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Janos Rozsas, an eighteen-year-old Hungarian who found himself in the same camp as Alexander Solzhenitsyn after the war, wrote a book entitled Sister Dusya, named in honor of the camp nurse he believed had saved his life. Not only did she sit and talk to him, convincing him that it was impossible to die under her care, Sister Dusya even traded her own bread ration in order to procure milk for Rozsas, who could digest very little food. He remained grateful for the rest of his life: “I conjured up in my head two beloved faces, the faraway face of my natural mother, and the face of Sister Dusya. They were amazingly similar . . . I told myself that if, in time, I were ever to forget my mother’s face, I would only need to think of the face of Sister Dusya, and through her I would always see my mother.” ⁷²

Rozsas’s gratitude to Sister Dusya eventually translated itself into a love of the Russian language and Russian culture. When I met Rozsas in Budapest half a century after his release, he still spoke elegant, fluent Russian, still maintained contact with Russian friends, and proudly told me where to find the references to his story in The Gulag Archipelago and in the memoirs of Solzhenitsyn’s wife.⁷³

Yet there was, as many also noticed, another paradox at work here. When a prisoner with mild scurvy was in the work brigade, no one was interested in his loose teeth or the boils on his legs. His complaints would bring derisive scorn from the guards, or worse. If he became a dokhodyaga dying on a camp bunk, he would be a figure of fun. But when his temperature finally reached the requisite level or his illness reached the critical moment—when he “qualified” as sick, in other words—the same dying man would immediately be given “scurvy rations” or “pellagra rations,” and would receive all the medical care that the Gulag could muster.

This paradox was built right into the system. From the beginning of the camps’ existence, sick prisoners had been treated differently. Invalid brigades were set up, for prisoners who could no longer do hard physical work, as early as January 1931.⁷⁴ Later, there would be invalid barracks, and even whole invalid lagpunkts, devoted to nursing weak prisoners back to life. In 1933, Dmitlag organized “recovery lagpunkts ” designed to hold 3,600 prisoners.⁷⁵ Official Gulag documents carefully describe the extra rations for hospitalized prisoners: a few meat products, real tea (as opposed to the surrogate offered to ordinary prisoners), onions to ward off scurvy, and, inexplicably, pepper and bay leaves. Even if, in practice, the extra food only amounted to “a bit of potatoes or dried green peas (only half-cooked to retain the vitamins) or sauerkraut” it was, compared to ordinary rations, real luxury.⁷⁶

So bizarre did Gustav Herling find this contrast between the murderous conditions of camp life, and the efforts which camp doctors invested in reviving the prisoners whose health had been duly destroyed, he concluded that a “hospital cult” must exist in the Soviet Union:

There was something incomprehensible in the fact that the moment a prisoner left the hospital he became a prisoner again, but as long as he had been lying motionless in a clean bed all the rights of a human being, though always with the exception of freedom, had been accorded to him. For a man unaccustomed to the violent contrasts of Soviet life, camp hospitals seemed like churches which offer sanctuary from an all-powerful Inquisition. ⁷⁷

George Bien, a Hungarian prisoner who was sent to a well-stocked hospital in Magadan, also found it hard to understand: “I asked myself why they were trying to save me when it had seemed that they only wanted my tortured death—but logic had left a long time ago.”⁷⁸