A review by sarahlopod
Sick: A Memoir by Porochista Khakpour

3.0

2.5 stars
This review can also be found on my blog.

It seems impossible to separate Khakpour’s life of illness from the remainder of her life. As she details, no one has been able to ascertain for certain when exactly she acquired Lyme. Some doctors have pointed to her health problems in childhood as symptoms, while others have indicated that college seemed like a likely bet. Having gone through one trauma after another, it’s also difficult to disentangle the symptoms of her Lyme from symptoms of primarily unrelated PTSD, depression, and anxiety. As she mentions, women typically struggle more with Lyme because they are often treated as psychiatric cases only and therefore left undiagnosed and untreated longer. As a quick note, there are extensive discussions of both drug abuse and suicide throughout the book, so if you find those triggering it may be best to steer clear.

And there it came: his half smile. And here it followed: my rage.

One thing that bothered me a lot was that she’s somewhat judgmental of one of her friends in Chicago, a wealthy woman who eventually reveals she’s a prostitute. This judgment comes unchallenged by the present Khakpour looking back and it’s clear she was sickened by the thought of her friend making money in this way, and pities her even though she herself is weak and slowly disintegrating while her friend is happy and stable. It was strange reading about someone who can look down so strongly on others when they themselves are struggling even more.

I also kept saying something I had heard some other therapist or doctor say at some point, maybe in the psych ward: Let’s get to the bottom of this once and for all. I was mesmerized by what “the bottom of this” could be, but I knew I wanted it.

Occasionally, the timeline feels mixed up. She’ll jump ahead only to jump immediately back and I forget where we are in the story. There are bits repeated throughout -- stories she tells multiple times, to my confusion -- that give the whole thing a sense of deja vu. Its meandering nature felt sometimes without purpose and I found myself checking where I was in the book to see if it was close to over. Her story itself is exhausting to read, and god knows how much more exhausting it must have been to live through, but its monotony made it disengaging when combined with the matter-of-fact tone she communicates her experiences in. Having had (much less serious) chronic illnesses of my own, I understand how hopeless the seemingly endless chain of doctors who don’t know what’s wrong with you is, but the negativity also felt like it would drown me without adding much to my experience as a reader.

So many men had tried to fix me; so many men were convinced they could help. What was one more.

Overall, even with my criticisms, I think this book is worth reading if you’re interested even if it didn’t quite work for me.