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The LeadLike the rest of the western world, our household is currently binging medical drama The Pitt, revelling in its visceral depiction of life in a modern emergency department. So far the series has yet to inspire a video game tie-in (though there has been an amusing parody), but fans wishing to try their hand at tense medical (mal)practice, should not despair. Here are eight of the best hospital games spanning more than 40 years of gruesome interactive surgery. Microsurgeon (1982, Mattel Intellivision) Created by lone developer Rick Levine, this early oddity shrank players down and put them into the bloodstream of a sick patient where they had to blast diseased cells and unclog arteries. Clearly inspired by the movie Fantastic Voyage, the title features strange, colourful, almost psychedelic depictions of human anatomy. Life & Death (1988, PC, Mac, Atari ST, Amiga etc) This point-and-click abdominal surgery simulation was groundbreaking in its realism. Players had to diagnose a variety of conditions (kidney stones! aortic aneurysm!), before ordering tests and scans and finally operating while an ECG display showed your victim’s – sorry, patient’s – heart rate. Sanitarium (1998, PC, smartphones from 2015) The asylum has always been a popular trope for horror games, from the imaginatively titled 1981 adventure Asylum to the Silent Hill series. I’m going for this disturbing psychological thriller in which a patient wakes up in a seemingly abandoned sanatorium, his memory gone, his face completely bandaged. Emergency Call Ambulance (1999, arcade) You’ve no doubt heard of Crazy Taxi, Sega’s hectic arcade game about careering around a city picking up annoying passengers. But did you ever play its stablemate, Emergency Call Ambulance, about driving around a city picking up desperately ill passengers? Trauma Center: Under the Knife (2005, Nintendo DS) If you thought the Nintendo DS was all about cosy puzzle games, you were wrong. Developed by veteran publisher Atlus, this fascinating game was part surgery sim, using the handheld’s touchscreen and stylus for realistic operations, and part visual novel as lead character Dr Derek Stiles navigated life in a futuristic hospital. Surgeon Simulator (2013, PC, PlayStation, Switch, Xbox) Surgeon Simulator is a game where you play as a surgeon with a goal to perform operations. The game became famous for its challenging gameplay and realistic physics.

The Genesis of a Masterpiece This week we mark two extraordinary centenaries. Sir David Attenborough's, of course, but only four days after the birth of the bona fide national treasure, Dmitri Shostakovich's First Symphony also first saw the light of day – premiered in Leningrad on 12 May 1926. The 19-year-old's composition was played by the Leningrad Philharmonic, conducted by Nicolai Malko. The Revolutionary Sound The symphony's four-movement structure is just about the only conventional feature it has. The teenage Shostakovich had imbibed all the lessons he could about what orchestral music should sound like and how it should behave, and was bold enough to subvert all those ideas and send them up. There is no forelock-tugging to earlier generations of Russian symphonists and orchestral pioneers; instead, Shostakovich's First resounds with a self-confidence that's both optimistic and deliciously sardonic. A Circus of Sound From the distorted trumpet call that opens the work – a fanfare that thumbs its nose at your expectations of how a symphony should start; not an affirmative flourish, but a snakingly dissonant question mark – Shostakovich sets out on a first movement that's like a circus: a cavalcade of characters who take the stage and exit, more often than not pursued by a cartoon bear, clown or bassoon. The momentum that Shostakovich generates from the way he juxtaposes ideas – cutting from one to the other as if the symphony were a reel of film – continues deliriously in the second movement. Here, a piano part is added to the orchestral texture, and that's where one of the secrets of this music's compositional energy is revealed. As a teenager, Shostakovich played the piano for Soviet silent cinema screenings, and in the symphony's piano solos, he turns his work into a knockabout farce that Buster Keaton would be proud of. A Masterpiece of Unbridled Creativity The movement builds to a climax that is both terrifying – a sudden fanfare that consumes the whole orchestra – and bathetic, in the form of the solo piano's chords, as if the pianist couldn't keep up with the music's pace. There is no hint anywhere in this piece of the bombast and poster-paint ideology of Shostakovich's later symphonies, but there is real feeling here, hinted at in that climax of the scherzo, as the cartoon suddenly shudders into real life. The slow movement that comes next is one of the most unironically passionate that Shostakovich ever wrote, as a solo oboe and solo cello inspire the whole orchestra to a melodic outpouring that feels more Shakespearean drama than circus hijinks. A Legacy of Creative Freedom The final movement somehow brings all of these worlds together, and the symphony ends in a torrent of irresistible energy, a culmination of pure sentiment as well as sheer excitement. This is, surely, the most creatively confident First Symphony by any teenager in musical history (and there is plenty of competition, from Mendelssohn to Knussen, from Rihm to Schubert). It announces a world of possibility in which musical conventions are gleefully turned upside down in a frenzy of modernist creativity that's both funny and profound. It's the sound of a unique symphonic avant garde that might have heralded an era of unfettered creative freedom for Shostakovich and generations of composers. A What-If of History Instead, these are the sounds of what might have been, for Shostakovich and for Russia. In Shostakovich's later symphonies, especially from the mid-1930s onwards, you hear the chilling of that freedom and the daily terror of living in Stalin's Soviet Union. The confidence and joy in his own brilliance that you hear in every page of the First Symphony is a miracle that Shostakovich never quite repeated and which is still strikingly new, a century on.

The Ultimate Wizard Showdown When asked who would win a fight between Gandalf and Dumbledore, the iconic actor who portrayed both legendary wizards didn't hesitate with his answer. "Why on earth would they be fighting? But Gandy, of course, would win. The original wizard," McKellen declared, settling the debate that has captivated fantasy fans for years. A Life in Theater Reflecting on his more than six decades in acting, McKellen lamented the decline of repertory theater in the UK. "My first job, in 1961, was at the Belgrade theatre in Coventry," he recalled. "Every city of similar size had a repertory company, presenting a new production every two weeks, and crucially providing employment for tyro actors in need of a prolonged apprenticeship." Today, he noted, there is not a single rep company in the UK, a system he credits with helping develop new talent. Personal Reflections McKellen shared insights into his personal beliefs, explaining that while he was raised with gospel stories, he stopped worshipping in his teens. "Since then, Quakers are the religious society I most admire, for their adherence to the sixth commandment and for being the first Christians to support gay rights in the UK." He also discussed how his father's preaching style influenced him, though it was actors who first captivated him rather than religious figures. Behind the Scenes of Middle-earth The actor revealed that Peter Jackson never confirmed which stars turned down the role of Gandalf in Lord of the Rings. "I've never managed to persuade Peter to confirm who turned down the wizard part of a lifetime," McKellen shared. He speculated that David Bowie's striking looks and voice might have emphasized the supernatural side of Gandalf rather than the character's humanity that attracted him to the role. Beyond Middle-earth Beyond his iconic fantasy roles, McKellen discussed his appreciation for pantomime as a uniquely theatrical art form. "Pantomime uses every possible theatrical device to tell its moral tales – slapstick, sentiment, song, dance, verse, cross-dressing, community singing, extravagant costumes and scenery, audience participation," he explained. "My patriotism is rooted in Shakespeare and panto." He also mentioned his recent Glastonbury performance with the Scissor Sisters, describing the experience as "heady stuff, parading in front of a band's enthusiastic fans."

The Lead The Netflix adaptation of Shelby Van Pelt's novel Remarkably Bright Creatures stars Sally Field as Tova, a cleaner at an aquarium who forms a bond with an octopus voiced by Alfred Molina. The film is a gentle, heart-first drama about broken people trying to heal. Sally Field Shines in a Gentle Drama Every now and then, a strange forgotten chapter of life during Covid will interrupt my thoughts. Remember when we used to fake happy hour merriment on the Houseparty app? Or when Anne Hathaway and Chiwetel Ejiofor made an unwatchably awful film about stealing diamonds from Harrods during lockdown? The unavoidability of My Octopus Teacher led to everything from a creepy spike in people googling “did octopus teacher sex with octopus” (time-saver: he didn’t) to an unforgivably undeserved Oscar win for best documentary (Collective, you were robbed) and then, while not a direct on-record inspiration, it at least paved the way for the success of Shelby Van Pelt’s best-selling novel Remarkably Bright Creatures in 2022. The Film's Emotional Resonance It’s a film that can also sit in the streamer’s row of originals aimed at an older audience, alongside gentle afternoon watches like Nonnas, Our Souls at Night, Juanita and Otherhood. Like those films it welcomes in an actor we haven’t seen as much lately as we once did – Sally Field in this instance – and grants her more screen time than she has been given in over a decade – her last lead role was 2015’s Hello, My Name Is Doris. I’m not sure how much of the film would really work without her anchoring it – she adds volume to what’s otherwise a pretty low-level hum – but with Field smoothly moving between comedy and drama in a film that can’t always move quite so gracefully, it all just about stays afloat. The Impact of Molina's Voiceover Field is Tova, a cleaner at an aquarium in a picturesque coastal town who struggles to connect with those around her, still tending to the wound she endured after the death of her son years earlier. She now prefers being alone, something she has in common with Marcellus, an elderly octopus voiced by Dr Octopus himself, Alfred Molina. He hates humans, an understandable response to being trapped in a tank by them, but he appreciates the relative calm of Tova who talks to him in detail about her life. The Future of Gentle Dramas Assistance in that department also comes from Molina’s octopus, who isn’t always made to feel like a natural element of the story (there’s a stretch when it seems like Newman has forgotten about him entirely), but when he’s brought back to the forefront in the final act, there’s a neatly contrived yet sweetly effective and emotionally earned ending, If Newman doesn’t quite get the tears she’s clearly craving, she manages to leave us charmed enough for it not to matter all that much. Remarkable might be a stretch, but decent will do.

The Rediscovery of a Harlem Renaissance OutsiderEric Walrond was a defining yet vanishing figure of the Harlem Renaissance, a Guyana-born writer who navigated the complexities of migratory identity and racial politics in the early 20th century. His death in 1966 went largely unremarked, and for decades, he slipped into obscurity. However, the centenary of his magnum opus, Tropic Death, has reignited interest in a body of work that challenged the literary establishment of his time.The Gothic Counter-Pastoral of 'Tropic Death'Published in 1924, Tropic Death is a trailblazing collection of 10 stories set in the Panama Canal Zone and the Caribbean. Walrond rejected the pastoral tradition, instead employing a gothic lens to expose the brutality of colonialism and the caste systems that governed the region. The stories are visceral and macabre, featuring a laborer shot by a drunken marine, a boy devoured by a shark, and a plantation owner killed by a vampire bat.Key Themes: The inversion of the 'tropical paradise' fantasy.Style: Use of phonetic vernacular and regional dialects.Reception: Initially controversial among contemporaries like Marcus Garvey and Claude McKay.Deconstructing the 'Tropical Paradise' MythWalrond’s work is significant because it directly countered the sanitised narratives of tourist literature commissioned by corporate interests. By foregrounding the violence and supernatural decay inherent in the landscape, he revealed the 'nightmare buried beneath the surface' of the colonial idyll. His characters—farmers, sex workers, and sailors—were not primitives, but complex individuals caught in a web of racial and extractive capitalism.The Cost of Exile and ObscurityDespite critical acclaim and a Guggenheim award, Walrond struggled with a sense of rootlessness that stifled his creativity. His migration from New York to Paris, then London, and finally to the isolated town of Bradford-on-Avon, marked the end of his literary output. Struggling with mental health and the color bar, he spent his final years in anonymity, dying in an unmarked grave. His story serves as a poignant reminder of the erasure of non-white voices in literary history.

The Royal TributeKing Charles has paid tribute to David Attenborough on his 100th birthday with a heartwarming film featuring a cast of wild animals. The film, A Very Special Delivery, showcases the king's handwritten congratulatory card being delivered to Attenborough's London home by a series of animals.The Film's JourneyThe film begins with King Charles writing his tribute in the library of Balmoral Castle. The signed card is then borne on a silver salver by a butler to a waiting Land Rover. However, disaster strikes when a fallen tree blocks the vehicle, and a relay of heroic animals takes over. A border collie called Flynn takes off with the envelope in his mouth, and a series of birds and animals, including eagles, a red squirrel, a flock of geese, an otter, a swan, a duck, a fox, and a deer, all play their part in delivering the card.The Personal ConnectionThe king's relationship with Attenborough dates back to 1958 when the then nine-year-old prince and his sister, Princess Anne, visited the set of the BBC children's programme Zoo Quest. In his card, Charles wrote: "Over those decades you have revealed the beauty and wonders of nature to audiences around the world in new and marvellous ways. In so doing, you have shared my determination to highlight the urgent need to protect and preserve this precious planet of ours – and all Life on Earth – for future generations."The Tribute's SignificanceThe film was produced by BBC Studio's natural history unit and premiered during the live gala tribute to Attenborough at the Royal Albert Hall. A Buckingham Palace spokesperson said: "His majesty was delighted to feature in this special tribute to a man who has shared his lifetime commitment to the natural world."

The Centenary Celebration In honor of Sir David Attenborough's remarkable 100th birthday, The Guardian's acclaimed cartoonist Ben Jennings has crafted a special illustration that captures the essence of the naturalist's extraordinary life and career. The cartoon serves as both a birthday tribute and a reflection on Attenborough's profound impact on environmental awareness and appreciation of the natural world. Artistic Interpretation of a Living Legacy Jennings' cartoon presents a visual narrative that encapsulates Attenborough's decades-long journey from pioneering broadcaster to global environmental icon. The illustration, rendered in Jennings' distinctive style, combines elements of Attenborough's most memorable work with contemporary environmental challenges, creating a powerful commentary on the intersection of nature, humanity, and time. The Guardian's Editorial Perspective As part of The Guardian's Opinion section, this cartoon represents the publication's commitment to visual commentary on significant cultural moments. The Guardian has a long history of featuring thought-provoking cartoons that address pressing issues, and this piece continues that tradition while honoring one of the most respected figures in broadcasting and environmental advocacy. Public Reception and Cultural Significance The publication of this cartoon coincides with global celebrations of Attenborough's centenary, reflecting the widespread admiration for his work. Attenborough, who has documented natural history for over 70 years, has become a symbol of environmental stewardship and scientific communication. Jennings' visual tribute resonates with audiences who have grown up with Attenborough's documentaries and have been inspired by his unwavering commitment to our planet. Enduring Impact Through Visual Storytelling Through this cartoon, Ben Jennings not only commemorates a milestone birthday but also reinforces the power of visual media in conveying complex ideas about our relationship with the natural world. The illustration stands as a testament to Attenborough's legacy and serves as a reminder of the ongoing importance of environmental conservation in an era of climate change and biodiversity loss.

Visual Journey Through Soviet Scientific HeritageThe Guardian released a curated collection of photographs that traverse the former USSR, highlighting Soviet Union landmarks that once celebrated breakthroughs in physics, aerospace, and medicine. The series captures iconic sites such as the Vostok rocket monument outside Moscow, the abandoned Institute of Atomic Physics in Dubna, and the towering Cosmonaut Alley in Baikonur. Scope and Scale of the Photo ProjectOver 30 locations photographed across Russia, Kazakhstan, and UkraineMore than 150 high‑resolution images released onlineCollaboration with local historians and the Russian Academy of Sciences Preservation Numbers Reveal a Strained EffortRecent government reports indicate that only 42% of Soviet scientific monuments receive regular maintenance, with an annual budget of roughly $12 million allocated for restoration. Visitor counts at major sites have risen 15% year‑over‑year, suggesting growing public interest. Why These Symbols Matter for Today’s Science LandscapeThe monuments serve as tangible reminders of the USSR’s rapid advancements during the Cold War, influencing contemporary Russian pride in space exploration and nuclear research. Their presence fuels debates over heritage versus propaganda, especially as Roscosmos seeks to leverage historic imagery for new launch campaigns. Looking Ahead: Preservation, Tourism, and Cultural Re‑engagementExperts predict increased funding for site restoration as heritage tourism expands, potentially adding $30 million to regional economies by 2030. Moreover, the photo series may inspire educational programs that reconnect younger generations with the scientific legacy of the Soviet era.

The LeadIn the small German town of Landstuhl, American flags fly alongside fast food chains and nail salons, a visible reminder of the US military presence that has existed since 1945. Now, with President Donald Trump threatening to withdraw troops from Germany, European leaders are confronting a fundamental question: can the continent defend itself without American military guarantees?The American Presence in LandstuhlLandstuhl represents a unique fusion of German and American culture, having welcomed the US army since it marched into the nearby city of Kaiserslautern in spring 1945. The town's American character extends beyond cultural symbols—it's home to a critical military installation that has served as a cornerstone of US defense strategy in Europe for decades. This presence has provided not only security but also economic stability for the region.Trump's Troop Withdrawal AnnouncementThe recent announcement that President Trump plans to pull troops from Germany has sent shockwaves through European capitals. According to reports, the withdrawal appears to be punitive, intended to punish German Chancellor Angela Merkel for suggesting that Trump's war in Iran was a mistake. This move has created immediate anxiety in communities like Landstuhl, where the American military presence is deeply woven into the local economy and social fabric.Europe's Defense ResponseIn response to the potential US withdrawal, European leaders are taking unprecedented steps to strengthen their defense capabilities. Across the continent, nations are:Increasing defense spending to meet NATO targetsReintroducing conscription in some countriesStockpiling weapons and military equipmentEnhancing joint defense initiatives and cooperationThese measures represent a significant shift in European security policy, signaling a growing recognition that the continent may need to rely more on its own military capabilities.The Strategic ImplicationsThe potential withdrawal of US troops from Germany extends far beyond the immediate impact on communities like Landstuhl. It represents a fundamental shift in transatlantic relations and could reshape the geopolitical landscape of Europe. The move raises questions about:The future of NATO and collective defenseRussia's strategic calculations in Eastern EuropeThe balance of power in the Middle EastEurope's ability to act independently in international crisesThese developments come at a time when Europe is already facing multiple security challenges, from Russian aggression in Ukraine to instability in the Middle East.Europe's Readiness AssessmentDespite the flurry of defensive measures, serious questions remain about Europe's readiness to defend itself without American support. While European nations possess significant military capabilities, they face persistent challenges in:Coordination and standardization of equipmentLogistical capabilities for sustained operationsIntelligence sharing and joint command structuresPolitical unity in responding to security threatsAs Helen Pidd asks in the podcast, is Europe really prepared to defend itself alone? The answer may determine not only the future of European security but the very nature of transatlantic relations for decades to come.