{"id":917,"date":"2016-01-29T17:35:41","date_gmt":"2016-01-29T16:35:41","guid":{"rendered":"https:\/\/blogs.bmj.com\/medical-humanities\/?p=917"},"modified":"2017-08-08T20:02:39","modified_gmt":"2017-08-08T19:02:39","slug":"khalid-ali-and-jane-peek-cinema-of-splendour-reporting-from-dubai-international-film-festival-diff-2015","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/medical-humanities\/2016\/01\/29\/khalid-ali-and-jane-peek-cinema-of-splendour-reporting-from-dubai-international-film-festival-diff-2015\/","title":{"rendered":"Cinema of splendour: Reporting from Dubai international Film Festival (DIFF) 2015"},"content":{"rendered":"<p><strong>Cinema of splendour: Reporting from Dubai international Film Festival (DIFF) 2015<\/strong><\/p>\n<p><strong>Dr Khalid Ali, Screening Room Editor <\/strong><\/p>\n<p>When I visited Dubai International Film Festival (DIFF https:\/\/www.dubaifilmfest.com\/) for the first time in December 2015, I was not expecting to find so many films exploring health and well-being from all over the world. The variety of films on offer explored contemporary issues such as euthanasia and the right to die (Last cab to Darwin, directed by Jeremy Sims, Australia 2015), terminal illness (Dry, hot summers, directed by Sherif El Bendary, Egypt,2015, <u>https:\/\/blogs.bmj.com\/medical-humanities\/2016\/01\/04\/khalid-ali-taxi-ride-to-eternity-review-of-dry-hot-summers\/<\/u>), doctor-patient relationships (Waiting, directed by Anu Menon, India 2015), sports medicine and its ethically challenging medico-legal implications (Concussion, directed by Peter Landesman, USA 2015), and the aftermath of an epidemic of sleeping sickness (Cemetery of splendour, directed by Apichatpong Weerasethakul, Thailand 2015).<\/p>\n<p>Old age and its colourful diversity of frailty alongside resilience, health and disease, creativity and cognitive decline were also present in \u2018The lady in the van, directed by Nicholas Hytner, UK 2015\u2019 and \u2018Youth, directed by Paolo Sorrentino, Italy 2015\u2019. I was once again reminded that arts and films in particular have a lot more to offer. By portraying artistically the lived experience of human suffering, healthcare professionals can begin to understand the determinants of physical and mental well-being and subsequently deliver dignified compassionate care. Films are no longer entertainment vehicles only; they do have a \u2018healing power\u2019. An elegant example of such ground-breaking ability of \u2018healing through understanding\u2019 came from the film \u201923 Kilometres\u2019 that will be reviewed here.<\/p>\n<p><!--more--><\/p>\n<p><strong>Review: 23 Kilometres, Canada, UAE, directed by Noura Kevorkian<\/strong><\/p>\n<p><strong>Review by Jane Peek, Research Fellow, Brighton and Sussex Medical School<\/strong><\/p>\n<p>In this mesmerising film tracing the experience of living with late-stage Parkinson\u2019s, the Canadian film director, Noura Kevorkian, weaves a powerful narrative that draws us into the life, mind and body of her father. Through a masterful use of imagery and sound, the audience joins Barkev Kevorkian as he drives a \u201823 Kilometres\u2019 along the Damascus road through the Bekaa Valley in Lebanon to get to the local cinema with his 4 daughters.\u00a0\u00a0 In an unflinching portrayal of the cruel effects riven by Parkinson\u2019s on Barkev\u2019s mind and body, this intimate story explores loss, isolation and entrapment. The storyline gradually shapes and expands our understanding of how it might feel to have this progressive, degenerative, incurable disease. It is a portrayal that far transcends a still commonly held view that Parkinson\u2019s is little more than \u2018the cause of a bit of tremor in elderly folks.\u2019<a href=\"#_edn1\" name=\"_ednref1\">[i]<\/a><\/p>\n<p>Whilst Barkev does have a tremorous form of Parkinson\u2019s,<a href=\"#_edn2\" name=\"_ednref2\">[ii]<\/a> we soon learn that the condition is about so much more than this. Beginning with a clip recorded before Parkinson\u2019s robs him of the ability to speak, or hypomimia (\u2018masked\u2019 face) reduces his ability to convey emotions through facial expressions, we are able to hear Barkev\u2019s last words. We hear his voice doing what the voice does best \u2013 expressing thoughts, feelings and emotions, telling us of his love for cosmology. Thereafter, he must rely on recording any thoughts, feelings and emotions in a journal, even though this, too, becomes a painstaking task as micrographia (small, cramped handwriting) takes a grip.<\/p>\n<p>Alongside bold imagery and music, it is snippets from his journal entries superimposed on the screen that take us into his internal world- a world full of wonderful surprises to discover when one watches this film. Through one of the journal entries we learn, heartbreakingly, of Barkev\u2019s strong desire to be able to speak again. And yet, paradoxically, it is the inability to use his physical voice that allows us to imagine our way into his world and become more than mere observers. Although his life story, like his disease, is individual and personal, as viewers we not only accompany him on his physical and metaphorical journey, but also feel as though we have become a part of it.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone  wp-image-918\" src=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2016\/01\/Unknown-300x97.jpeg\" alt=\"Unknown\" width=\"637\" height=\"206\" srcset=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2016\/01\/Unknown-300x97.jpeg 300w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2016\/01\/Unknown.jpeg 394w\" sizes=\"auto, (max-width: 637px) 100vw, 637px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>The film\u2019s narrative thread moves unremittingly between past, present and future and guides us to interpret his story that is peopled by vivid hallucinations brought on by the disease and side effects of medication. At times, the experiential aspect of the film can feel unnerving, confusing, even frustrating, as Kevorkian\u2019s use of \u2018real\u2019 time forces us to slow down and endure, like him, some of the bewildering consequences of his illness. But herein lies the bewitching power of this film. It enables us to empathise with the very real physical, social and emotional implications of living with a chronic illness such as Parkinson\u2019s, whilst reminding us that, regardless of our health, nobody is exempt from the existential challenge that \u2018we are all living a life on our way to dying.\u2019 An uncomfortable difference is the fact that Barkev\u2019s diagnosis exposes him early on to unwanted knowledge of his imminent future.<\/p>\n<p>&nbsp;<\/p>\n<p>Parkinson\u2019s disease specialists are still trying to shift the medical perception of Parkinson\u2019s as a \u2018benign\u2019 movement disorder, to one in which Parkinson\u2019s is viewed as a neuropsychiatric disorder involving multicentric neurodegeneration and many more non-motor than motor symptoms. Parkinson\u2019s patients are often \u2018desperate\u2019 for others to understand what life is like for them<a href=\"#_edn3\" name=\"_ednref3\">[iii]<\/a>. This film speaks to both these needs, offering a means of shifting perception as well as the opportunity to witness and empathise with one man\u2019s experience of living with Parkinson\u2019s. It is a film that confronts the harsh realities of this disease, whilst retaining the dignity of its subject. Both profoundly moving and uplifting, the film underscores the universal predicament of what it means to be human, speaking in ways that the spoken word cannot.<\/p>\n<p>Address for correspondence: <a href=\"mailto:j.peek@bsms.ac.uk\">j.peek@bsms.ac.uk<\/a><\/p>\n<p><a href=\"#_ednref1\" name=\"_edn1\"><\/a>i Calne, D.B. (2002). \u201cWhat triggers the \u2018Shaking Palsy\u2019?\u201d Cerebrum 4 (2).<\/p>\n<p><a href=\"#_ednref2\" name=\"_edn2\"><\/a>iiThere is also an akinetic (rigid) form, which is the chief reason the 19th century neurologist, Charcot, chose to refer to the condition as \u2018La Maladie Parkinson\u2019 instead of the Shaking Palsy.<\/p>\n<p><u>iii<\/u><a href=\"http:\/\/www.healthtalk.org\/\">http:\/\/www.healthtalk.org\/<\/a><u> (previously known as healthtalkonline)<\/u><\/p>\n<p><a href=\"#_ednref3\" name=\"_edn3\"><\/a><u>\u00a0<\/u><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Cinema of splendour: Reporting from Dubai international Film Festival (DIFF) 2015 Dr Khalid Ali, Screening Room Editor When I visited Dubai International Film Festival (DIFF https:\/\/www.dubaifilmfest.com\/) for the first time in December 2015, I was not expecting to find so many films exploring health and well-being from all over the world. The variety of films [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/medical-humanities\/2016\/01\/29\/khalid-ali-and-jane-peek-cinema-of-splendour-reporting-from-dubai-international-film-festival-diff-2015\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":78,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[206],"tags":[],"class_list":["post-917","post","type-post","status-publish","format-standard","hentry","category-film"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Cinema of splendour: Reporting from Dubai international Film Festival (DIFF) 2015 - Medical Humanities<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/medical-humanities\/2016\/01\/29\/khalid-ali-and-jane-peek-cinema-of-splendour-reporting-from-dubai-international-film-festival-diff-2015\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cinema of splendour: Reporting from Dubai international Film Festival (DIFF) 2015 - Medical Humanities\" \/>\n<meta property=\"og:description\" content=\"Cinema of splendour: Reporting from Dubai international Film Festival (DIFF) 2015 Dr Khalid Ali, Screening Room Editor When I visited Dubai International Film Festival (DIFF https:\/\/www.dubaifilmfest.com\/) for the first time in December 2015, I was not expecting to find so many films exploring health and well-being from all over the world. 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