Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Let Me Down Easy and facing illness and death

Danielle Ofri, MD, PhD
Physician
February 17, 2011
Share
Tweet
Share

Every illness is unique, and every person faces illness in his or her own way.

Anna Deveare Smith, in her one-woman Broadway show “Let Me Down Easy,” slips into the persona of twenty individuals who have faced an aspect of illness or death. In ninety minutes, Deveare Smith takes the audience on an existential scavenger hunt, allowing us to observe, and occasionally pluck, insights from this gathering of individuals.

These individuals do not run the full spectrum of humanity. A large proportion are public figures–former Texas Governor Ann Richards, CBS movie critic Joel Siegel, playwright Eve Ensler, model Lauren Hutton, cyclist Lance Armstrong. A number are prominent academics from Yale, Stanford, and M.D, Anderson Cancer Center. This doesn’t dilute the power or validity of the experiences, but it does skew the journey.

Deveare Smith apparently interviewed more than 300 people world-wide, asking questions about illness, mortality, and resilience. For the show, she uses verbatim dialogue from the interviews. The performances are filled with verbal habits, facial tics, accents, and gestures. She includes real-time props and interruptions–ringing phones, eating lunch, sipping wine.

But Deveare Smith does not allow her talented impersonations to overwhelm the show. She is still herself, conveying to us the experience of this real person, telling it to us the same way each person told it to her.

The vignettes are short, and there are times I wished for more depth. But it was entrancing, and often unsettling, to be pulled so deeply yet so briefly into different people’s worlds.

Joel Seigel talked about what a wimp he’d always been as a nerdy, Jewish kid–the last kid picked for every sports team. He’d never seen himself as strong, but cancer suddenly brought out a hitherto unknown toughness in him. “Where did I get this toughness?” he asks, rhetorically. “Probably from 3000 years of being kicked around in Europe.”

Governor Richards assumes she can make a day into a good day by simply deciding it to be so. A musicologist derives fortitude by understanding Schubert’s later works, the ones he wrote as he knew his incurable syphilis would kill slowly him, as it did at age 31. A rodeo cowboy shrugs nonchalantly as he describes being gored by a bull, and then getting patched up quickly so that he could return to the ring.

The piece that stayed with me the longest, however, was the physician from Charity Hospital in New Orleans. As a physician in a public hospital in New York City–Bellevue Hospital–I felt an instant kinship with her, and I was prepared to hear of our common experiences.

Initially her experiences did seem similar to mine, working with “underserved” patients, determined to make the care as good as that seen in a private hospital. By and large, I have the sense that we accomplish this at Bellevue and she seemed to feel the same about Charity.

But Hurricane Katrina punctured a hole in this patina, and in Deveare Smith’s rendering of Dr. Kiersta Kurtz-Burke, we see the rawest ulceration of our society, worse than anything I’d ever experienced or ever imagined.

When the flood first occurs, both the patients and the nurses of Charity Hospital–nearly all African-American–immediately assume that the levees had been deliberately breached, that a conscious decision was made to flood the Ninth Ward so that other more affluent areas of New Orleans would be spared.

Dr. Kurtz-Burke finds this ludicrous; there is nothing in her experiential understanding of society that could countenance such conspiracy-type thinking. When the patients and nurses matter-of-factly assume that the inhabitants of Charity Hospital will not be rescued, Dr. Kurtz-Burke finds this similarly preposterous. She takes it on herself to reassure her patients and staff.

But then the days stretch on with temperatures over 100 degrees, no electricity, no food, no water. Rounds are conducted by flashlight. Ventilators are kept running by generator. The other hospitals are evacuated; the private patients are rescued by helicopter. But Charity remains abandoned in the dark for six days.

ADVERTISEMENT

Alongside Dr. Kurtz-Burke, our souls are deflated. Everyone is not treated equally. Our basic assumptions about our society simply aren’t true. It’s a hell of a reality-check.

“Let Me Down Easy” is sobering, but it isn’t necessarily depressing (with the exception of the Katrina story). Anna Deveare Smith shows us the humanity in these human beings, draws us close to their worlds for a taste of their lives. We leave the theater feeling our eyes opened and the colors in our souls more vivid.

Danielle Ofri is an internal medicine physician and author of What Doctors Feel: How Emotions Affect the Practice of Medicine.

Prev

Treatment guidelines pros and cons

February 17, 2011 Kevin 7
…
Next

How medical students should present patients to their attendings

February 17, 2011 Kevin 4
…

Tagged as: Hospital-Based Medicine, Mainstream media, Patients, Primary Care, Specialist

Post navigation

< Previous Post
Treatment guidelines pros and cons
Next Post >
How medical students should present patients to their attendings

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

More by Danielle Ofri, MD, PhD

  • Getting an appointment with primary care is the Achilles’ heel of medicine

    Danielle Ofri, MD, PhD
  • Emotional epidemiology of disease is as critical as clinical epidemiology

    Danielle Ofri, MD, PhD
  • Does the EMR improve or worsen patient safety?

    Danielle Ofri, MD, PhD

More in Physician

  • When errors of nature are treated as medical negligence

    Howard Smith, MD
  • The hidden chains holding doctors back

    Neil Baum, MD
  • 9 proven ways to gain cooperation in health care without commanding

    Patrick Hudson, MD
  • Why physicians deserve more than an oxygen mask

    Jessie Mahoney, MD
  • More than a meeting: Finding education, inspiration, and community in internal medicine [PODCAST]

    American College of Physicians & The Podcast by KevinMD
  • Why recovery after illness demands dignity, not suspicion

    Trisza Leann Ray, DO
  • Most Popular

  • Past Week

    • The silent toll of ICE raids on U.S. patient care

      Carlin Lockwood | Policy
    • Why recovery after illness demands dignity, not suspicion

      Trisza Leann Ray, DO | Physician
    • Addressing the physician shortage: How AI can help, not replace

      Amelia Mercado | Tech
    • Why medical students are trading empathy for publications

      Vijay Rajput, MD | Education
    • Why does rifaximin cost 95 percent more in the U.S. than in Asia?

      Jai Kumar, MD, Brian Nohomovich, DO, PhD and Leonid Shamban, DO | Meds
    • How conflicts of interest are eroding trust in U.S. health agencies [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • The hidden bias in how we treat chronic pain

      Richard A. Lawhern, PhD | Meds
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • Residency as rehearsal: the new pediatric hospitalist fellowship requirement scam

      Anonymous | Physician
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
  • Recent Posts

    • How conflicts of interest are eroding trust in U.S. health agencies [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why young doctors in South Korea feel broken before they even begin

      Anonymous | Education
    • Measles is back: Why vaccination is more vital than ever

      American College of Physicians | Conditions
    • When errors of nature are treated as medical negligence

      Howard Smith, MD | Physician
    • Physician job change: Navigating your 457 plan and avoiding tax traps [PODCAST]

      The Podcast by KevinMD | Podcast
    • The hidden chains holding doctors back

      Neil Baum, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 1 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • The silent toll of ICE raids on U.S. patient care

      Carlin Lockwood | Policy
    • Why recovery after illness demands dignity, not suspicion

      Trisza Leann Ray, DO | Physician
    • Addressing the physician shortage: How AI can help, not replace

      Amelia Mercado | Tech
    • Why medical students are trading empathy for publications

      Vijay Rajput, MD | Education
    • Why does rifaximin cost 95 percent more in the U.S. than in Asia?

      Jai Kumar, MD, Brian Nohomovich, DO, PhD and Leonid Shamban, DO | Meds
    • How conflicts of interest are eroding trust in U.S. health agencies [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • The hidden bias in how we treat chronic pain

      Richard A. Lawhern, PhD | Meds
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • Residency as rehearsal: the new pediatric hospitalist fellowship requirement scam

      Anonymous | Physician
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
  • Recent Posts

    • How conflicts of interest are eroding trust in U.S. health agencies [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why young doctors in South Korea feel broken before they even begin

      Anonymous | Education
    • Measles is back: Why vaccination is more vital than ever

      American College of Physicians | Conditions
    • When errors of nature are treated as medical negligence

      Howard Smith, MD | Physician
    • Physician job change: Navigating your 457 plan and avoiding tax traps [PODCAST]

      The Podcast by KevinMD | Podcast
    • The hidden chains holding doctors back

      Neil Baum, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Let Me Down Easy and facing illness and death
1 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...