An immersive reading of excerpts from ‘The South’ by Jorge Louis Borges with reflection on the experience of critical illness, iatrogenesis and communication.
Work:
Fever wasted him and the pictures in The Thousand and One Nights served to illustrate nightmares. Friends and relatives paid him visits and, with exaggerated smiles, assured him that they thought he looked fine. Dahlmann listened to them with a kind of feeble stupor and he marveled at their not knowing that he was in hell. A week, eight days passed, and they were like eight centuries. One afternoon, the usual doctor appeared, accompanied by a new doctor, and they carried him off to a sanitarium on the Calle Ecuador, for it was necessary to Xray him. […] When he arrived at his destination, they undressed him, shaved his head, bound him with metal fastenings to a stretcher; they shone bright lights on him until he was blind and dizzy, auscultated him, and a masked man stuck a needle into his arm. He awoke with a feeling of nausea, covered with a bandage, in a cell with something of a well about it; in the days and nights which followed the operation he came to realize that he had merely been, up until then, in a suburb of hell. Ice in his mouth did not leave the least trace of freshness. During these days Dahlmann hated himself in minute detail: he hated his identity, his bodily necessities, his humiliation, the beard which bristled up on his face. He stoically endured the curative measures, which were painful, but when the surgeon told him he had been on the point of death from septicemia, Dahlmann dissolved in tears of self-pity for his fate. Physical wretchedness and the incessant anticipation of horrible nights had not allowed him time to think of anything so abstract as death.
References
The South: https://www.medina502.com/classes/ml260_2017/readings/Borges-The_South.pdf
Jorge Luis Borges: https://www.poetryfoundation.org/poets/jorge-luis-borges
An Autobiographical Essay: Newyorker https://www.gwern.net/docs/borges/1971-borges-anautobiographicalessay.pdf
Campbell C, Scott K, Skovdal M, Madanhire C, Nyamukapa C, Gregson S. A good patient? How notions of 'a good patient' affect patient-nurse relationships and ART adherence in Zimbabwe. BMC Infect Dis. 2015;15:404.
Stollings JL, Kotfis K, Chanques G, Pun BT, Pandharipande PP, Ely EW. Delirium in critical illness: clinical manifestations, outcomes, and management. Intensive Care Med. 2021;47(10):1089-1103.
Cutler LR, Hayter M, Ryan T. A critical review and synthesis of qualitative research on patient experiences of critical illness. Intensive Crit Care Nurs. 2013;29(3):147-157.
