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"You'll be ready for the lunatics' asylum"

"The nurse told me to lay flat for one week and if I don't comply I would be ready for the lunatics' asylum in four weeks"

was Thomas so sick that was thought to send him to an asylum ??

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When was the interview made?

1985. After that incident in London. Thomas fell very ill and was hospitalized

Why would they send him to asylum? He wasn't admitted for mental issues.

I think it means that Thomas' condition might've been very bad that if he didn't rest for a certain period of time he would most likely go crazy. When you're tired, sleepless and sick, it destroys your mind completely.