18 September 2019

First Do No Harm (Meryl Streep and Seth Adkins)


We have decided to re-watch some of the DVDs we last watched around ten years ago. Last night we decided to see ‘First Do No Harm’, which we first saw in May 2009. Meryl Streep stars, so we knew the first time around that it would be worth watching, despite being a free DVD from a relative’s weekend paper.

We remembered, when we put the film on last night, that it was based on a true story. It was made for TV in 1997 as a drama documentary, but it’s so well made, and so moving, that we were totally caught up in the story.

Meryl Streep is Lori, a mother of three children, and happily married to Dave (Fred Ward). They have a teenage daughter, a son of about twelve, and a younger son, Robbie (brilliantly portrayed by Seth Adkins). We see them as a normal, happy American family who have just acquired a horse.

Then Robbie has an unexpected fall at school. Nobody worries too much, but later that day he has a kind of seizure. He’s taken to hospital, and diagnosed with epilepsy. Apparently there was quite a stigma attached to this illness - I still don’t know why - but he is in a private hospital, at first, with helpful doctors who discuss the options with his parents.

Initially Robbie is put on the most commonly used drug but the side effects are terrible, so the hospital switches to something else. Then the parents discover that there’s a problem with the medical insurance; Robbie is moved to a state hospital, where the doctor in charge is not at all warm or friendly.

It’s a terrible indictment on US medical care, and we weren’t very impressed with what we saw in either of the hospitals, although the nurses were all excellent. We were shocked at the way the doctors seemed to be in charge, not giving Robbie’s parents all the relevant information, and expecting them to sign forms for quite dangerous treatment.

Lori is convinced there must be another way… and after extensive reading, she finds anecdotal evidence of the ketogenic diet. This was known as early as the 1920s but was not widely acknowledged. The last part of the film involves Lori’s fight against the medical authorities, trying to take Robbie to this treatment rather than agreeing to brain surgery.

It’s a powerful film, partly due to the subject matter, but also because the main actors are excellent. Seth Adkins was only ten when this film was made but already a professional and competent actor. Robbie is supposed to be younger than that (perhaps six) and changes from being a lively, friendly boy to an angry and boisterous one. He has increasing seizures of different kinds, and at times is shown as unable to do anything much, due to the cocktail of drugs. At no point did the acting seem forced or unrealistic.

It’s a very intense story; I didn’t watch some of the rapid action in the hospital scenes, but for most of the film I was almost glued to the screen, unaware of time and rooting for Robbie.

The only jarring note - so to speak - is a screechy rendition of ‘Somewhere Over the Rainbow’ while Lori is researching epilepsy, day after day, in the library. While the sentiments of the song work well, and a musical interlude makes sense to cover the time spent, where there is no dialogue and no action, the later part of the song was quite painful and distracting.

However it’s a minor gripe in an excellent, thought-provoking and educational film.

The UK rating is PG, which seems right to me; other than mild innuendoes there's nothing that would cause the most prudish to cringe. However it's rated PG-13 in the US, probably due to the intense and possibly disturbing nature of the story. I would not want to show it to anyone under the age of about eleven or twelve for that reason.

Highly recommended, particularly to anyone with any experience of epilepsy, or who would like to know more about the ketogenic diet as a possible treatment.

Review copyright 2019 Sue's DVD Reviews

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