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Automaton(tik)

Automaton(tik) by Rory Du Plessis reconstructs the lives of 19-20th century asylum patients from sparse medical records, in order to re-humanise and dignify them. 

The patients were both individuals and in community. For example, the scholars Frederick and Gerhardus. Or the low-key trade unionists Timothy and James. Maybe they would have been my kind of people. 

Automaton(tik) reminds me of work I did for the pandemic response team until 2022. Ensuring accurate death statistics meant we combed through the lives and medical journeys of many individual patients. For example: 

- Female; 
- Born 2001;
- Phillipi East, Delft or Hanover Park. I don’t quite remember. Or maybe I do but won’t say;
- Antenatal Clinic visits in 2017 and 2020; 
- Chronic dispensing of TLD and fluoxetine; 
- Last viral load < 50;
- Suppressed and adherent;
- A young mother doing her best. No ICD10 code for that. Maybe Z65.9 other psychosocial?; 
- 2021 hospital admission with J18.9 pneumonia unspecified organism; 
- NHLS PCR positive for that virus; 
- Death I46.9 cardiac arrest; 
- No other cause specified; 
- A four year old and a one year old left behind. Who will care for them?; 
- Two different folder numbers with the same name, same address, same dates, same story. Told twice. Collapsed into one line for the report. Our only job is to record her as one death, not two, for the NICD. 

I bore witness alone in my kitchen. No time or permission to tell her story. She is protected by POPIA.  Maybe even I saw too much. I did tell my pet rodents.

Automaton(tik) Automaton(tik) by Rory Du Plessis reconstructs the lives of 19-20th century asylum patients from sparse medical records, in order to re-humanise and dignify them. The patients were both individuals and in community. For example, the scholars Frederick and Gerhardus. Or the low-key trade unionists Timothy and James. Maybe they would have been my kind of people. Automaton(tik) reminds me of work I did for the pandemic response team until 2022. Ensuring accurate death statistics meant we combed through the lives and medical journeys of many individual patients. For example: - Female; - Born 2001; - Phillipi East, Delft or Hanover Park. I don’t quite remember. Or maybe I do but won’t say; - Antenatal Clinic visits in 2017 and 2020; - Chronic dispensing of TLD and fluoxetine; - Last viral load < 50; - Suppressed and adherent; - A young mother doing her best. No ICD10 code for that. Maybe Z65.9 other psychosocial?; - 2021 hospital admission with J18.9 pneumonia unspecified organism; - NHLS PCR positive for that virus; - Death I46.9 cardiac arrest; - No other cause specified; - A four year old and a one year old left behind. Who will care for them?; - Two different folder numbers with the same name, same address, same dates, same story. Told twice. Collapsed into one line for the report. Our only job is to record her as one death, not two, for the NICD. I bore witness alone in my kitchen. No time or permission to tell her story. She is protected by POPIA. Maybe even I saw too much. I did tell my pet rodents.

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Pandemic memory reading automaton(tik) by @roryduplessis.bsky.social

#PublicHealth #Healthcare #Decolonize #HIV #CVID #ChronicIllness #Autoimmune #ImmuneDeficiency #SouthAfrica #Health #Medicine #Patient #Leftist #Politics #RareDisease #Disability #SocialJustice #Zebra #ThinkHorsesNotZebras

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