In the early 20th century, tuberculosis was a fairly common disease. At that point in time, an effective treatment had yet to be developed. The disease mainly spread among populations that suffered from nutritional deficiencies. War could often lead to significant parts of the population suffering from malnutrition, and so it isn’t surprising that Franz Kafka contracted tuberculosis in 1917 – in the midst of the First World War.
At first, Kafka tried a very simple method of treatment; he figured a few months of rest outside the city at his sister Ottilie’s home might help. During his years of illness, Kafka occasionally returned to work at the insurance company in Prague where he was employed but he found he increasingly needed long breaks, which he took at various sanatoriums in Bohemia and Austria. During his last weeks, he stayed at a sanatorium in the town of Kierling near Vienna, Austria. Many of the patients there were in the terminal stages of tuberculosis and had hardly any chance of leaving in a reasonably healthy state. For Kafka, the disease had spread to his throat, preventing him from speaking and he switched to exclusively written communication.
The author sent letters and postcards to his friends, like the ones pictured here that he sent to Max Brod in April and May 1924:




In these postcards, Kafka wrote about his own literary interests, the works of other authors, and also his unpleasant experiences due to the difficult treatments he was receiving, for example, injections of alcohol. At best, these injections offered a bit of relief.
About 40 “conversation sheets” from this difficult period have been preserved. They contain the ideas Kafka wrote down and the words he wished to express to the people who surrounded him: his friend and lover Dora Diamant, the doctor Robert Klopstock, Max Brod, and possibly others. After Kafka’s death on June 3, 1924, these pages were distributed among his friends, with five of them given to Max Brod. These items were brought to the National Library of Israel, along with Max Brod’s personal archive and a number of Kafka’s writings which were in Brod’s possession. While reading the pages (which were never published), it is not always easy to understand who exactly Kafka was “conversing” with when he wrote a certain line on the page, or what exactly the conversation was about. Some interesting references can be found among the pages, for example, his memories of experiences he had with his father when he was a child:
“When I was a little boy, before I learned to swim, I sometimes went with my father, who also can’t swim, to the shallow-water pool. Then we sat together naked at the buffet, each with a sausage and a half liter of beer. My father used to bring the sausages from home, because at the swimming school, they were too expensive.”


Elsewhere in these pages, two lines reveal Kafka’s concern for the flowers that were brought to his room in the sanatorium:
“Not cold water, but not too hot either, so that they don’t get sick.”
“And they should have made sure the flowers that were pushed to the bottom of the vase were not damaged. How can they do that?“
Kafka also had comments about his diet: “It makes sense that in the hospital, dinner was between six and seven-thirty, after lying down all day, you can’t eat at half past eight” and “after all, a round of meals without fruit is unbearable over time.” In his deteriorated condition, it wasn’t easy for him to drink, either: “Milk? I drank sour milk for too long, then vinegar. The agony that drinking milk causes, now.“
Of course, his illness and the treatments also became an issue: “It was from a cough at the time. I’m still burning from the oil. The injections don’t excite me anymore either, it’s too confusing.”
The exact order of the pages isn’t clear, nor is it clear if they contain all the content of Kafka’s written conversations in his last days or if there were more.
Despite his health and mental condition, he put together several short stories for a final collection he prepared, entitled A Hunger Artist. Proofreading the pages may have been the last literary act Kafka undertook. His friend Brod completed the process of getting it published. Franz Kafka never got to see it in print.


These and many other items will be displayed in the National Library of Israel’s exhibition on Franz Kafka, which will open towards the end of 2024.