Our Body, 2023
In this documentary, director Claire Simon and her crew follow the staff and patients in a gynecology ward in a Parisian hospital. Everything from fertility treatment to gender-affirming care, cancer, and births are explored.
In turns inspiring, funny, harrowing, and heartbreaking, this is an involving look at the life-changing events that play out every day in hospitals around the world.
Just about everything in this movie, happy or sad, moved me to tears or close to it. I find myself, in wanting to talk about this movie, on the edge of just describing scene after scene from the film. Everything put on the screen had something remarkable about it, something that feels worthy of discussion and respect. I think that this is a huge testament to the bravery of the men and women who agreed to be filmed in such vulnerable moments, and the care with which Simon directs her camera as she allows us a look into their lives.
It’s hard to pick a favorite moment, but there are two that really stand out to me. The first is the footage of a Senegalese woman who is giving birth. (We see her have a talk with a doctor in a consulting room, so it’s not clear to me if this woman was already in labor or if she came into the hospital to have the labor induced). Several moments in the interview seem to cast a negative aspect on this woman’s life. She looks to be in her 30s, but her husband is in his 60s. She has undergone female genital mutilation. She already has several other children. When she gets to the delivery room, she tells the midwife that she doesn’t have anyone who will be supporting her with the birth.
But then something really incredible happens: alone in the room, just the woman and the doctor, they deliver the baby. The most stunning thing about this sequence is how quiet it is. The woman does not scream or cry. We can see that she is in pain and discomfort, but the energy in the room is calm and focused. The doctor tells the woman to work with her baby and push her down toward the outside world. And she does. I have been present for the birth of a baby, and boy did that experience come flooding back watching this scene. It was absolutely beautiful, and it’s magical watching the baby’s color and even the shape of her face change as she rests on her mother’s chest.
The basic structure of this film is to show several people pursuing similar treatment, but often with different situations or needs. (For example, we see a shaky teenager pursuing abortion medication after an ill-advised no-protection sexual encounter with a boy who wants nothing to do with her now that she is pregnant, followed by a more confident women in her late 20s doing so and casually talking about how her boyfriend will be there to support her as the medication takes effect). Immediately after watching the birth run by the doctor, we go to a room where a woman is having a c-section. I’m not normally squeamish about this kind of thing, but holy smokes! Watching that baby be delivered was something else and it’s surreal seeing what looks like such a serious procedure happen while the mother is conscious and her male partner standing by her side.
The other sequence that I think is a real standout is one toward the end, in which a doctor has an emotional conversation with a woman who has probably reached the end of trying to treat her cancer, as the last thing they have tried doesn’t seem to be working. It is an incredibly emotional thing to witness, and even in her fear the personality of the patient comes through when she shocks the doctor by announcing that she’d anticipated this turn of events and already called the funeral parlor. When the doctor asks how she knew---perhaps expecting the woman to talk about her symptoms and lack of appetite---the patient answers that she knew because she could tell that the doctor was feeling defeated. Of all the things in this film, many of which include intimate looks at bodies, this feels the most personal.
It’s also interesting to consider how, despite the doctors and staff coming across as genuinely wanting to help their patients, we can clearly see multiple ways in which the medical system might not be meeting the needs of the patients or, worse, even doing them harm. In one interview, a woman is dealing with serious pelvic pain, especially after sex. The doctor repeatedly asks the woman about wanting to have a baby---”You got married, so you must have plans,” he says. Um, plenty of people get married without plans to have a baby, sir---apparently not really tuning into what she is saying about her pain and how it’s affecting her. “Having sex with the person I love is causing me pain,” she cries. She then later says that she’d rather deal with the pain than the loss of sex drive that comes with the medication used to treat her (likely) endometriosis. The sex and her connection to her husband is clearly her focus, while the doctor stays locked in on the fertility side of things. (The doctors at this hospital are VERY fertility focused, which is fine if you’ve actually checked to see if that’s something the patient cares about).
Subtle harm also shows up in multiple sequences involving women undergoing procedures. It’s an incredibly common complaint in my circle that very painful procedures around gynecology are often done without sufficient numbing/medication. (The CDC recently updated its IUD insertion guidelines, which is long overdue. The insertion is often described with language like “may cause discomfort,” if by that you mean “so painful that you may black out or vomit”). You can see this in several sequences. In one scene, a woman is having her oocytes surgically collected, and when the surgeon moves the probe you see the woman suddenly visibly go pale and start to sweat. But instead of doing anything about the pain, she’s told that she can help direct the probe (GEE THANKS!) and the way she’s asked about her pain clearly encourages the expected response: “it’s bearable.”
The most overt portrayal of harm---which I really appreciate the director including---is not actually seen in footage in the hospital, but comes from the accounts from women who are conducting a protest outside of the hospital. One of the stories told at the protest---that a woman came in for treatment and was told that she had “no choice” about multiple medical students performing invasive exams on her body---sounds horrific. There are lots of stereotypes about doctors dehumanizing their patients----and to a degree some detachment is probably very healthy in that line of work---but it’s distressing to hear that someone was treated this way in a very vulnerable moment.
The last thing I’d mention is just how interesting it was to see certain procedures that I’ve only ever heard of (or worse, seen portrayed in movies, lol). In this film you get to watch a doctor grab sperm one at a time and insert them into oocytes. You then get to watch the process of the artificial insemination. You see endometrial tissue removed with the surgeon sitting across the room from the patient, using an interface to control the tools with microscopic hand movements. And, as mentioned before, you get to see a c-section. (I was not ready for that water breaking.)
This movie is incredibly human, and despite it being a total emotional rollercoaster, I’m really glad that I watched it. Whether you’ll ever use the services of a gynecological ward or not, these are powerful stories told with a fly-on-the-wall camera that sits at just the right place between detachment and empathy.