I am guessing that this girl is possibly writing in a journal and her thoughts are pooring out on to the page, but they are so clustered together that she can't identify a single thought. Perhaps the scalpel she is picturing maybe a kind of medicine to help her think straight?
I liked it, although it was a little hard to interpret at times I think I understood what you were saying at the end.
Oh by the way, in the last sentence of the last paragraph you are missing the "r" in turned.
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