In case you were wondering...
I wanted to focus on the shift from rational to irrational (and non-rational) parts of the story as in the Doctor's mind. The handwriting is meant to emphasize the of frantic, hopeless, nagging thoughts, while the loose rose illustrations reference simultaneously the sick boy's growing wound and young Rosa's lose innocence. It was important to me to maintain legibility for the reader, as Kafka's original text is ultimately the most important content.