthe's defection...
as for what happened to Hal, jeez, there's a lot to digest. a few thoughts:
1. From the Gately-Wayne-Hal gravedigging scene, it would appear that Hal was still coherent (or, perhaps more specific, able to communicate) for some weeks after 11/20 YDAU. Although his first ER visit must have happened around this time (he says it was almost exactly a year ago at the time of the YOG Whataburger), he had to be able to communicate well enough to meet Gately, and it seems unlikely that Mr shot-in-the-shoulder would be in any shape to be digging right after the events on mid-Nov YADU.
2. If (1) is true, the crisis-panic attacks-WD symptoms-whatever described towards the end of the book must not have been the only thing that happened to Hal to make him unable to communicate with others (unless, of course, he was semi-OK for awhile and things went downhill from there). That suggests to me that there was another trigger, with DMZ being the most obvious possibility. He might have decided to try the DMZ once the 30-day window had passed, assuming Pemulis recovered it, and assuming he bought into Pemulis' reasoning about the benefits of shocking the old system.
3. I get the feeling that Hal, for whatever reason, has gone through some sort of wraithing process/change. Like the JOI wraith that Gately encountered, Hal comes to have problems communicating in any fashion with "normal" people - whether by word, writing, or even gesture (see e.g. pp. 8, 12, 14). Perhaps he would be able to connect with the AZ admissions deans if they were in post-surgical dream/coma states, who knows? Maybe the strange noises he makes are normal speech incredibly speeded up? The wraith says he exists on a different time-dimension, and similar time distortion effects are supposedly caused by DMZ (think of the guy who said it was like a Futurist painting -- like the famous painting the Woman Descending the Stairs, which is like a series of overlapping movie stills. Other time-distortion references come up in the book a LOT, e.g. 14 ("like a time lapse, a flutter of some awful... growth"), 43 - describing O's sweat outlines VERY much like the Futurist painting just referenced -- etc). Incidentally, this time-distortion effect of DMZ could, conceivably, explain the entire narrative structure of IJ itself -- as if Hal's time-sense has been so fractured that the reader experiences events in a non-linear fashion. just a thought. Also, what is the significance of the younger wraith that appears to Gately in athletic clothing? Is that Hal's spirit, or maybe Clipperton?
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