临终
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别名:临终
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清晰:BD
- 类型:
- 主演:
- 年代:1989 / 美国 / 弗雷德里克·怀斯曼
- 导演:弗雷德里克·怀斯曼
- 国家/地区:美国
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时长:120分钟
- 语言/字幕:国语对白 中文字幕
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年代:1989
- 更新时间:2024-04-08 01:33:49
- 影视/评论:当前有0条评论,
- 详细介绍:
''Yourlungsareaboutasbadastheycanget,''thenurseexp…
''Yourlungsareaboutasbadastheycanget,''thenurseexplainstothe83-year-oldman.''Yourlungsaren'tgoingtogetbetter,andsotheactofputtingyouonthemachineisalmostafutileeffort.''Inalongconversation,thenurseletsthispatientknowwhathisoptionsareandtriestodeterminehiswishes,askindlyaspossiblebutwiththesuggestionthatshehasdonethismanytimesbefore.''Iwanttohelpyou,butIonlywanttohelpyouinthemannerinwhichyouwanttobehelped,''shesays.''Idon'twanttokeepyoualiveunlessyoulikeliving.''
Ahalf-dozenyoungmedicalprofessionalsgatheraroundthebedofanoldwoman,astrokevictimwhocannotspeakandcancommunicateonlybymeansofthefaintestmovements.Theywanttodiscussthepossibilityofremovingherbreathingtubeandthemachinetowhichitisconnected.Doessheunderstandwhattheconsequencesofthismaybe?Isshepreparedfortheworst?Issheworriedaboutthewayherdeathmayaffectherdevotedhusband?Thewomanattemptstoanswerthisbarrageofdifficultquestionsbyweaklysignalingyesorno,butsheissoonexhausted.Sheindicatesthatshewouldliketheconversationtostop.
Asemiconsciousmanwhowilldiewithinamatterofdaysisbeinggroomedbyaslightlyimpatientyoungnurse.Helooksmomentarilystartledassheadjustshisheadsothathecanbeshaved.Itlooksasifmovingthetubesattachedtohisfaceisslightlypainful.It'shardtotell.Themangivesthenurseonemorestartledlookassheperfunctorilyrunsacombthroughhishair.
Inaroomfilledwithmedicalmachinery,thelineonamonitorgoesflat.Anursestandsby,stillholdingthepatient'shand.Adoctortouchesthepatientefficiently,thenchecksforbreathfromheropenmouth.''Okay,she'sdead,''hesays.''7:53.''
Thesearetheunforgettablysoberingsightsandsoundsof''NearDeath,''FrederickWiseman'sgreat,fearlessandmonumentalsix-hourdocumentarychroniclingtheworkingsofthemedicalintensivecareunitatBoston'sBethIsraelHospital.Theyarethesortsofimagesthatbecomegrimlycommonplaceduringthecourseofafilmthatislessaviewingexperiencethanatotalimmersion.Itisn'ttherunningtimethatmakes''NearDeath''sooverwhelming;it'sthesubjectitself.Butatthislength,thefilmhastimetocarryitsaudiencefromaninitiallyrawemotionalresponsetoacalmerconsiderationofthedifficultissuesraisedhere,andfinallyontosomesortofresolution.
ItisMr.Wiseman'smethodtomakehimselfanextremelyattentiveflyonthewall,observinglongexchangesbetweendoctorsandpatients,doctorsandfamilymembers,andamongthevariousmembersoftheunit'smedicalstaff.Thisparticularintensivecareunitisnotaplaceforemergencysurgeryorfortreatingsuddenillnesses;it'saplaceofferingmedicallysophisticatedtreatmenttopeoplewhosefinaldaysmarkthelaststageofslow,agonizingdecline.Everyonethecameraobserveshasspenttimewatchinglifeerodeandhashadextensiveexperiencewithdebilitatingpain.
Oneofthedoctorshasasisterwhopracticesmedicineatanotherhospital.''Shedoesn'tsay'Whatdoyouthink?'-shesays'You'refather'sdying,'''hetellsacolleague.Butatthisparticularward,greatcareistakentotalkmorehumanelyandlessabrubtlyaboutwhattheterminallyillpatient'sprospectsreallyare,andtotrytoinvolvepatientsandfamilymembersinmakinglife-or-deathdecisions.Thisisevenharderthanitsounds.Patientswhothoughttheywouldneverwantheroicmeasurescansometimesfeeldifferentlywhentheirworstfearsbecomereality;relativeswhowanteverythingpossibledonefortheirlovedonesreachapointwheretheymayfeelthedyingpatienthasbeenthroughenough.
Thedoctorshavetheirownperspective.Experiencehasinevitablytouchedsomeofthemwithcynicism,howeverhardtheyfightagainsttheirownpessimism.''Ireallybelievethatfromthemomentthatdiagnosiswasmade-likein'TreasureIsland,'whenthatoldcaptaingothandedablackspot?Shegothandedablackspot,''adoctortellsacolleagueaboutonepatient.''It'snotclearwehaveanythingtooffer,''thissamedoctorsubsequentlyacknowledges.''Butinthisdayandage,we'reextremelyreluctanttosay'Wecan'tdoanythingforthat.'''Thedoctorsarealwaysfirsttorecognizehopelesssituations,andtheyfindthemselvesgentlytryingtosteerpatientstowardtherecognitionthathigh-techlife-prolongingeffortsmaybefutileandself-defeating.Phraseslike''Weneverknowthefutureforsure,but....''and''aborderlinesituationbetweensurvivingandnotsurviving''havebecomedelicatestaplesoftheirconversation.
Amongthemselves,thedoctorstalkdifferently;theymayuselessgentleeuphemisms,like''justcallitaday.''('''Qualityoflife'isforfurnituresalesmen,''onesays.)Forthemostpart,thedoctorsinthefilmareasyoungandenergeticastheirpatientsareweakandold,andattimesitisdifficultnottoregardascavaliertheveryhardinessthatallowsthemtodothisworkatall.Oneofthethingsthatemergesoversixhoursisanenormousappreciationofthedoctors'staminaandtact.
As''NearDeath''focusesattentiononquestionsofjustwherelifeendsandhowitsendingcanbestbehandled,itflinchesatnothing.It'snotforthetimid.Thoughthereisnofullautopsysequencedepictedhere,doctorsareseenstudyingdiseasedorgansinapost-autopsyevaluationsession;anothersectionofthefilmshowsexactlyhownursesremovethedeadfromtheirroomsandtransporttheminconspicuouslytothemorgue.Thenurses'casualnessaboutthisisatleastaschillingastheprocessitself.
Andifsqueamishnessisnotspared,neitherispureemotion.Therearescenesofheartbreakingtendernessinwhichlongtimespouses,soontobeleftalone,trytocomfortthepeopletheylove.ThefamilieswhoallowedMr.Wisemantofilmlong,uninterruptedtakeschroniclingsuchprivateandpainfulmomentshavemadeaninvaluablecontribution.
''NearDeath''willbeshowntodayat11:30aspartoftheNewYorkFilmFestival.Thosewhoseeitwillfindthemselvesirrevocablyalteredbytheexperience.
'WeNeverKnow'
NEARDEATH,directed,producedandeditedbyFrederickWiseman;photographybyJohnDavey;productioncompany,ExitFilms;aZipporahFilmsRelease.AtAliceTullyHall,aspartofthe27thNewYorkFilmFestival.Runningtime:350minutes.Thisfilmhasnorating.
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