In: Nursing
The movie is about nursing and Wit is not a story of survival. Instead, the film deconstructs the typical tale of staying strong through cancer treatment, overcoming the odds, and surviving. The film skillfully constructs a story of repair and restoration of the individual not through treatment of the body ravaged by cancer, but by admitting one’s weaknesses, exposing oneself, and, perhaps most frightening of all, relinquishing control and, in the process, becoming vulnerable. In the end, one is left with the feeling that the main character of the play is being “healed, not cured
Wit is more than a case study of an individual struggling with experimental cancer treatment and, in the process, her humanity. The play also depicts Professor Bearing’s interactions (or lack thereof) with her primary care providers Dr. Harvey Kelekian, Dr. Jason Posner, and Nurse Susie Monahan.
With her characteristic dry wit, she reflects on the depersonalized nature of the hospital: “in Grand Rounds, they read me like a book. Once I did the teaching, now I am taught.” Despite Professor Bearing’s seemingly compulsive need to repeat her credentials to herself, in the hospital, and in the world of research she admits that “What we have come to think of as me is, in fact, just the specimen jar, just the dust jacket, just the white piece of paper that bears the little black marks.”
Through her series of flashbacks, Professor Bearing gradually becomes aware that she is guilty of the same inhumanity that readers are so apt to critique her primary care providers for exhibiting. In a sense of new self-awareness, she contextualizes Dr. Jason Posner’s view of patients as specimens with a scene in which she, herself, fails to appreciate or even recognize the humanity of her students. Ultimately, she realizes her behaviors as a professor were not that much different than those she is experiencing from her medical team.
The plot is described below
Emma Thompson and Mike Nichols' adaptation of Margaret Edson's
intellectual anti-intellectual play "Wit," which won the 1999
Pulitzer Prize, movingly explores a tough but emotionally homeless
scholar's confrontation with a life-threatening illness. At the
same time, it ruthlessly deconstructs the modern medical research
establishment. This excellent film is driven by Edson's sharp
dialogue, Nichols' controlled direction and Thompson's riveting,
dead-on portrayal of the scholar, with fine supporting performances
by the other actors, including a brief appearance by playwright
Harold Pinter as her father.
English Professor Vivian Bearing is an uncompromising authority on 17th Century English poetry, especially that of John Donne, whose Holy Sonnet X ("Death, be not proud...") figures heavily in the film, an obvious device that could be tiresome in the hands of lesser artists. At age 48, Vivian is diagnosed with Stage IV ovarian cancer by prominent physician Harvey Kelekian (Christopher Lloyd), who gets her to agree to aggressive, debilitating chemotherapy that will serve his research agenda by appealing to their common commitment to rigorous scholarly discipline. The stoic Vivian bears this therapy and degrading study by Kelekian's team, including her own former student Jason Posner (Jonathan M. Woodward). Posner is now a bright research fellow who refers to clinicians as "troglodytes" and whose bludgeoning insensitivity seems to amuse Vivian more than it pains her, at least for a while. Vivian is asked "how are you feeling today?" so frequently and mechanically that it loses all meaning, and she remarks that she's a bit sorry she won't be able to hear herself being asked the question after she has just died. She engages in piercing monologue to the camera, applying the analytical skills she honed as a scholar to her life, her condition and the health care system she confronts. This system ironically sacrifices the well-being of individual patients, not necessarily with their full consent, for the research and professional interests of the physicians who appear to control it--a way of increasing knowledge at a considerable human cost which seems familiar to Vivian. But as her condition grows worse and her fear increases, Vivian starts to question her assumptions about what matters in life.
Unlike much film and television work of recent decades, "Wit" has no interest in deifying physicians, and physicians who see it may object to the blatant disregard for patient well-being and smarty-pants self-indulgence displayed by the research physician characters. The one health care professional who actually cares for Vivian in any real sense is her primary care nurse Susie Monahan, played by Broadway actress and singer Audra McDonald. Susie, who is not an intellectual, simply wants to provide Vivian with health care that is consistent with her professional obligations and with basic human decency, a goal which brings her into increasing conflict with the physicians pushing Vivian's chemotherapy. Despite their differences, the two women form a bond that has important consequences for the apparently friendless Vivian's emotional and physical health. McDonald's performance is steady and subtle, arguably a bit too subtle, but she conveys a fiery core when patient advocacy demands it. The script does not call for Susie to display a great deal of substantive knowledge, and a few other aspects of the film's portrayal of nursing could probably have been improved. Nevertheless, Susie is one of the most powerful feature film portrayals of what a good modern nurse actually does--an added incentive to see a movie that every health care professional should see anyway.