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    ‘This is Going to Hurt’ Finds Dark Humor on the Maternity Ward

    “This Is Going to Hurt,” a dramedy starring Ben Whishaw, kindled debate in Britain about hospital care for pregnant women and the pressures on doctors.LONDON — In December 2010, Adam Kay was working on a British maternity ward helping a more junior doctor to perform a cesarean section. Kay had successfully delivered well over 1,200 babies, but this operation was a disaster.The mother had an undiagnosed condition affecting the placenta, and she should not have been allowed to go into labor. The doctors only just managed to save her life — she lost 12 liters of blood — but they couldn’t save the baby.“You want healthy mum plus healthy baby, and it was the first time I’d had neither of those things and was the most senior person in the room,” Kay said in a recent interview. He said that he had felt traumatized but that the reaction from the hospital “was like I’d sprained my ankle or something.”Adam Kay, who created the show and wrote the book it is based on, said its central character was supposed to be reprehensible.Charlie CliftAfter that incident, Kay left medicine. A scene revisiting the operation does not appear in “This Is Going to Hurt,” a medical drama written by Kay and starring Ben Whishaw that premieres on AMC+ and Sundance Now on Thursday after being a hit in Britain. But plenty of other episodes from his six years of working in hospitals do, in fictionalized form.Given that the show tries to show the reality of life on a maternity ward, some moments are harrowing. But many are also funny, including a moment when Whishaw’s character, an overstressed and underpaid doctor called Adam, has to retrieve, from inside a woman, a toy egg containing an engagement ring — the woman had inserted it as a surprise for her boyfriend.The show was commissioned shortly after Kay published a warts-and-all collection of diaries (called “This Is Going to Hurt: Secret Diaries of a Junior Doctor”) documenting his life in British hospitals. That collection, released in 2017, sold more than 2.5 million copies and was translated into 37 languages.Kay described the book as a “confidence trick,” where silly anecdotes were used to sell a book that contained serious comments about health care and about how politicians treat doctors and nurses (it was published the year after doctors in England went on strike over working conditions). The book’s success led to Kay’s meeting Matt Hancock, the British health minister at the time, to push for more funding for doctors in need, and to his writing columns in newspapers.Kay said that the current health minister, Sajid Javid, had also sent a note, saying that his wife liked the book. Kay’s reaction, he said, was to wonder about the minister, “Have you read it? It’s you who needs to read it.”Whishaw and Michele Austin, who plays a midwife in the show. Anika Molnar/AMCDespite his prominence, when “This Is Going to Hurt” appeared on the BBC in February, Kay didn’t get a universally positive reaction. Milli Hill, founder of the Positive Birth Movement, which tries to combat negative ideas around giving birth; and some users of Mumsnet, an influential parenting website, labeled both Kay and Whishaw’s acerbic character misogynist for mocking women in his care. There was also criticism over the absence of pregnant people’s voices in the show, while Hill said that the birthing scenes would be unpleasant to watch for anyone expecting a baby or who had gone through a traumatic birth.Sitting in a London hotel bar recently, Kay, 41, seemed confused by those responses. “I heard criticism that the show should be about mums,” he said. “But that’s someone else’s program. I’m a bloke who used to be a doctor.”Whishaw’s character was also meant to be reprehensible, Kay added — a doctor so under pressure that his life falls apart, affecting others around him. Once a few episodes had aired, Kay said, the public debate changed and he started getting emails from doctors thanking him for raising awareness of the mental health struggles that medics can face.The show wasn’t really about the ward at all, Kay said, but about the pressures doctors are under at work, including unsustainable hours, bullying bosses and patients, low pay and often disintegrating home lives — with little way out. Whishaw’s character can be seen as passing his troubling behaviors onto a colleague, Shruti (Ambika Mod), a younger doctor meant to be under his wing.Those mental strains are still “a taboo topic” in many hospitals, Kay said. “Doctors are not meant to get ill, and they’re specifically not meant to get mentally ill,” he noted, adding that a doctor dies by suicide every three weeks in Britain.The pressure on doctors in the country is only getting worse, he added. There is a severe shortage of workers in the N.H.S. — the service has around 100,000 vacancies — and staff were already suffering burnout long before the pandemic. “When I left, I was a total outlier, as no one ever stopped being a doctor,” Kay said. “Now everyone’s got one eye on the exit sign as the workload feels absolutely unsustainable.”Ambika Mod plays Shruti, a younger doctor on the maternity ward. Mod said that she received a “crash course” in obstetrics and gynecology before filming.Anika Molnar/AMCDespite the message at its heart, Kay and the show’s two lead actors — Whishaw and Mod — said in interviews that the series was a joy to make. Whishaw said in an email that when he got the script it immediately “rang out with a truth.” The dark comedy “was exactly the type of humor people use when faced with awful things,” he added, “and I liked the awkward, flawed, troubled person at the center of it.”Mod, in her first major role, said that the two actors received a “crash course” in obstetrics and gynecology before filming, including learning how to deliver babies with forceps and how to perform cesarean sections. On set, real doctors, scrub nurses and anesthetists appeared as extras, she added, while prosthetics helped give the show its realism.She said that she was surprised by viewers who called the show’s operations gory and intense in posts on social media. “I didn’t think about that at all when we were filming as we would just be surrounded by pools of blood and amniotic fluid talking about what we were going to have for lunch,” she said.Kay said that, despite the show’s focus being on Britain’s health service, he hoped it would touch a nerve in the United States, too. He imagines that “a labor ward’s a labor ward, wherever it is,” he said. After his book came out in 2017, he got messages from doctors in countries including Chad, Belarus and Venezuela, he added, saying that the themes also rang true for practitioners in those countries.“This Is Going to Hurt” was written as a one-off series, and Kay said that he had no plans to do a follow-up. He knew he would hit his “shelf life as a writer” at some point, he said, and when that happened, he expected to return to medicine, to teach or to try and change health policy.“I’ve got a lot of guilt about leaving,” Kay said. “Obviously, I believe the arts have enormous value, but you’d have to have quite some ego as a writer to think it was anything other than 10 steps away from saving someone’s life in an operation.” More

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    He’s a Doctor. He’s an Actor. He’s an Indie Heartthrob.

    Actors have a long history of indulging in side projects: Some use their off time to write books, while others even front rock bands. But it’s fair to say that few thespians navigate a dual career quite like Anders Danielsen Lie, who currently stars as a lingering love interest in both “Bergman Island” and “The Worst Person in the World” — an indie-film doubleheader that prompted one critic to dub him “the art house’s next great ex-boyfriend” — while still working full-time as a doctor in Oslo.“It’s been overwhelming,” Lie, 43, told me over a recent video chat, and he wasn’t kidding: In early January, he was named best supporting actor by the National Society of Film Critics even as he worked three days a week at a vaccination center in Oslo and two days a week as a general practitioner. “It feels kind of abstract because as an actor, the most important part of making a movie is the shoot itself,” he said. “Then, when the film is coming out, it’s kind of a surreal experience.”Expect things to get even more surreal as the acclaimed “The Worst Person in the World” finally makes its way into American theaters on Feb. 4. In this romantic dramedy from the director Joachim Trier, Renate Reinsve — who won the best-actress prize for the role at the Cannes Film Festival — stars as Julie, a young 20-something trying to figure out her future. For some time, she takes up with Lie’s character, Aksel, an older, charismatic comic-book artist, and adopts his settled life as her own. But even when they break up and Julie discovers new pursuits, she finds her bond with the cocksure Aksel hard to shake.Lie with Renate Reinsve in “The Worst Person in the World”Kasper Tuxen, via Sundance InstituteLie previously collaborated with Trier on the well-reviewed films “Reprise” (2008) and “Oslo, August 31” (2012), but “The Worst Person in the World” has proved to be something of a breakthrough: Already, the internet has crafted video tributes to his character, and the film has struck a chord with audiences who prefer simple, human stakes to superhuman ones. “It felt like we made a very local thing from Oslo, and we were afraid if anybody else in the world would understand,” Lie said. “But people on the other side of the planet can identify with it. That’s what is so nice about feature films, they kind of bring people together.”Here are edited excerpts from our conversation.With Aksel and Julie, it feels like the qualities that drew them to each other eventually drive them apart. How would you sum up their relationship?He’s good at articulating her emotions and thoughts, and that’s something she probably wanted at an earlier stage in their relationship, but at this point, she’s just annoyed by it. He’s a pretty kind person, but he is also, in a subtle way, trying to dominate her by using language as his tool, because that’s what he’s good at.Is Aksel a “bad boyfriend,” as a recent Vanity Fair article asserted?I don’t see him as a bad boyfriend at all, actually. She’s not bad; he’s not bad; they’re just human. They are put in situations where they have to make hard choices and end up feeling like the worst people in the world, but it’s not really their fault. It’s life’s fault, in a way.In the film, we watch Julie swipe between different identities, trying on new jobs, new passions. Did you act the same way at that age?I personally thought that my 20s and 30s were hard, tough years, because I spent so much time trying to figure out who I was and what to do. I still haven’t made that choice, but that doesn’t bother me so much anymore. I’m happy enough to have two kids and a wife. Maybe it’s as simple as that.When you were younger, did you feel pressure to make an ultimate choice between acting and medicine?This has been my ongoing identity crisis.Lie is the son of an actress and a doctor who “ended up being both!” he said. “I probably should go into psychoanalysis or something.”David B. Torch for The New York TimesMaybe that’s just the bifurcated life you feel most suited to.It’s definitely a bifurcated life, and sometimes it feels like an identity crisis because it’s just a lot of hustle making the calendar work out. It’s hard to combine those two occupations, and sometimes I also wonder a little bit who I am. I’m trying to think that I’m something deeper than that: I’m not the doctor or the actor, I’m someone else, and these are just roles that I go into.Your mother is an actress. Did that affect the way you regard an actor’s life?My mother is not the typical actress — she’s not a diva or anything like that. She’s a very ordinary person, and I think it’s important to have a foot in reality if you want to portray people onscreen with confidence and credibility. But I’ve grown up seeing how it is to be an actress and how it is to be a doctor, and ended up being both! I probably should go into psychoanalysis or something.Your father was a doctor. That pretty much split you right down the middle, doesn’t it?Exactly. Maybe it’s an inheritable disease.Does one career inform the other?Working as an actor has improved my communication skills as a doctor because acting is so much about listening to the other actors and trying to establish good communication, often with people that you don’t know very well, and that reminds me a little bit of working as a doctor. I meet people, often for the first time, and they present a very private problem to me, and I have to get the right information to help them. It’s a very delicate, hard communication job, actually.“I have, many times, asked myself why I keep doing this, because I’m very neurotic as a person,” Lie said. David B. Torch for The New York TimesYou made your film debut when you were 11 in a film called “Herman.” How did that come about?My mother had worked with the director, so she knew he was searching for a boy my age, and she asked if I was interested in doing an audition. I didn’t really know what I had signed up for — I was 10 years old, and it felt like just a game that we were playing. I remember when the director wanted me to do the part, he came to our house with flowers and said, “Congratulations,” and I was frightened because I realized, “Now I really have to play that role and deliver.” For the first time, I felt this anxiety of not doing a good job, the exact same feeling I can get now in front of a shoot that really matters to me. I can be scared of not rising to the occasion.After that film, you didn’t work again as an actor for 16 years.“Herman” was an overwhelming experience. I felt like I was playing with explosives. I was dealing with emotions and manipulating my psyche in a way that was kind of frightening.Five Movies to Watch This WinterCard 1 of 51. “The Power of the Dog”: More