Hot Water is an intimate and daring look into the life of a young African woman from the Cape Flats with a chronic illness. The book investigates how endometriosis affects the way young woman function and navigate the world, and how this becomes especially complicated for those who are underprivileged and reliant on the public sector’s healthcare system.

In Hot Water Nadine Dirks reveals the unique issues of racism, sexism, classism, fatphobia and slut-shaming that African women experience within the context of healthcare facilities, and how especially jarring it is when the stigma comes from medical staff who one expects to have the patient’s care as their primary concern. All of this has enraged Dirks and catapulted her into becoming a sexual reproductive health and rights advocate.

Hot Water tells the story of how people with chronic illness are treated daily, at school, university and socially for being differently abled; how people are regarded as lazy, aggressive, disappointing, lacking, among multiple other things for being unwell in comparison to their healthy counterparts.

One cannot look at seeking adequate healthcare as a young, black, underprivileged woman on the Cape Flats without experiencing racism in the most blatant of ways. Even with guidelines in place, the book shows that it is next to impossible to invoke those rights even if you are aware of them for fear of being victimised and excluded from the system.