GBS
"Too
many acronyms, too many letters, too many
numbers......" and there is never an easy way
to say it: "your father has
GBS-Guillain-Barré syndrome." This is how
Jason Hall's play, GBS, poignantly begins. The emphasis on
a meaningless acronym, which can be interpreted in many ways in
everyday terms, sets the mood for the
play.
WILL & DENI MCINTYRE/SPL
Making sense of a frightful condition
Hall portrays the reunion of a family brought together
by the unfortunate diagnosis of GBS. From the start, Hall presents a
confused interpretation of the condition and at times mocks the
meaninglessness of the acronym. This confusion resonates through the
lives of the protagonists, who try to make sense of the disease while
trying to make sense of their own lives and their strained
relationships. The complexity of GBS as a medical condition is
juxtaposed to the complexity of the reunion between the two main
characters.
A rare,
debilitating disorderGBS is a rare and acute
autoimmune disorder of the peripheral nervous system, which begins with
rapidly progressing muscle weakness in the arms, legs, and face,
leading to paralysis. In many cases intensive care is needed because
the condition can be life threatening if the breathing muscles are
affected. Most patients recover gradually, but length of the illness
and the degree of paralysis varies, and some patients remain wheelchair
bound.
In this case, GBS
is also the catalyst for the reunion of two estranged brothers fighting
to come to terms with their father's illness and the changes in
their lives. Rich (Kristian Bruun) is divorced, living in the suburbs
of Toronto where they grew up, struggling to cope with his exwife,
daughter, and the responsibility of the one who stayed at home. On the
other hand, Sam (Daniel Fine), his brother, flew the family
nest to London, in search of freedom, escaping the suburbs and the
burden of a predictable life. Reunited after some years, they drive
silently to the hospital where their father lies in a coma, but hidden
conflicts can't be contained any
longer.
Journey in a wheelchair
Bruun and Fine carry out
this outstanding performance on an empty stage that resembles a boxing
ring, taking the audience with them on an unexpectedly funny and moving
journey from the streets of the past through the problems of the
present to the uncertainty of the
future.
GBS: getting better
slowlyThe vibrant performance of the actors
manages to bring to life a myriad of characters: the distraught mother,
the ex-wife who almost breaks Rich's back, the teenagers shouting
"paedophiles" when Sam tries to perform cardiopulmonary
resuscitation on an unconscious boy, the closeted neighbour with whom
Sam has a quick encounter, and the doctor who refuses to
abandon his pedestal, among others. Their portrayal of these colourful
characters makes the audience forget that there are only two actors on
stage.
GBS does not revolve
around doctors or hospitals, its central theme is human communication,
or the lack of it. Rich is resentful for Sam's desertion,
accusing him of escaping responsibility. Sam is torn between his family
and his own life, incapable of staying at home and being suffocated in
that "zoo for the dull." Unable to understand the needs of
one another or the circumstances of their lives, their relationship
gradually evolves from bitter strangers to fraternal recognition
without falling into sentimentality. Hall's streamlined writing
glides effortlessly from comedy to drama, delivering a fresh and honest
dialogue that succeeds in grasping the audience's full
attention.
Anna Ledwich's
direction keeps the energy flowing throughout the play, building a
dynamic picture that doesn't let you down. We entered the theatre
expecting a depressing play about a family's hospital drama and
left uplifted, with the feeling that we had got more than we'd
bargained
for.
This is a journey that many families have to go
through. There is not an easy way to say to someone that their loved
ones might die. And doctors have a difficult job in communicating this
life changing news to family members. Fortunately, times are changing,
and doctors are becoming aware of the importance of taking the time to
sit down and explain the facts clearly and honestly, instead of hiding
behind complicated terms and acronyms. After all, the hardest part is
when the person on the other side receives the words, "Your
father might not recover."
We
went along on this journey of two brothers trying to bring together two
divergent lives and struggling to come to terms with their
father's sudden coma, and we left with the positive feeling of
what GBS could mean-getting better
slowly.
Star rating:
****: Don't miss
*: Don't bother
Sara Carrillo de Albornoz, freelance medical
journalist, London
Email: Carrillo.sara@gmail.com
Lucy Begum, freelance
journalist, London
Email: husnalucybegum@yahoo.co.uk
Competing
interests: None
declared.
studentBMJ 2007;15:1-44 January ISSN 0966-6494