Extremis (film)
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''Extremis'' is a 2016 American short documentary that follows Dr. Jessica Zitter, an ICU and palliative care specialist who leads a team in the Highland Hospital ICU in
Oakland, California Oakland is a city in the East Bay region of the San Francisco Bay Area in the U.S. state of California. It is the county seat and most populous city in Alameda County, California, Alameda County, with a population of 440,646 in 2020. A major We ...
. She helps families make end-of-life decisions for their loved ones, who are often terminally ill and or on
life support Life support comprises the treatments and techniques performed in an emergency in order to support life after the failure of one or more vital organs. Healthcare providers and emergency medical technicians are generally certified to perform bas ...
. It is directed and produced by
Dan Krauss Dan Krauss is an American film director and cinematographer. Biography Krauss is best known for his two Academy Awards, Oscar-nominated documentary films ''The Death of Kevin Carter: Casualty of the Bang Bang Club, The Death of Kevin Carter'' (2 ...
. It was shot at an
intensive care unit An intensive care unit (ICU), also known as an intensive therapy unit or intensive treatment unit (ITU) or critical care unit (CCU), is a special department of a hospital or health care facility that provides intensive care medicine. An inten ...
at Highland Hospital in
Oakland, California Oakland is a city in the East Bay region of the San Francisco Bay Area in the U.S. state of California. It is the county seat and most populous city in Alameda County, California, Alameda County, with a population of 440,646 in 2020. A major We ...
. The film was funded, in part, by physician and end of life advocate, Dr. Shoshana R. Ungerleider. There are five patients shown in the documentary; however, it only focuses on three patients.


Plot

Dr. Jessica Zitter graduated from Harvard and is an attending physician at Highland Hospital on Oakland, California. Aside from working at the hospital, she has published many articles as well as her own book, "Extreme Measures: Finding a Better Path to the End of Life". Her work is focused on end of life care and how to improve it. The documentary begins as Zitter attempts to communicate with a patient named Donna who has
myotonic dystrophy Myotonic dystrophy (DM) is a type of muscular dystrophy, a group of genetic disorders that cause progressive muscle loss and weakness. In DM, muscles are often myotonia, unable to relax after contraction. Other manifestations may include catarac ...
. Because of her breathing tube and other equipment attached to her it is very difficult for Donna to communicate. At that moment, Zitter had to sympathize and try to make the patient as comfortable as possible while trying to figure out a way to help her communicate. As the doctors search for a specialist and other options, Donna's condition deteriorates, and her family decides to take her off the breathing tube. One day later, Donna dies. After Donna, the film introduces Selena, who stopped breathing on the way to the ER and suffered severe brain damage. Unlike Donna's family, Selena's daughter is not ready to let her go and clings on to hope. In this case the doctors attempt to reason with Selena's daughter to let her know that Selena will not recover. When interviewed, Selena's daughter said that turning off her mother's life support would feel like murder. Selena was kept on life support and regained periods of consciousness, but died six months later. The next patient shown is a homeless man who had been institutionalized for a long time and the doctors had not yet made a prognosis. This patient did not have any family or friends to make the medical decisions for him if anything happened, and when it comes to this the doctors have to question whether the patient seems stable enough to decide for himself. The film shows the doctors trying to communicate with the patient. The other two patients are not named. One is a new grandmother, whose family decides to take her off all machines. The other patient is a man who can still communicate but needs to be attached to a life support machine. He expresses his desire not to be kept on the machine and accepts his fate, though his son does not agree with his decision.


Awards

* 2017:
Academy Awards The Academy Awards, commonly known as the Oscars, are awards for artistic and technical merit in film. They are presented annually by the Academy of Motion Picture Arts and Sciences (AMPAS) in the United States in recognition of excellence in ...
Best Documentary Short Subject Nominated *2016:
Tribeca Film Festival The Tribeca Festival is an annual film festival organized by Tribeca Enterprises. It takes place each spring in New York City, showcasing a diverse selection of film, episodic, talks, music, games, art, and immersive programming. The festival ...
- Best Documentary Short - Winner


References


External links

* * {{DEFAULTSORT: 2016 films 2016 short documentary films American short documentary films Films directed by Dan Krauss Netflix original documentary films 2010s English-language films 2010s American films English-language short documentary films