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    Coping With Crohn’s Disease, With the Help of Rachael Ray

    The stars of the Food Network help a teenage patient make it through the long days in the hospital with no solid food.When I was 15, I fell in love with the voice of Rachael Ray. That velvety contralto was the soundtrack of my days in the children’s hospital I hated — with its plaid curtains and kind nurses — but called home.For weeks I spent my days hopped up on morphine, in and out of consciousness, nestled in a snake hive of drip tubes and wires. I was intent on fighting off this invader without a name, but even more devoted to the tiny television set that was giving me an education on how to beat a meringue into submission or throw a “simple yet stunning” dinner party (even when one of the guests is a vegetarian).What I remember most was the hunger. I was starving, literally. But I had the Food Network.Under doctors’ orders, I ate hardly anything — not a drop of ginger ale, a bite of a cracker or even an ice chip. This was my first foray into a kind of forced asceticism, something that my body, ravaged by this yet-to-be-diagnosed disease, would frequently require. Ravenousness was embedded in my bones, a constant pang.My gut was too inflamed, spastic and maniacal to handle nutrition by mouth, and the team of doctors proclaimed, with the nonchalance of those who could pop down to the cafeteria for a sandwich, that my digestive tract needed “a break” and should “cool down.” Forgoing food by mouth was the way to get this done.My fate was N.P.O. — nil per os, Latin for “nothing by mouth.” When I had run out of celebrity tabloids to inhale and dutifully completed my homework, I became fluent in medicalese, injecting abbreviations and obscure medical terms into my vocabulary. I learned that this diet — or nondiet, really — was the first step in getting my irate system back to a seemingly elusive homeostasis.I soon received the decidedly unsexy, unglamorous diagnosis of Crohn’s disease. It’s one of those things — chronic, incurable, but can be managed — that can physically and financially debilitate you for long periods of time, in events called flares.Without food, I became half girl, half robot, with angst coursing through me and machines pumping nutrition into my body intravenously in a process called T.P.N., or total parenteral nutrition. T.P.N. is a common treatment for a severe Crohn’s flare. It bypasses the digestive system, giving your colon the ultimate vacation. How luxurious.I lost the contours of a fully sane and satiated human, morphing and flattening into pure desire — skin and bones, ribs visible, thighs that no longer touched — and I became obsessed with the idea of preparing food and thoughts of my favorite meals. Roast beef. Buttery potatoes. Burgers so big and dripping with juices that you’d need six napkins. Most bewildering to those around me, I became obsessed with the Food Network.Instead of food, I devoured clips of Paula Deen inserting pounds of butter into a cake recipe and Sandra Lee concocting something deliciously semi-homemade. Emeril Lagasse’s shrieks of “Bam!” sounded even more authoritative through the fog of opioids. And watching Rachael Ray whip up something “delish” became a lustful experience through those hours of rotting in a hospital bed.I grew accustomed to the emptiness of days unbroken by the familiar markers of mealtimes and instead became dependent on the intervals of carefully dispensed pain medications, always wanting more. I felt swathed and safe in that chemical cocoon and didn’t realize, until years later, that what I had thought was feeling happy really meant being high.All the while I was flipping through channels to see the beloved friends who were always there for me: Rachael, Emeril, Sandra, Paula.The rays of the setting sun would blaze through the hospital windows. Then came the darkness that would allow me to see the TV screen with more clarity as I curled into the warm abyss of a sleeping aid — “the good stuff” that sent me drifting off to a zone of semiconsciousness, free of pain, with dreams of lunches and Coca-Cola and a warm, full belly. The Food Network shows, with their bright colors and erotic displays of shiny spatchcocked chickens, were my proxy for a primal unmet need.I endured the daily drone of doctors and medical residents who poked and prodded, promising “just a few more days of no food.” This went on for weeks, with starts and stops along the way. The few days when I was allowed the most delectable of gastronomic wonders — chicken broth and lemon water ice — were followed by pains so searing and gruesome, and complications so life-threatening, that I would be forced back to square one.I became an animal closing in on its prey, except the prey was a vanilla pudding cup and the messenger was some poor nurse named Liz. If I smelled food, I would devolve into a rageful miscreant, screaming at the visitors who had food with them and ordering them out of my room. I resented those who could tend to their most basic needs with such ease.Psychologists and therapists tried to teach me breathing techniques and other coping mechanisms, which I scoffed at with laughs and eye rolls that only teenage girls know how to give. Even as some of my muscles atrophied, it seemed my middle finger functioned just fine. More than ever, I came to rely on the trusted TV hosts who grilled and baked with such ease. Imagine Ina Garten denying me a meal!I try to think of when Food Became Good Again, when eating became a vehicle of pleasure and not pure pain. There’s no perfect data point. That’s the thing with having an illness that goes on and on: “Before” and “after” are irrelevant. Living in a body on fire requires you to tend to it like a garden — carefully and meticulously and, most importantly, every day.I say I have two jobs, my day job at a newspaper and a second as a secretary of myself and of my body. Skills include a deftness at wading through the health care system, an ability to scream on phones at middle-managing insurance agents and a knack for properly budgeting for “emergencies.” One wrong move could mean a Crohn’s flare or a hefty medical bill.There came a time, after that initial stay in the hospital, when food became not the enemy, but a sort of benign suitor. After months of feeding tubes and stomach pumping, along with one helicopter “life flight” and surgery, I began to get over being sick. The drugs seemed to be working. The doctor’s visits, though tiresome and often marred by procedural nonsense, were helping.I was once again able to eat in a “regular” way — small bites of pizza and greasy chicken tenders, crisp apples cloaked in drippy peanut butter, my favorite. The saccharine taste of Diet Coke and the zing of cheap black coffee are daily pleasures. Rachael, Ina and Emeril are still in the picture, but now when I watch them, at home, I can run to the fridge.Annie Tressler is a corporate communications manager at The New York Times. More

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    ‘Take Care of Maya’ Review: A Chronicle of a Family’s Pain

    In this Netflix documentary about a young girl who was held in a hospital and barred from seeing her family, we hear their side of the story.In 2016 in St. Petersburg, Florida, Maya Kowalski was rushed to the pediatric emergency room for extreme pain. The 10-year-old would be held in the hospital for three months under a state-issued shelter order and barred from seeing her parents, whom doctors suspected of medical child abuse.The story of the Kowalskis, which was reported in The Cut last year, is at the core of “Take Care of Maya” (on Netflix), a chronicle of the events and their aftermath. At the hospital, Maya was evaluated by a child-welfare agency pediatrician who specialized in detecting child abuse and who initially diagnosed Munchausen Syndrome by proxy. The documentary unfolds mostly from the Kowalskis’ viewpoint, relying on court testimony, Maya’s father’s recollections and video, audio and written records from Maya’s mother.To watch this film is to submit to a punishing experience. This is only partly because of its content, for, while Maya’s case involves a thorny jumble of issues — a rare pain syndrome, a controversial regimen, a dubious child welfare system — the director, Henry Roosevelt, approaches the material with an eye toward sensationalism. Every minute is charged with tension, and one senses that scenes were shaped with the intent to scandalize rather than enlighten.What’s sacrificed in this approach is rigor, the drive to exhaustively analyze the circumstances that led to the Kowalski family’s troubles. For instance, the film mentions but declines to explore the relationship between Florida’s hospitals and the privatized child welfare companies that serve them. “Take Care of Maya” is grueling, but it is also oddly deficient, wanting for the precision and perspective essential to deriving insight from profound trauma.Take Care of MayaNot rated. Running time: 1 hour 43 minutes. Watch on Netflix. More

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    Lisa Marie Presley, Singer-Songwriter and Daughter of Elvis, Dies at 54

    Her death in Los Angeles on Thursday, after a life tinged with tragedy, came after a medical emergency and brief hospitalization.Lisa Marie Presley, the singer-songwriter and only child of Elvis Presley, died on Thursday in Los Angeles after a medical emergency and a brief hospitalization. She was 54.Sam Mast, a representative of Priscilla Presley, her mother, announced the death in a statement. Earlier in the day, Ms. Presley said her daughter had been receiving medical attention but did not provide more information. Ms. Presley lived in Calabasas, Calif., west of Los Angeles.The daughter of one of the most celebrated performers in music history, Ms. Presley followed her father’s career path. She released three rock albums, on which she set out to establish a sound of her own while also paying homage to the man who forever changed the American soundscape with his blend of blues, gospel, country and other genres.Hers was a life tinged with tragedy. She was 9 when her father died in 1977, and she lost others who had been close to her along the way, including her former husband, Michael Jackson. The suicide of her only son, Benjamin Keough, at age 27 in 2020 hit her especially hard, an episode she wrote about movingly last year in an essay for People magazine to mark National Grief Awareness Day.“My and my three daughters’ lives as we knew it were completely detonated and destroyed by his death,” she wrote. “We live in this every. Single. Day.”The enormous legacy of her father was a constant presence in her life. On Tuesday, she was again celebrating him at the Golden Globe awards ceremony, telling Extra TV that Austin Butler, who won the award for lead actor in a drama for his performance in the title role of Baz Luhrmann’s “Elvis,” had perfectly captured the essence of her father.“I was mind-blown, truly,” Ms. Presley said. “I actually had to take, like, five days to process it because it was so spot on and authentic.”In his speech accepting his award during the televised ceremony, Mr. Butler singled out the Presley family for its friendship and support as the camera panned to a visibly moved Priscilla and Lisa Marie Presley seated at his table.Ms. Presley in 2012 beside a display of her childhood crib at Graceland, Elvis Presley’s home in Memphis. Lance Murphey/Associated PressOn Sunday, Ms. Presley was at Graceland, her father’s estate in Memphis, to commemorate what would have been his 88th birthday.Father and daughter were extremely close. Elvis once flew Lisa Marie to Idaho after she said she had never seen snow. He named his 1958 Convair 880 private jet the Lisa Marie.Ms. Presley owned Graceland and her father’s artifacts, as well as 15 percent of Elvis Presley Enterprises, the corporate entity created by a Presley trust to manage its assets.Though Ms. Presley’s music career never reached the heights her father’s had achieved, his influence was evident in her music and lyrics. “Someone turned the lights out there in Memphis,” she sang in “Lights Out,” a song from “To Whom It May Concern,” her debut album, released in 2003. “That’s where my family’s buried and gone.”In 2018, she co-produced an album celebrating Elvis’s love of gospel music and sang along with a recording of him on one of the songs. “I got moved by it as I was singing,” she said in an interview.If her albums produced no signature hits, her last name enshrined her as a celebrity. And her star-studded relationships only deepened that perception. Foremost among those was her marriage, from 1994 to 1996, to Mr. Jackson. Together, the pair — one the daughter of the king of rock ’n’ roll, the other regarded as the king of pop — attracted the glare of cameras and bountiful attention. In August 1994, The New York Times reported on the couple’s revelation that they had married.“After announcing a union that might have been conceived in supermarket-tabloid heaven and proclaiming a need for privacy, the world’s most famous newlyweds were holed up last night in a place not known for its isolation: Trump Tower,” The Times wrote. “At 5:40 p.m., a few hours after the statement was released in Los Angeles, the developer Donald J. Trump emerged from Trump Tower to the kind of reportorial throng normally reserved for the likes of, well, Michael Jackson or Donald Trump, and confirmed that, yes, the couple were ensconced on the top floor of the Fifth Avenue tower.”There was speculation that the marriage was an effort to deflect attention from investigations into allegations by a 13-year-old boy that Mr. Jackson had molested him. For a time the couple portrayed a happy marriage — Ms. Presley said she wanted to be known as “Mrs. Lisa Marie Presley-Jackson.” But by the end of 1995 they had separated, and they divorced the next year.Ms. Presley was married three other times; those marriages ended in divorce as well. She married the singer and songwriter Danny Keough in 1988, the actor Nicolas Cage in 2002 and, most recently, in 2006, Michael Lockwood, a guitarist who was music director of her 2005 album, “Now What.” They divorced in 2021.Her survivors include her daughter with Mr. Keough, the actress Riley Keough, and twin daughters with Mr. Lockwood, Harper and Finley.In a foreword to the 2019 book “The United States of Opioids: A Prescription for Liberating a Nation in Pain” by Harry Nelson, Ms. Presley wrote about her struggle with addiction, which she said began when she was given a prescription for pain medication after the birth of the twins in 2008. She quoted her own response to a point-blank question about her problem posed to her on the “Today” show in 2018.“I’m not perfect,” she recalled saying. “My father wasn’t perfect, no one’s perfect. It’s what you do with it after you learn and then you try to help others with it.”Elvis and Priscilla Presley with their daughter, Lisa Marie, after her birth in 1968. Associated PressLisa Marie Presley was born in Memphis on Feb. 1, 1968. “I’m a shaky man,” her famous father told reporters when his wife was admitted to Baptist Memorial Hospital for the birth, an occasion that made international news.In “Elvis by the Presleys,” a 2005 book of recollections by Lisa Marie and Priscilla Presley and others, Lisa Marie wrote of her childhood memories of her father.“The thing about my father is that he never hid anything,” she wrote. “He didn’t have a facade. Never put on airs. If he was crabby, you knew it. If he was angry, he’d let you know. His temper could give Darth Vader a run for his money. But if he was happy, everyone was happy.”Home life had its odd moments.“One time in the middle of the night I’m awoken by this incredibly loud noise coming from my father’s bedroom, which was right next to mine,” she related. “I get out of bed and see the guys buzz-sawing down his door so they can move in a grand piano. He felt like playing piano and singing gospel songs.”In the same book, Priscilla Presley wrote of Elvis’s tenderness toward his daughter in her early years.“Twice he spanked her on her bottom,” she remembered. “Once she colored a velvet couch with crayons, and once she ignored his warnings and got too close to the edge of the pool. The spankings were restrained and also warranted. But poor Elvis was a mess afterwards. You would have thought he had committed murder.”As a performer, Ms. Presley, whose most recent album was “Storm & Grace” (2012), knew her name would always be impossible to escape. But she was eager to be taken on her own terms.“It’s my own thing,” she said of her career in a 2003 interview with The Times. “I’m just trying to be an artist. I’m not trying to be Elvis Presley’s child. And I’m not trying to run from it either.”Kirsten Noyes More

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    ‘InHospitable’ Review: Fight for Survival

    Patients push back on a medical behemoth in this persuasive health care documentary.“InHospitable” is a decent advocacy documentary that compellingly argues a couple of points that aren’t easy to make compelling onscreen. One is that supposedly nonprofit hospitals often behave more like for-profit hospitals and don’t provide benefits commensurate with the tax breaks they receive. Another is that hospital mergers and anticompetitive practices tend to increase costs for patients.The movie, directed by Sandra Alvarez, focuses on a surge of activism in Pittsburgh, where, in mid-2019, a pair of consent decrees agreed to by two medical bodies, the University of Pittsburgh Medical Center (or U.P.M.C.) and Highmark, were set to expire. Both organizations were insurers and providers rolled into one, as well as competitors. The agreement ensured that U.P.M.C. would remain in-network for Highmark subscribers for certain care.The bad guy, in the film’s telling, is U.P.M.C., which is described as Pennsylvania’s largest employer and portrayed as having enormous political power. If the agreement expired, many Highmark patients would in effect have to switch insurers, pay higher costs or find new doctors elsewhere.“InHospitable” spends time with subjects like Vicki and Maurice Arnett, who travel to Atlanta to obtain covered cancer treatment for Maurice rather than risk a disruption in his care, and Evie Bodick, who is frustrated with having to leave her doctors at U.P.M.C. and find five new specialists.How this dispute was resolved three years ago — and even an early-pandemic coda from 2020 — is old news at this point. But Alvarez showcases a handful of experts, including health care economists and the former New York Times reporter Elisabeth Rosenthal, who cogently explain how the principles apply nationally.InHospitableNot rated. Running time: 1 hour 42 minutes. In theaters and available to rent or buy on Apple TV, Google Play and other streaming platforms and pay TV operators. More

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    5 Russian Bullets Dashed an Opera Singer’s Dreams. Then He Reclaimed His Voice.

    While on a rescue mission in Ukraine, Sergiy Ivanchuk was shot in the lungs, apparently ending his chance at opera stardom. His recovery is a marvel of medicine, chance and his own spirit.Listen to This ArticleTo hear more audio stories from publications like The New York Times, download Audm for iPhone or Android.ULM, Germany — It was the most pivotal performance of his 29 years. There were no costumes, no stage, no orchestra pit. Instead, a lone pianist hunched expectantly over her instrument. For an audience, a handful of doctors and nurses watched from a cool white hospital lobby.Sergiy Ivanchuk — his face patched with bandages, legs trembling beneath his trousers — began hesitantly. But as his deep baritone held, confidence grew. By the time he finished with a Ukrainian folk tune, his song soared with the passion of a man brought back from the dead, a man reveling in a voice reclaimed.

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    “For three months, I thought I would die,” he told those assembled. “And now, I can sing again.”Not long before, Mr. Ivanchuk had believed he was on his deathbed, his lungs punctured by bullets, his body attached to a tangle of tubes.On March 10, Mr. Ivanchuk, an aspiring opera singer, had been working with humanitarian volunteers helping civilians flee the besieged Ukrainian city of Kharkiv when Russian forces attacked, and he was shot.Even if he managed to survive, he remembered thinking, surely his singing days were over.But a string of chance encounters, committed doctors and the love of a mother all led to that unexpected performance in a German military hospital this summer, giving Mr. Ivanchuk a chance to transform a tragedy into an opportunity to salvage his longtime dream of opera stardom.“So many different circumstances had to happen,” said Mr. Ivanchuk, wondering if science and his own spirit were the only factors in his recovery. “There is something. God or an angel saved me. There is something there.”“For three months, I thought I would die,” said Mr. Ivanchuk, shown in his room at a military hospital in Ulm, Germany.Lena Mucha for The New York TimesIn 2020, Mr. Ivanchuk was studying opera in Italy, and he had big ambitions: to perform on the stages of the Metropolitan in New York and La Scala in Milan.Then the pandemic closed borders around the globe. His music school was closed, and Mr. Ivanchuk was stuck in Ukraine, struggling with severe depression.Two years later, as the world began reopening, Russia invaded, and Mr. Ivanchuk found himself trapped in Ukraine once more: Men of fighting age were banned from leaving the country.His dream was rapidly fading — opera singers should complete their training by their early 30s. No one could guess when the war would end.The State of the WarDramatic Gains for Ukraine: After Ukraine’s offensive in its northeast drove Russian forces into a chaotic retreat, Ukrainian leaders face critical choices on how far to press the attack.How the Strategy Formed: The plan that allowed Ukraine’s recent gains began to take shape months ago during a series of intense conversations between Ukrainian and U.S. officials.Putin’s Struggles at Home: Russia’s setbacks in Ukraine have left President Vladimir V. Putin’s image weakened, his critics emboldened and his supporters looking for someone else to blame.Southern Counteroffensive: Military operations in the south have been a painstaking battle of river crossings, with pontoon bridges as prime targets for both sides. So far, it is Ukraine that has advanced.Yet like so many of his compatriots, Mr. Ivanchuk wanted to join the fight. Not on the front lines — “I’d be useless for that,” he joked — but by using his 30-year-old blue Lada sedan to drive civilians out of Kharkiv, the embattled city in eastern Ukraine, a few hours from his hometown, Poltava, where he had grown up in a musical family.It was a grueling routine. Every morning at 6, he drove to Kharkiv, laden with medicine and groceries for those still inside. Every night, he picked up residents fleeing the siege, who could not afford a taxi out. He slept a few hours at home with his parents, then started again.His mother, Olena Ivanchuk, awaited his return each night in silent torment. But on the morning of March 10, his mother had to speak: While dusting, she noticed the family’s religious icons had all fallen from the table, which she perceived as a dark omen.“When I told him, his face fell,” she said. “For the first time in my life, I told him: ‘My son, I fear maybe this time you won’t return.’”He left for Kharkiv anyway.Mr. Ivanchuk chose to aid the war effort by helping residents flee from Kharkiv. He was shot three weeks into the war.Tyler Hicks/The New York TimesThat night, Mr. Ivanchuk and his passengers packed his Lada to the brim with suitcases and pets. It was pitch black as they made their way out of town. Through the darkness, bullets suddenly whizzed past.In a terrifying game of cat and mouse, Mr. Ivanchuk sped along, trying to find the protection of a Ukrainian military checkpoint. But the Russian forces soon found their mark: 30 bullets hit the car. Five hit Mr. Ivanchuk.“I felt each and every bullet. First it hit one leg, then the leg once more. Then I saw my fingers destroyed,” he said. “After that, I felt a bullet in my side and back.”Four people and two cats were inside the car. Yet only Mr. Ivanchuk had been shot.He likely would not have survived if not for one of his passengers, Viktoria Fostorina — a doctor. With the help of the others in the car, she bandaged the wounds on his chest and back, preventing a collapsed lung.“At first, I was the one saving them,” he said. “But as it turned out, in the end, they saved me.”Somehow, he managed to drive the car to a Ukrainian military checkpoint before collapsing.The war was three weeks old; Mr. Ivanchuk had already rescued 100 people. As he felt himself losing consciousness in the hospital later, he prayed to God, and prepared to die.“I was thinking, ‘You’re only 29, and you’re dying,” he said, recalling his thoughts. “‘I could have lived longer. But I tried to help people, so maybe it’s a good thing.’”After searching for Mr. Ivanchuk for nearly two days, his mother found him at the Kharkiv hospital, where doctors warned he might not survive. She forced back tears, entering the room of her unconscious son with a smile.“I said, ‘Please, son, open your eyes.’ I told him: ‘One hundred percent, you’ll survive. You will live.’ I told him that several times.”An X-ray showing Mr. Ivanchuk’s hand injuries.Lena Mucha for The New York TimesMr. Ivanchuk remembers awakening to her smiling face. But he couldn’t speak: Tubes were coming out of his mouth. His body was in such pain, he could communicate only by twitching one finger.Ms. Ivanchuk recalled her son’s crying from the pain of his early operations. Later, his tears came from his realization he might never perform again.But fate stepped in once more.Mr. Ivanchuk’s story spread on social media, and a prominent Ukrainian opera singer convinced a talented surgeon in the country to operate on him. His lungs and liver began to heal.Though his recovery had begun, a dark struggle was still ahead, one he almost lost.For weeks, he lay among shellshocked young soldiers who sometimes jumped out of bed at night, throwing imaginary grenades, screaming at comrades to take cover.Mr. Ivanchuk grew paranoid that Russian spies lurked behind every door. And he grappled with the idea that rescuing people had cost him his dream.“It was a marathon of pain and psychological torment,” he said.He faced down those thoughts, thanks in part by drawing on lessons from his past struggle with depression. Psychotherapy during the pandemic had taught him to see his thoughts as brain chemistry, not his inner self. And he began to accept that faith alone could not heal him: “I still believe in the Creator — but a lot depends on us.”Mr. Ivanchuk playing the organ in the church hospital. The movement helps exercise his injured fingers.Lena Mucha for The New York TimesKeeping his goals confined to his hospital room, Mr. Ivanchuk and his mother celebrated even the tiniest step toward recovery. Taking life day by day, and forgetting his big ambitions, he was surprised to discover he felt more content than before the attack.“I used to think that without a dream, it was impossible to be a happy person,” he said. “But now, I see that happiness is actually just to live.”Once stable enough for travel, Mr. Ivanchuk was sent to Ulm, Germany, for advanced surgeries at a German military hospital.As a musician, he wanted to restore as much dexterity as possible to his mutilated fingers — he has played the bandura, a Ukrainian stringed folk instrument, since childhood.He tried not to think about opera until one night, on his third week in Ulm, when he began to sing in the shower. He chose Valentin’s aria from “Faust” — and was astounded to hear his old voice.Mr. Ivanchuk soon realized that not only were his dreams still possible — but that, in a wholly unanticipated twist to his nearly fatal injury, he was now better placed to pursue them.If not for the attack, he would have remained stuck in Ukraine. Moreover, he had landed in Germany, the best place in the world for a budding opera singer. Thanks to its subsidies for the arts, Germany has over 80 full-time opera houses.By late June, he was well enough to perform for the hospital staff.Mr. Ivanchuk greeting the hospital staff after he performed for the first time since he was wounded.Lena Mucha for The New York TimesFirst, he sang “Ave Maria,” for its spirituality. Then, an aria from “The Magic Flute,” by Mozart, to honor his German caretakers. The third song could only be Ukrainian and a tribute to the woman devoted to his survival — “My Own Mother.”She cried as he began. “I did not expect he could sing that loudly,” she said. “It is because he was doing it with his heart.”That evening, he was discharged.“He was extremely positive, he didn’t complain at all about his situation,” said Dr. Benedikt Friemert, the head orthopedic surgeon at the hospital, describing his patient’s recovery. “Quite the opposite: He was convinced that what he had done was right. He was unlucky and got injured, but he said: ‘Never mind, I’ll get better so that I can do what’s important to me.’ In other words: singing.”Mr. Ivanchuk, with a slight limp, a missing finger and a body peppered with bullet fragments, still faces a difficult journey. He has more physiotherapy ahead.He now rents an apartment in Ulm with his mother, and he has started receiving lessons from a Ukrainian opera singer, Maryna Zubko, who works at the local theater. One day, they hope to sing together there.“He has a beautiful voice,” said Ms. Zubko, who first encountered her pupil when a heavily bandaged man threw flowers at her feet after a local performance.Her hope for Mr. Ivanchuk is to spend a year recovering with her help then use his talent, and his story, to earn a place at a prestigious program in Europe or the United States to finish his training.He is dreaming again of the Met and La Scala. “I think in five years, I could make it onto one of those stages,” Mr. Ivanchuk said. “As long as no one else shoots me.” More

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    ‘Five Days at Memorial’ Tells the Harrowing Story of a Deadly Choice

    A new scripted series on Apple TV+ dramatizes the crisis faced by a New Orleans hospital after Hurricane Katrina, as the waters and the death toll rose.It was tense and sweaty on the set of “Five Days at Memorial,” the new Apple TV+ limited series about systemic and personal failure at a New Orleans hospital in the days after Hurricane Katrina. The cast, emotionally invested and physically drained, was wiped out.It was time to play some Mafia.The freewheeling, ice-breaking role-playing game, which also goes by the name Werewolf, is a favorite of Cornelius Smith Jr., who plays the distraught Dr. Bryant King in “Memorial.” He brings it out whenever bonding is in order, and to hear the “Memorial” cast tell it, they would have wilted if they hadn’t come together when the cameras stopped rolling.“It was really extraordinary because here we were telling this story that is not all smiles — it’s a very deep story, a very troubling story, a very heavy story,” Smith said in a video interview from Washington, D.C., where he was playing Frederick Douglass in the musical “American Prophet.” “So it was nice to be able to counter that with a very joyous relationship and spending quality time with castmates and really developing a bond off-camera.”The eight-episode “Five Days at Memorial,” premiering Friday, can indeed be tough sledding. Based on the 2013 book by Sheri Fink, which was adapted from her Pulitzer-winning investigative article for ProPublica and The New York Times Magazine, it tells the story of Memorial Medical Center in New Orleans, where 45 bodies were found in Katrina’s aftermath, in September 2005. (Sold in 2006, the hospital is now Ochsner Baptist Medical Center).“We didn’t want to dictate how people should feel about this story,” said Carlton Cuse (left, with Jessica B. Hill and Cornelius Smith Jr.), a creator of the series. “We didn’t want to take a side.”Sophie Giraud/Apple TV+The hospital had been flooded, its power and generators knocked out. Chaos reigned. Several health providers on the scene raised concerns that patients had been given lethal injections during the evacuation process.Both book and series depict the Memorial crisis as a series of impossible decisions, made by flawed individuals under unimaginable pressure, and complete systemic breakdown. In this sense, it’s a microcosm of Katrina, which had a death toll of more than 1,800 people.In a video interview, Fink, who was also a producer on the series, pointed out that the hospital had a 101-page bioterrorism plan. This was, after all, the post-9/11 era. But there was no emergency plan in place for evacuating over water.“I really hope that people watch the series and engage in thinking hard about the consequences of a failure to invest in preparedness for rare, but potentially catastrophic and very foreseeable circumstances,” Fink said in a video call. “A hurricane and a flood in New Orleans were very foreseeable.”Indeed, the levels of failure involved in the Memorial disaster, and Katrina in general, were staggering.“When you have this kind of systemic failure, it’s also a mechanical failure,” said John Ridley, who created the series with Carlton Cuse (“Lost,” “Bates Motel”). “It’s an electronic failure. And it’s a human failure. You’ve got to look at how humans interact in the systems we build.”In the hurricane’s immediate aftermath, hospital administrators did the equivalent of a victory lap and heaved a sigh of relief. Meanwhile, the levees, which had begun failing almost immediately, got progressively worse. Then the severe floods came. (Readers unfamiliar with what happened next may want to stop reading now.)The show depicts several Memorial staff members, including Dr. Anna Pou (played by Vera Farmiga), making plans to provide “comfort” for patients who they have determined would be difficult to evacuate, in the form of injections. Someone, you keep thinking, has to pay for this. But nobody does. (Pou, along with the nurses Cheri Landry and Lori Budo, played by Sharron Matthews and Sarah Allen, were later arrested on multiple counts of principal to second-degree murder but were never indicted by a grand jury.)“There was incompetence on every level of leadership,” Farmiga said of the failures at Memorial Medical Center. But she also defended her character’s commitment to help.Russ Martin/Apple TV+Viewers are likely to feel outrage at some of the events depicted. The series creators, however, argue that thirsting for revenge is pointless. To them, it was an impossible situation, with no clear-cut villains.“We didn’t want to dictate how people should feel about this story — we didn’t want to take a side,” Cuse said in a video interview. “I’m curious to see where people come out about all of this and what kinds of different opinions people have about how things went down.”One character who definitely has an opinion is King. He takes a look around and determines that something is rotten at Memorial. He seethes at the idea of lethal injections.He is also among a handful of Black doctors at the hospital — and the only one on duty during the crisis. He can see that most of the people affected by the breakdown are Black, as are most of the people seeking help who are turned away. King is acutely aware of this, even as it unfolds.“I like to say race is another character in the series,” Smith said. “It’s there whether you want to acknowledge it or not. It plays a role in how we all perceive things in life.”“They’re in New Orleans,” he added. “It’s a predominantly African American community. And what he experiences is clearly, to him, outlined by race. That’s what he’s seeing.”Farmiga acknowledged that human failure was rampant. “There was incompetence on every level of leadership,” she said in a video call. But she also defended Pou’s commitment to help. The surgeon reported for hurricane duty despite being told that other doctors could look after her patients.“She was motivated by humanitarian aid,” Farmiga said. “She chose to face those intolerable conditions. That takes an extraordinary amount of courage.”Much of the series was shot in an enormous, custom-made water tank, just outside Toronto, as a way to recreate the flooding at the hospital. Sophie Giraud/Apple TV+“Five Days at Memorial” was initially optioned to be a movie by the producer Scott Rudin, and then by the producer Ryan Murphy, who planned to use it for his “American Crime Story” anthology series. When Murphy scrapped those plans, Cuse came calling, won Fink over and approached Ridley to be his partner.Fink liked the idea of making “Memorial” into a limited series, with the time and commitment to present a detailed and balanced adaptation.“It just seemed like a great way to tell this story, because if it were done in a movie, there wouldn’t be enough time to bring out all of the nuance,” she said. “It is a long and detailed book, a work of journalism that took many years.” (Fink, who was a staff reporter at ProPublica when her article was published, is now a domestic correspondent for The New York Times.)Cuse is well aware of the parallels to a more recent health crisis. He remembers his partner, Ridley, reminding him of the adage that history doesn’t repeat itself, but it does rhyme. And so “Five Days of Memorial” went into production amid the global health crisis of Covid-19, a crisis for which many argue the United States was ill prepared.“Instead of the question of who’s going to get on a helicopter to evacuate, we’re dealing with who gets a respirator or who gets a vaccine or who gets a monoclonal antibody,” Cuse said.Some of “Memorial” was shot in New Orleans, but much of it was shot in a custom-made, four-million-gallon water tank just outside Toronto. Cast and crew had to quarantine upon entering Canada from the United States because of the pandemic. It was a stressful process, and a prelude to a stressful shoot.They knew, however, that unlike the characters they portrayed, they would return to their ordered lives when their work was done — that they were ultimately playing make believe. And they knew they needed to get it right.“I felt an enormous sense of responsibility to the people of New Orleans, to the survivors,” Farmiga said. “It’s their heartache. It’s their trauma. It’s their story.” More

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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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    Rahul Vohra, Indian Actor and Video Blogger, Dies at 35

    His YouTube posts dissected issues of Indian life, especially gender inequality. He died of complications of Covid-19 after lamenting his hospital treatment.Rahul Vohra began his acting career in the theater and later worked in low-budget films and television ads. But he was fascinated by the role technology played in shaping conversations about society, so he turned to video blogging.After he and Jyoti Tiwari married in December, she joined him in producing short, scripted videos in Hindi about issues like gender disparity, rising gas prices and the difficulties of working from home during the pandemic. Several have received more than 1 million views, and Mr. Vohra swiftly became one of India’s most popular YouTube stars.In one video, titled “Story of a Woman,” he asks for a cup of tea from his wife, who is played by an actress and is seen lost in thought after a long day of housework.“I am not a robot,” she says.“You only stay at home; what else do you do?” Mr. Vohra asks. She challenges him to do household chores for a day, telling him that then he would understand what she had meant. After accepting the challenge, he’s soon seen struggling and tiring within hours.“Even if I am sick, I had to do this work every day,” the wife says. “In reverse I ask for nothing, just a bit of respect and love.”Mr. Vohra died of complications of Covid-19 on May 9 at a hospital in New Delhi, Ms. Tiwari said. He was 35.He had fallen ill in New Delhi’s second wave of the pandemic, when much of the country’s health care system was overwhelmed. He found himself making desperate calls to his wife from his hospital bed, telling her that he feared he would die. She called the hospital for help but received little attention, she said. He was eventually moved to another hospital and died there.His videos struck a chord with young and middle-class Indians. “There was something about him which touched the lives of people,” a friend, Ankur Seth, said. “He spread positivity around even in dark times.”Rahul Vohra was born into a middle-class family in New Delhi on Jan. 27, 1986. His father, Suresh Vohra, works in a manufacturing firm, and his mother, Bimla Vohra, is a homemaker. Along with his wife and parents, he is survived by a sister, Neeru Vohra.Mr. Vohra received a degree in commerce from Delhi University. A talented performer from a young age, he was then offered a place at the prestigious Asmita Theater Group school in New Delhi.Two days after he died, Ms. Tiwari, 29, a writer for YouTube videos, found on her husband’s phone a video of him struggling to breathe and complaining about the poor quality of medical care at the hospital where he had initially been admitted. She posted it on Instagram with the hashtag #justiceforirahulvohra.“This is extremely valuable right now,” he said in the video, referring to his oxygen mask. “Without it patients get giddy and suffer.”In another post the day before he died, on his Facebook page, he wrote, “I would have lived had I received better treatment.” He tagged Prime Minister Narendra Modi, who has been severely criticized for his handling of the pandemic.“My Rahul has left us, everyone knows that but, no one knows how he left us,” Ms. Tiwari wrote on Instagram. “I hope my husband will get justice.” More