The stakes could not be higher in Feras Fayyad’s relentless documentary The Cave. Set in an underground hospital on the outskirts of Damascus, the sounds of classical music juxtaposed with the thunder of bombs give you the yin and yang of experience in Syria under siege, the forces of life competing with those of death. With Dr. Amani Ballour in charge, a young woman with nerves of steel who must face evil as well as the distrust of men in a culture where a mother who cannot feed her children fears the societal norms that prevent her from taking a job more than imminent death, “the cave” becomes a last refuge of humanity. Speaking about his focus on women in this culture, the director becomes tearful thinking about his mother. This week at the movie’s premiere at the Walter Reade theater, he sat between his producers, Sigrid Dyekjaer and Kirstine Barfod from a Copenhagen based production company, and spoke about the horrors faced in his country, worsened in the last week with the American pull out of troops: he admitted for the first time that his mother was a Kurd.

The Cave, like Feras Fayyad’s Last Men in Aleppo, is a powerful record of Syria’s demise. But in between racing to save a bloodied child’s life and burning the clothes of those attacked with chemicals, the cave’s courageous personnel talk of mascara, pizza, and life in the future. With the current headlines, it is clear, that time has not yet come.