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Yahoo
a day ago
- Entertainment
- Yahoo
Coco voice actor and Weeds star Renée Victor dies aged 71
Renée Victor, the TV and film actress behind the voice of Abuelita in Disney's hit animated film Coco, has died at age 71. Victor died at her California home, her family confirmed. Her cause of death was lymphoma, according to Deadline. 'Renee is perhaps best known as the voice of 'Abuelita' in Disney's 2017 blockbuster Coco,' a statement from her daughters Raquel Victor and Margo Victor read, per Deadline. 'Renee was loved by so many & had fans all over the world. Her memory will be cherished by all who knew her.' In addition to winning hearts as Abuelita, Victor also gained acclaim for her arc as Lupita on Weeds. Victor appeared regularly in seasons one and two and returned at least once in nearly every other season. Long before she was a TV and film star, Victor toured globally with her husband as 'Ray & Renee' from 1963 to 1973. The duo earned the nickname 'the Latin Sonny & Cher.' Victor then transitioned to screen work, and landed roles in TV series including Scarecrow and Mrs. King and Matlock. She later appeared in a recurring role on ER as Florina Lopez, and lent her voice to the 1992 animated series The Addams Family. Her film credits included The Doctor with William Hurt, as well asThe Apostle and A Night in Old Mexico, with Robert Duvall. Victor most recently appeared onVida, Gentefied, All Rise, Snowpiercer, Mayans M.C., Dead to Me, A Million Little Things and With Love. Fans were saddened to hear the news and quickly shared tributes on social media. 'Such heartbreaking news. Renée Victor brought so much warmth and life to Abuelita in 'Coco,' and her presence will be dearly missed. Rest in peace,' one fan wrote on X. 'Rest in peace, Renée Victor. Your iconic voice as Abuelita in 'Coco' will live on,' another said. 'Thank you for giving us Abuelita. Rest in peace, Renée Victor. Your voice lives on in our hearts,' a third chimed in. 'Condolences to friends and family. Rest in piece, Abuelita. We will remember you…' someone else wrote.
Tom's Guide
3 days ago
- Entertainment
- Tom's Guide
Prime Video's latest No. 1 show is an addictive mystery thriller — and it's a must-watch for 'Gone Girl' fans
Prime Video has another hit original show on its hands, and it's already shaping up to be the show to binge this summer. The mystery thriller "The Better Sister" premiered this week (May 29) and wasted no time shooting straight to the top of the Prime Video top 10 list. Though "The Better Sister" hasn't exactly earned rave reviews (more on that in a bit), the show's a certified hit from the streamer as far as viewers are concerned. It's clear this riveting family drama with a criminal twist has found an audience now that it's streaming on Prime Video, with fans calling it the spiritual successor to "Gone Girl" they didn't know they needed. Based on the 2019 novel by best-selling author Alafair Burke, "The Better Sister" stars Jessica Biel and Elizabeth Banks as an estranged sibling duo with more baggage than an airport terminal. When one sister's husband (and the other's ex) is found murdered, the two must set aside their many, many differences and work together to clear their names and catch the real killer. With only eight episodes and plenty of 'just one more episode' cliffhangers, it's an easy binge-watch. If you've spotted this new series climbing the ranks and are curious whether it deserves a spot on your watchlist, here's everything you need to know about "The Better Sister." On the surface, Chloe (Biel) seems to have it all between her flourishing media career and picture-perfect home with her attorney husband Adam (Corey Stoll), and their teenage son Ethan (Maxwell Acee Donovan). But beneath that polished exterior lies a deep fracture: a strained relationship with her troubled sister Nicky (Banks), Adam's ex-wife and Ethan's biological mother, who has spent years grappling with addiction. After Chloe's husband is found murdered, the two are forced to reunite, reopening old wounds and unearthing long-buried secrets. The tension between the sisters is palpable, with subtle clues suggesting that Chloe may have stepped into the life Nicky once envisioned for herself before her battle with addiction derailed her marriage and endangered Ethan's safety. Suspicion for Adam's murder quickly falls on Nicky, but as the investigation unravels, Chloe begins to realize her sister may be the only person she can trust. Get instant access to breaking news, the hottest reviews, great deals and helpful tips. The series also features a strong supporting cast, including Kim Dickens as the in-your-face seasoned detective and Bobby Naderi as her affable partner in-training; Gabriel Sloyer as Jake, Adam's close friend and fellow high-profile lawyer; "ER" and "Lincoln" actress Gloria Reuben as the sisters' defense attorney; and Lorraine Toussaint as Chloe's boss and mentor. Matthew Modine, whom "Stranger Things" fans will recognize as Dr. Martin Brenner (a.k.a. Papa), also plays Adam and Jake's enigmatic boss. Critics are divided in their reviews of Prime Video's new thriller, with "The Better Sister" currently sitting at a 63% critics score on Rotten Tomatoes. But it seems like for fans of murder mysteries who aren't expecting anything ground-breaking, "The Better Sister" is definitely one to add to your watchlist. In her three-star review, The Guardian's Rachel Aroesti described the show as "a schadenfreude-packed take on streaming's favorite theme: watching sexy, successful people suffering terrible misfortune." "Whether you want catharsis and consolation in the form of Biel and Banks trading poor taste zingers between flashbacks to their communal childhood trauma is a matter of personal taste," she concluded. "But when it comes to reassuring downfalls, this decent-enough drama knows how to play the game." Collider's Taylor Gates was less charitable, calling the show "a tepid 'Big Little Lies' knock-off" that "pales in comparison to the modern classics of the genre" with a plot that somehow feels both overstuffed and stretched too thin at the same time. Meanwhile, Screenrant critic Grant Hermanns commended that show for its "great balance of mystery, comedy and character drama that makes it all the more exciting to watch." He added that it filled the void that "Gone Girl" left behind, even working "as something of a spiritual follow-up" to David Fincher's hit 2014 psychological thriller. In short, if you like whodunnits and messy family drama, you'll probably enjoy "The Better Sister." It's a breezy watch that'll keep you guessing, and even its critics said its twists were satisfyingly difficult to predict. If that all sounds up your alley, you can stream all eight episodes of "The Better Sister" on Prime Vide now. However, if the less-than-stellar reviews from critics have put you off, but you're still looking for your next binge watch, check out our guide to the best Prime Video shows for more great streaming recommendations.
Yahoo
3 days ago
- General
- Yahoo
People Who Were Stuck In Comas Are Revealing What It's Actually Like, And It's So, So Freaky
The internet can give you the behind-the-scenes of just about anything, so if you were ever curious about what it's like to be in a coma, you're about to find out. A while back, people of the BuzzFeed Community revealed what it's like to be in a coma — and their experiences are truly wild. Here's what they had to say: Note: Some responses were pulled from these three Reddit threads. 1."During COVID, I was in a coma for 32 days. I can honestly say I don't remember anything. No light nor darkness — just nonexistent. Remembering nothingness should be terrifying, right? But it was actually liberating; I no longer fear death." —glitterycookie64 2."I had a back surgery, and two days later, they did a mylogram and dragged bacteria into my spine. I ended up with bacterial meningitis and was in a coma for 28 days. I felt as though I was in a warm, calm, benevolent place when, in fact, I was thrashing in pain. When I finally woke up, I was in pain for a couple of days. I only remembered my close friend talking to me directly into my ear. All in all, it was a pleasant experience." —coppersmoothie12 3."I was in a coma for a short period. When I woke up, it was like no time had passed, and I remembered nothing. I had to remember how to do everything again: walk, talk, eat, go to the bathroom, etc. I was told what happened, which I had no memory of, and I was even told I died and they had to fight to bring me back. However, as time passes, I have flashbacks of memories of everything. I remember bits and pieces, and I'm connecting the dots. I can remember A LOT from when I was asleep." "I ask my husband often, 'Did this happen?' and he shockingly says yes! It's weird how my brain is putting pieces together over a year later. I have a lot of trauma now because I remember things at horrible times, and it freaks me out." —rachway 4."I have a friend who was in a coma for several days after multiple rattlesnake bites. Two things she told me stood out the most: It was very peaceful, and she saw all the dogs she had ever had again. Secondly, she heard the doctor say she had a 30% chance of survival, so she decided to show him she was going to make it." —beanielebean 5."I was in a coma for a little over a month due to sepsis following a perforated ulcer in my GI tract. I don't remember hearing anyone, although family and friends read to me, played recorded videos, etc. I remember 'being' in a dim, small room with velvet-flocked wallpaper, and 'being' in an Orange Julius in a mall food court with strangers. Then, I heard my mom say she was leaving on Thursday. I woke up and thought two days had passed." "I lost more than a month, a third of my body weight, all my muscle tone, a lot of hair, and my vocal cords were damaged due to an emergency intubation. It took another month to regain muscle control to write notes and for my vocal cords and esophageal muscles to start healing. I had failed three swallow tests before I finally passed. It took over 11 weeks from ER admit to discharge. I had months of OT, PT, and speech afterwards. Fifteen months after discharge, I was completely cleared by all but GI doctor!!!" —sportygoose966 Related: "I Know You Aren't Trying To Hurt Me." Doctors, Nurses, And First Responders Are Revealing The Most "Haunting" Last Words They've Heard From A Patient 6."A friend of mine was in a coma for six months after he had thrombosis from nonstop traveling for work for days. He said the entire time he was out, he dreamt that he was floating in the ocean, chasing his Hermes trunk luggage. Turns out, his sister had put an ocean sound machine by his bed for six months." "I had the pleasure of knowing him for about three months before he sadly passed away during yet another work trip." —privatefaces 7."I was in a coma for four days. When I woke up, everyone was talking about the baby boy I had. I had lost my long-term memory and didn't even remember being pregnant. My son was at the children's hospital in the NICU. I delivered him via C-section at 29 weeks. All this was due to me having Crohn's disease (which I found out after I woke up); my colon had ruptured during my pregnancy. My husband said I was talking like a child when I first woke up." "When I woke up, I felt super tired, but then the next few days, kinda restless. I remembered one conversation my mom had with a nurse while I was under. After a couple of days, I got my long-term memory back and remembered everything up until my second surgery, then nothing until I woke up. My son was my third surgery. So, my son was what surprised me." —u/PennyCundiff 8."I was in a coma for 11 days from a severe brain injury. I don't remember being in a coma or waking up from a coma. I lost several years of memories prior to the coma, and my brain didn't really start to 'retain' information again until about six weeks after I came out of the coma. I'm told that my personality changed afterward. I had to rebuild most areas of my life. It sucked, but it was probably a good thing." "Although, I'd be lying if I said I never wondered what my life would be like if I'd never had the coma." —u/heyrainyday 9."A friend of mine was in a six-month coma after an accident. Afterward, he made sure to tell everyone around him to talk to people in a coma because they can hear you. BUT he noted that they should always tell the person in a coma what happened, where they are, and what's happening to them because he said that his moments of lucidity were mixed with some truly horrifying dreams — and he had trouble distinguishing between what was real and what were dreams." "He said he just wanted to be told what was real and what was happening." —u/Blameking27 Related: 27 Grown-Ass Adults Who Threw Such Unbelievable Temper Tantrums, Even The Brattiest Toddler Couldn't Compete 10."This is really bizarre, but my uncle — a very serious, strict, and rather dry man — had an accident and went into a coma a few years back. He never believed anything he couldn't touch, no talks about souls, or anything similar. But he was in a coma for a few weeks until he woke up and had this crazy AF story. He said he saw himself in a bubble, floating around in a white place, and it was peaceful and beautiful. But then, he said there were other bubbles he could see around him, and they had other people in them. He distinctly remembered a black-haired woman singing in the bubble closest to his, until one day, her bubble burst, and she disappeared. When he woke up, he could give a very clear description of her body, age, and all that. Now here's the wild part..." "There was a woman, one floor below him, in a coma who sadly had passed away before he woke up. You guessed it — black hair, age, body all correct. He had never met or seen this woman in his life. His whole idea of life changed after this. It still makes me think sometimes... Where was he? He thinks all the people in bubbles around him were patients in the same hospital. Could it be? We'll probably never know." —u/KayPet 11."I was in a coma for three days after a car accident where I hit my head. Pretty much, I was driving then I saw the color purple, and then I woke up three days later. There really was nothing. It's not even like sleeping because when you wake up from sleeping, you know you were asleep. It is like blinking; one second you are doing something, then the next something totally different. I do have a vague memory of being on a table with a cute guy wiping my nose and it hurting really bad. I remember saying, 'You are super cute,' but that's all." "I believe that was before I went into the coma after the accident. I had a brain bruise or something like that, and it caused speech problems for about six months after." —u/sharms2010 12."A friend of ours fell into a coma at age 25 (around 1992) and woke up at age 36 (around 2002). She was a Rhodes Scholar nominee (I think, second-hand information) and quite brilliant. She was still 25 mentally — as if everything was just on pause. Her body was really well-preserved; she's really fun and cool and sort of the ultimate cougar. Plus, she totally woke up to the internet." —u/horsman 13."I spent eight days in a coma last year after a particularly traumatic surgery, my waking thoughts were wondering if I had died or made it. I couldn't open my eyes, and I was on a medical air mattress, so I felt like I was floating; this lead me to think that I had died, and I remember thinking it wasn't so bad and wondering if my dad would come find me. Once I realized that I was still alive, I thought I had been injured fighting in a war and worried that my wife might not know I was still alive. Trying to communicate with the nurses while intubated and drugged was very difficult." "What I learned later from my wife is that she was there the whole time and while I was fighting against the doctors and nurses, I would immediately calm down and cooperate when she held my hand and sang to me. It still brings tears to my eyes to think of the love and devotion she has shown to me during this time." —u/Tinman556 14."I was in a coma for four days from bacterial meningitis. When I woke up, I was completely deaf! I had to communicate with my parents and doctors with a notepad and pen. Some hearing gradually returned in my left ear, but my right ear is still 100% deaf to this day." —u/austin_cody 15."My wife was in a medically induced coma for four days. She had a reaction to contrast dye, and her heart stopped for 20 minutes. For nearly three months, she was confabulating about her long-dead parents. She would speak about them like they were in the next room. Or, she would say her daughter or brother they hadn't. Over and over, she thought her mom was alive, then her dad. Drove me nuts having to (gently) correct her many times per day. She would come up with amazing tales about what people (relatives, friends, neighbors) were doing, what they said — truly creative fiction. Three months later, she began to come back." "The confabulations stopped, and now, things are reversed. She can remember recent events, but her long-term memories are gone. I don't know what that's like, but it must be awful. She cries sometimes for her lost memories, but overall, she is doing very well." —u/urgent45 And finally... 16."I was in a coma for about two weeks following a cardiac arrest as a teen. I was technically dead for over an hour, in fact. People often ask me if I could hear my family talking to me or if I was dreaming. The answer is 'No.' There is a huge hole in my memory beginning about two weeks before the coma through a week after 'waking up.' And waking up is in quotes because I would wake up, ask a bunch of semi-incoherent questions, fall back under, then wake up again and ask the exact same questions, in the exact same order. Repeat six or seven times." "The coma was not even blackness. It just does not exist. I remember having the hardest time believing it was actually mid-October when the last day I remembered was late-September." —u/iwillcorrectyou Note: Some responses have been edited for length and/or clarity. If you (or someone you know) have ever been stuck in a coma, what was it like? Feel free to share your story in the comments, or use this anonymous form below. Also in Internet Finds: 51 Wildly Fascinating Photos Of Disorders, Injuries, And Variations In The Human Body That I Cannot Stop Staring At Also in Internet Finds: 23 People Who Tried Their Best, But Crapped The Bed So Bad Also in Internet Finds: 19 Things Society Glorifies That Are Actually Straight-Up Terrible, And We Need To Stop Pretending Otherwise
Medscape
3 days ago
- Entertainment
- Medscape
Behind the Scenes of The Pitt: Depicting the Hard Truths
This discussion was recorded on May 7, 2025. This transcript has been edited for clarity. Robert D. Glatter, MD: Hi, and welcome. I'm Dr Robert Glatter, a member of the Medscape Emergency Medicine editorial board. Joining me today to discuss the new MAX docuseries, The Pitt , a depiction of daily struggles and realities of life in a busy level-one trauma center, are Dr Amy Ho, an emergency physician and member of the Medscape Emergency Medicine editorial board; Dr Nicholas Cozzi, an emergency physician and medical director of EMS and disaster medicine at Rush University Medical Center in Chicago; and finally, Dr Mel Herbert, an emergency physician and founder of a popular educational podcast known as EM:RAP (Emergency Medicine: Reviews and Perspectives) , a lifelong educator, and medical consultant for The Pitt as well as ER from the early 1990s. Welcome everyone. Amy Faith Ho, MD, MPH: Thanks for having us. Mel E. Herbert, MD: Nice to be here. Nicholas P. Cozzi, MD, MBA: Thank you. Making The Pitt Real: Accuracy in Every Hour Glatter: It's great to have everyone here. The Pitt , in my opinion, is one of the most influential and powerful series. It's so unique in that each episode is represented by 1 hour of an emergency department (ED) shift. That differentiates it from other past medical docudramas that you may have seen, such as ER . In reality, we know that an hour really passes quite quickly in any given shift. The show encapsulates the stressful clinical scenarios and interpersonal relationships that occur in any given ED shift, and it resonated with me and my colleagues. Mel, I wanted to get your feedback on how you chose to proceed with advising directors and producers on the show to provide real-world scenarios that could inform the audience, as well as emergency physicians, on how we manage complex situations, specifically families and bystanders, but also accurately depict how residents interact with other residents and attending physicians. Herbert: First of all, thanks for having me on the show. The Pitt has obviously become this huge hit, more than anybody — even we — expected. I have to give credit where credit is due. Scott Gemmill is the show creator and the show runner, and it was his idea to come up with this hourly format. He met with John Wells, the producer who did ER , and John was very clear and was like, 'We don't want to do just another medical TV show. We want to do the best one. How do we make it the best? How do we make it different? How do we make it real, but also entertaining?' That's when Scott came up with this idea that 1 hour of the show would be 1 hour of a shift. It was an incredibly insightful idea. The next person is Joe Sachs, MD, an emergency physician who has been practicing for 35 years. He was the main medical writer on ER , and he brought me in for the last six seasons of ER as a consultant. About 2 years ago, Joe said, 'Mel, we're going to do this new show. I think it's going be fantastic. Do you want to be a consultant again?' I'm like, absolutely. On that first season, I was consultant, and that basically meant that Joe would contact me multiple times a week, sometimes multiple times a day. We would go over cases and talk about how this case would really work out and what would be the dialogue between physicians, and he'd run stuff by me. For the second season, he said, 'That's great, but now I need you in the writers' room.' For season 2, I'm actually a staff writer and consultant with Joe, and that's been an incredibly fun experience. I've never really done it at this level — to be sitting there with the writers and actually, from day one, going through all of the cases. The key thing is to make it accurate. That's what we want to do. You can never be 100% accurate because it is still television, but we're making it as accurate as possible and the doctors, nurses, and everybody loves it. Many of them say, 'I can't watch it. It's too accurate.' Not Just Watching, Feeling It: The Catharsis of The Pitt Glatter: Many people are triggered by it, and my colleagues have talked about this. When they watch it, they feel like they're in it. Nick, let me bring you into this. Your article in Time was an excellent summary of the experience of so many of us, and you explain it as cathartic. I was hoping you could explain the catharsis and your thesis of your Time magazine article to the audience. Cozzi: Thank you very much for the opportunity to be here. Mel, congratulations, and great job on everything you've done, along with Joe Sachs, on The Pitt . Time magazine approached us with that thesis: 'We hear it's too triggering for emergency physicians to watch The Pitt . They feel as though they are back at work in the department, and they don't want to watch it.' It's not just emergency physicians, but anybody who works in the ER. They asked, 'Dr Cozzi, do you agree with that?' I said, 'No.' Just because it's stressful and depicts what is happening, we should not avert our gaze. We shouldn't shield our eyes. We need the entire healthcare system and the entire country's eyes on what is actually happening — the brokenness of our healthcare system and how emergency physicians and those who work in the ER each and every day are dealing with this struggle. That's where Time really understood what we were trying to do. More than anything, Mel, more than being accurate on a medical diagnosis, you pulled the curtain back and showed what's happening with hospital boarding. You pulled the curtain back to show what's happening with patients in the waiting room, with patients in the hallway, and with loved ones and members of their family. What we tried to do with the Time article was provide a way for the lay public to understand hospital boarding, to understand that it's not indifference from emergency teams, but it's the healthcare system pushing down on too few shoulders. Thank you, Mel, and it's a pleasure to be with you. Tugging at the Heart of Medicine: What You Do Matters Glatter: Amy, how did the show impact you and your colleagues? Did you feel that you were in it as you watched the episodes? Ho: I think so. I feel what Nick said and obviously what Mel said about it being so medically accurate. To me, the pieces that tug at your heartstrings are not the medical accuracy. To be honest, I was inspired to ultrasound more because I'm like, they ultrasound everything , I should ultrasound more . The parts that get me, my colleagues, and many women, especially, in medicine are the humanist pieces. I don't think this is a big spoiler, but there's a miscarriage of a physician on shift. The response that had from women who had the exact same experience — went to the bathroom, miscarried, popped back out, and saw more patients — was so true and is not talked about. It's those pieces of what makes emergency medicine special and what makes it hard that we don't talk about that The Pitt brought out and gave us the feeling like we were seen. The pediatric death was another incredible example of that. Mel, I have say that I'm a big fan of what you do and what you say on EM:RAP all the time—that what you do matters. The Pitt did an incredible storytelling of exactly that, of what you do matters. Glatter: The storytelling is so impactful. It really resonated with me to the point where you can't stop watching it. You go episode to episode because it's that hour-to-hour transition and you want to know what happens next. I do want to quote one of the paragraphs that Nick wrote in his Time piece. It resonates with me and hopefully with others: 'For an emergency medicine physician, a typical shift is a front-row seat to the worst day of people's lives — a whirlwind of drama, frustration, quiet victories, devastating losses, and unfiltered humanity. And then, it's onto the next patient's room to do it all over again.' That really resonated with me. We do it all again because that's our training. We're tired, we're fatigued, we're hungry, but we move on to the next patient. We're dedicated. I want to commend you on this piece because after watching the show and then reading your piece, it just really made complete sense. Cozzi: Thank you very much. I've heard from physicians around the country, and those in healthcare that, like Amy said, are 'feeling seen in a way that The Pitt depicts.' If my piece helps with individuals feeling that, it's a great honor. When I think about Noah Wyle, for example, being the star as John Carter in the 1990s show ER and now the burnished, seasoned attending physician later on in his career on The Pitt as Dr Robby, I think of the transition we're all making in our own lives, whether we were practicing back then or now we're taking on the next step of our journey. People who saw ER in the 1990s and now are watching The Pitt see somebody making that full circle in his own life. Teaching, training, communicating, but not being afraid of showing emotion and being a human being in unrealized or unimaginable situations. Amy, you brought up the loss of a child and dealing with a pandemic — themes that, for example, Mel on EM:RAP covered during COVID for emergency physicians. It wasn't triggering, but rather created a cathartic environment where emergency clinicians felt seen. In a way, Noah Wyle has come full circle in his role as an emergency physician and also has never lost sight of not only optimism and realism, but also being able to be a human being in unimaginable situations. On the Brink: A Character That Captures Us All Glatter: Mel, I'll commend you. Dr Robby's character is so well developed. He's on the brink every time and about to break down. He goes into a room, he's crying, and needs another resident to pick him up. That, to me, is emblematic of the system and where we're at. The emotional weight of what we deal with on a daily basis impacts us, and Nick's article points to that fact. The character development was very important here. I assume that you made that clear to the directors and producers. Herbert: Again, I have to give real props to Joe Sachs, who is really the guy when it comes to the medical stuff. Noah Wyle is one of the nicest human beings you'll ever meet. He is just a good person, and he cares deeply about emergency medicine. For his arc as an actor, the most important thing he ever did was be on ER . He's had physicians over the years come up to him and say, 'I became a doctor because of you.' 'I became a nurse because of you.' He really wanted to come back because physicians and nurses were coming to him and saying, 'We're in trouble. Emergency medicine is in trouble, we're burning out, people are dying. Could you come back?' That's when he got together with John Wells, Scott Gemmill, and Joe Sachs to say, 'Let's do this again. Let's do it right.' They wanted to depict what's it really like, not like on other TV shows, but what's really happening — the boarding crisis, the stress, COVID, the burnout that physicians are feeling, and the systems issues — and they wanted to make that real. Noah is such an incredible actor now. He was a pretty good actor back on ER, He is now the full professor of emergency medicine acting. He's so good. When you see that scene where he loses it, I think every emergency physician, myself included, has been there and are just like, oh my God, that's me . This theme we keep hearing — which is that for the first time, emergency physicians feel like they're being seen — is one of the most gratifying things. Family members can now look at the show and know what Dad or Mom does for a living for the first time. Will The Pitt Inspire or Deter Future EM Docs? Glatter: Amy, as residents and medical students are watching the show, do you think in some ways it might turn them away? The Match this year was very productive, but when you look at a show like this that depicts emergency medicine and what we deal with — obviously, there's positives and negatives with any specialty — do you feel that it has the potential to scare away some very promising residents and medical students? Ho: That's a great question. I'm a millennial so I was a bit too young to watch ER , and there were really no shows until The Pitt that were as accurate. I think The Pitt will have the effect that ER did, which is actually get people more interested in emergency medicine. You see what's really great about it, and you see the downsides of it, but it sparks something in us and what attracts us to emergency medicine. We want to make a change for the patient that is so vulnerable in front of us, that we're helping, but we also want to make a change for the system, which is oftentimes why we get so frustrated. The Pitt will help captivate the right people to go into emergency medicine, and in many ways, show an incredibly honest depiction for people who maybe thought they wanted to go to emergency medicine and didn't. Rob, you and I have talked about this on Medscape before. One of the biggest reasons for people leaving emergency medicine is because the field isn't what they thought it was. The Pitt helps give you really honest story of what you're getting into. It's incredible. Yes, it's hard at times, but you can make a difference. Pulling Back the Curtain on a Broken System Glatter: It's dedication. In his 2022 article in The New England Journal of Medicine , Walter O'Donnell talks about administrative harm and the systemic issues. Addressing administrative burden is certainly relevant here. The show opens up the whole hornet's nest on what really is going on — a broken system, Nick, that you write about, the boarding crisis, the shortage of nurses — things that have to be addressed that are still not being addressed. When I started practicing, these issues were there. They still have not been handled. Why isn't there a larger movement to address the systemic issues so that personally, individuals can survive? How do we fix this broken system? What is the real key to finally gaining traction? Cozzi: That's an excellent question. I think about the most common questions people are asking me about The Pitt . They aren't, 'Can you really do a burr hole with an IO (ie, an intraosseous device)? Can you do that type of procedure? Is that accurate in terms of a cardiac arrest?' What they're asking me more often than not is, 'Is that what it's really like trying to save someone's life, and a hospital administrator is asking you about patient satisfaction scores?' Is that what it's really like when you try to take care of a patient and there's no beds upstairs that have nursing staff assigned to them?' That to me is fascinating because that's the first step. It's getting the general public to understand beyond the resuscitations, and beyond the complex saving of lives. It's making seen what is very complex and has been behind the barrier. When patients come to our ER, as Amy, you, and Mel know, and they see that 14-hour wait, they don't understand. They think it's indifference. They believe it's because we're not taking care of them. This is trying to unlock that door so people could see the systemic issues that, for a long time, had been behind the curtain. The first step is the public understanding how broken this all is — the mismatch of finance, the mismatch of allocation, and the value-based system that we're not having right now. How do you have a complex conversation about hospital boarding that isn't throwing facts at people, but in a way of putting yourself in that position if you're the family member with your loved one in the hallway and you're not seeing them being taken care of? That's the first step. That's what The Pitt does differently than any other show is that they're talking about those issues —staffing, nursing shortages, and the boarding crisis — in a way that's palatable and can be received by the general nonmedical public. From ER to Capitol Hill: Educate, Advocate, Legislate Glatter: Amy, on a congressional level, is there any way to address what Nick is pointing to? There needs to be systemic change, legislative changes, not just at the state level but really at the national level. Ho: Absolutely. Nick makes a good point that the first step is to educate. Educate yourselves, voters, patients, and anyone in the healthcare system, which is really all citizens. The second step is advocate. We have multiple national organizations — the American Medical Association, the American College of Emergency Physicians (ACEP) — and most of them are very involved in the boarding crisis. There is a boarding summit. Multiple states have passed various legislation about boarding and wait times in EDs. There is always discussion on Medicare reimbursement. There's always discussion on value-based programs, including the Merit-based Incentive Payment System (MIPS), on which ones matter and which ones are just administrative burden. There are many national health care safety scores like Leapfrog, which is really incentivizing for hospitals to address. All of these are avenues to advocate. You can advocate by voting. You can advocate by getting involved with your organization. You can advocate by just speaking. This is the age of social media where you can talk about it. We're starting to see changes. The National Boarding Summit had multiple, very discrete recommendations. Leapfrog just added ER boarding onto one of the tenets that they're trying to get data on to help rank hospitals. We're seeing a move because people are getting educated and then advocating. Telling the Truth, So Change Can Begin Glatter: Mel, have you seen any changes as a result of your national involvement in a show that's become such an impactful type of experience for not just physicians, but for the public? Herbert: The answer to that is yes, because of what's happening right now. Noah, Joe, and I are constantly trying to write, and in between the writing, we're talking to people across the country and across the world. It's elevated this discussion and that's the most important thing. We are not saying what the solution is. There are people with degrees in this who need to come up with these solutions. If we can show exactly what it's like, how bad it is, and how close it is to falling off the cliff, then maybe people like Amy can help us push it across the line. We don't have the solutions, but we can tell you what the problems look like. I was just interviewing Al Sacchetti, David Schriger, and Peter Vicellio— three legends in our field — and they had very different ideas about what to do. Some of them were saying we should go on strike; the only way this is going to get fixed is if we make a crisis and we fix it. There were other guys like Al Sacchetti, who was like, I can't do that . I have to look after the patients. I can't not be there and do this . Part of the problem is that ER docs will always try to fix the problem. We will always go into the waiting room and try to go as fast as we can to help people. That is actually not going to fix the system. We need somebody from outside to say, 'You're going as fast as you can. We need to get you help.' If we can use this show to tell those stories in Congress or wherever it needs to be, have at it. 'It Is Normal, but Not Acceptable': Violence in the ED Glatter: One thing I want to focus on is violence against healthcare workers. There's a scene where the charge nurse gets punched in the face by a patient who retaliated for a long waiting time. That resonated with so many of us because it's happened where I've worked and I'm sure where many of you have worked. How did you set that scene? What was in your mind and how did you approach it? Herbert: Again, that's all to Joe. You need to know that Joe was my attending at UCLA when I first got off the boat from Australia. I love Joe. It was him and the writers sitting around like, what are the issues? Workplace violence was one of the top issues to talk about. There was a study that came out that reported that, for ER nurses, about once in every three shifts, there is violence against them, either verbal or physical. I think it's about three times a shift, depending on how you define it. It's really a problem. During COVID, it became worse. There was this weird thing where people would stop believing in science and stop believing in doctors, but then when they were critical, they would come in, ask for their ivermectin, and would be outraged when you said, 'That doesn't work. Let's try and help you with stuff that does work.' It has become an epidemic. It was always bad in emergency medicine. As Nicholas pointed out, we get to see people on their worst day. We get to see all of the problems of society filtered to the ED. Violence is a big problem in this country, as it is in many countries. Guess where that all comes to? It comes to the ED, and it is often then displayed against emergency physicians, nurses, and everybody that works there. It is a crisis. I got an email recently from somebody saying, 'Please be careful about how you depict this, because we don't want people to think this is normal or it should be acceptable.' Unfortunately, it is normal. It is not acceptable. Glatter: Absolutely. it is not acceptable. We can't normalize it, but we have to depict it. Unless you show the public what's truly going on, they won't understand. As emergency physicians, we get it, and we have to put a stop to this. Legally, I believe it is a felony for attacking a health care worker. Is that correct? Herbert: It's state by state. Arizona has a very strong rule. One of the things that we do on The Pitt is we bring in experts to talk to the writers within the writers' room. There is legislation in Arizona, for example. I don't know exactly what this legislation passed, you got in more trouble for kicking the neighbor's dog than for punching the ER nurse, literally. In Arizona, they've passed these laws, and there are many more laws in other states that are working their way through the system, which as we all know is quite slow. We need things like that, and it needs to be very clear. Just because you're pissed off, angry, and have waited a long time, violence is no way to get this fixed. You could be in big trouble if you pursue that. Glatter: Absolutely. Nick, in your ED, are you seeing quite a bit of violence against healthcare workers? Cozzi: Every day, whether it's physical violence or the violence that Mel so eloquently stated is happening. Perhaps gender-specific differences, with women being more likely to experience that violence, suggestive comments, and things of that nature that are being underreported. Mel answering that person's letter, saying that it is normal but not acceptable is absolutely the right solution. I think back to Time in the early 1990s. They had a cover article that said the ED is at the brink. We're in 2025 and the ED is still at the brink, but it's worsened because of the social issues that we're talking about. Healthcare workers and those in the ED did not choose law enforcement. No one should feel unsafe going to work every day that their lives are in trouble. We had an emergency physician in Chicago that got stabbed in the chest during a patient encounter a few months ago. Luckily, he survived, and I understand he's doing well. That's just one story of so many. We see it every week and every day around this country. There has to be an opportunity. I'm very thankful that the airline industry has found the opportunities to understand the violence happening on airplanes or in airports, and how those individuals are being dealt with in a very firm fashion. If we're bound by the Emergency Medical Treatment & Labor Act (EMTALA), a federal mandate to evaluate anybody who walks through our doors, then there should be federal things on our books to be able to protect our workers, with caveats for those who do not have medical decision-making capacity and those experiencing crisis in different ways. We have to find unique solutions, and this is one of the areas that I think is different from the early 1990s because of the way society perhaps has caught up. We can't waste this moment that Mel, Joe, and Noah have provided us at this time. Glatter: I agree. Amy, any thoughts you want to add to that? Ho: Workplace violence is a huge problem, extremely common, and rampantly underreported. Luckily, the majority of states have a felony or some kind of zero tolerance law, so this is an instance where advocacy has really worked. The piece that The Pitt really helps with is people who are angry because they've been waiting, and they think the charge nurse, the attending, or whichever staff member is representative of that and part of that. What the Pitt does beautifully is it divorces the staff, who are just as frustrated, from this concept of the system. Since The Pitt came out, I've already had patients that I see in the ED, where they'll be in the hallway and will tell me, 'Wow, this is just like The Pitt,' and they mean it positively. They are in a hallway bed and they kind of understand why in a way. They're not mad at me, which is this change that I've really seen since the show came out. That's been an incredible testament to what it means for not only us in the field, but also for laypeople in understanding what is healthcare today. Tough Training, Tender Tensions: The Struggles of Residency Glatter: One last thing I do want to discuss is how residents relate to other residents. This was depicted in the show — showing toxicity, microaggressions, and other things that were tolerated. This is an area that was well documented in the show, Mel, and is so important to highlight. Herbert: Residency is hard. You just think about these poor young adults who have gone through high school and achieved at the highest level. Then they go through college, achieve at the highest level, then go through med school, achieve at the highest level. They have hundreds of thousands of dollars' worth of debt and then they do residency, and they're sleep deprived and shifting from days to nights. It's a very difficult job, and trying to depict that is really important. My experience, though, is that residents are really good to each other. In general, overwhelmingly really good to each other. There are some that sort of crack. When you see that resident that's having these microaggressions toward other residents, your first thought should not be that this is a bad person. Your first thought should be that this person is struggling. How do we help them? It is a very difficult thing. At LA County years ago, we did a snap survey of over 60 residents, and 30% of them had had suicidal ideation in the past month. Just think about that — 30% of them. It's a tough job. I think residency directors are much better now than they used to be about understanding the mental health of the residents and being much more in tune with it. I hope that comes through in season 2. Unpacking the Backpack: Why Every Emergency Physician Needs Support Glatter: Absolutely. We're looking forward to that. Amy and Nick, I want to get your thoughts about mental health in your EDs. How is that approached, and is there an acute awareness as Mel is describing? Ho: Every person that goes into emergency medicine, just like any person, has their own demons. What emergency medicine forces you to do is it not only puts you in a pressure cooker just by the setting, the time issues, and many frustrations, but oftentimes it puts you face to face with some of your own weaknesses and some of your own fears. It's very obvious in the show when a resident is triggered by something that she clearly experienced in her own life, and now a patient is reflecting back to her something that she herself had been extremely traumatized by. We all have that. One of the most interesting things to me is that we also all develop a callus to it. In order to be able to move on from a devastating trauma in a room into a low-acuity knee sprain or something similar, and put on a happy face and think about patient satisfaction, our ability to emotionally task switch like that is very unnatural. It's a defense mechanism we come up with, which means that when we leave shift, often times we take that emotional whiplash and we just put it aside. As Nick was saying, maybe this is why people can't watch it. In many ways, what's best for us is to stop, reflect, think about it, and honor the feelings that you had in that moment. Even though you had to put them aside so you can keep working, come back and honor those feelings so that you can process them and realize that being a person and being human is what also makes you a great doctor. Don't get rid of that. You see that with so many of the characters in The Pitt in a way that is just so beautifully written because in different various stages of my life and of my training, I have experienced those exact same iterations that the different characters go through. Cozzi: I remember when Damar Hamlin had a cardiac arrest on the Buffalo Bills field, and 50,000 people saw him in cardiac arrest and the excellent display of medical teamwork and communication that ultimately saved his life. We talked about the psychological impact of every one of those individuals in the stands, and we're not minimizing that. What they saw was a traumatic event, but like Amy eloquently discussed, that's something that happens every day and the ability to task switch is a defense mechanism. There are still opportunities for us to do much more when it comes to mental health. We're still looked at as superheroes, but we're not. We're human beings. We bring our own issues into work every day — struggles with our spouse, difficulties with our own children — that are traumatizing to us in and of themselves. Second, there are still areas around the country for credentialing that are mistreating emergency physicians as it relates to mental health struggles and being on prescription medication, and we have to make that okay. We can't make emergency physicians want to hide the humanity of their own lives because they feel ashamed about it. That's part of the problem. I wonder, Mel, what we would do right now if we asked emergency physicians in training, or even those practicing, what the rates of self-harm, suicidal ideation, or just overall fatigue as it relates to dealing in this own crisis, having your own issues, and having to hide them. We have to do more work. Herbert: I can tell you that every emergency physician I talk to is burnt out, is feeling the struggle, and has moral injury. I've talked often about the fact that I developed severe depression and suicidality at the end of my career. I had to get ketamine and it really helped. I don't like to talk about it because of my position, but I feel like I need to talk about it. When I go to ACEP, I get overwhelmed with people saying, 'Thank you for talking about that. I have the same thing. I need to get help.' It's underrecognized and we don't want to talk about it. We're supposed to be superhuman, but we are not. I was talking to the Lorna Breen Foundation yesterday, Lorna Breen, as many as you know, was an ER doc, the head of her department, who died by suicide at the beginning of COVID because she couldn't cope. W e talked about the fact that ER docs have this backpack, and we throw these things into the backpack. Dead baby? Let's just throw that in the backpack. A 32-year-old woman dying of cancer? Let's just throw that in the backpack. If you don't unpack that thing, it will catch up with you. Nobody gets away from this. For many of us, like for my generation, you just chuck it in the backpack. Let's not deal with that. It will catch up with you. I honestly believe that every ER doc and every ER nurse should be in some form of therapy for the duration of their career, from day one until it's over, and then for 5 years afterward, because this is not a normal job. It's not normal. Glatter: Therapy is so critical. It's not just a debrief or a huddle after a difficult case. It goes deeper. I agree with you, Mel, that therapy should be something that is almost required because of the nature of the work we do. We have to be able to talk about it and to at least describe our struggles. I appreciate you sharing with our audience your personal journey and struggles because that resonates with all of us. I truly appreciate that. Herbert: This is the most important thing to me right now. I see so many ER docs struggling, and I don't know an ER doc that doesn't have a dead baby story. I, for years, still can see the faces of the kids that have died on my shift. Even now, you can hear it in my voice. It doesn't go away. You just have to learn to cope with it and get help if you need it. We're all the same. We have all got this experience. If we all get therapy, and this is a really important point, if it's mandatory that we are all in therapy and we're all getting help, guess what? The stigma's gone. Even if you're mandated to write something about that on your credentialing, if we all do it, we're done. A Final Word: Seeing Ourselves Through a Different Lens Glatter: I want to thank everyone for a very impactful and very insightful discussion. These topics are obviously so important to emergency physicians, and they resonate. The show is such an important teaching tool, in my opinion. In season 2, I'm looking forward to seeing what struggles and what events happen because based on season 1. It really will provide a real good springboard to go forward. Any other final thoughts? Herbert: I've got one to tell you. I'm very excited to tell you that Noah Wyle and Joe Sachs are coming to ACEP. We're going to do a little panel after the keynote where we'll take questions from the audience, and then Noah is going to walk around a little bit in the trade area. It'll be an opportunity for people to talk to the real geniuses behind the show, including Noah and Joe, and there are many others. If you can make it, it's on September 7 at around 10:00 AM MST. Ho: I'll say coming off a late shift to do this on a fairly early morning, it is worth saying that what we do, to us, loses the shininess because we do it every day. It feels routine. To be able to see ourselves the way other people see us, which is that it's a little crazy and erratic, but boy does it have really great and long-standing impact. Remember that as you walk into your next shift. Cozzi: Echoing that, it wouldn't be my final word, it will be Mel's final word — what you do matters. I think this eloquently displays that. Glatter: Excellent. Thank you all again. I truly appreciate your time. Many thanks. Robert D. Glatter, MD, is an assistant professor of emergency medicine at Zucker School of Medicine at Hofstra/Northwell in Hempstead, New York. He is a medical advisor for Medscape and hosts the Hot Topics in EM series . Mel Herbert, MD , a professor of emergency medicine at the UCLA School of Medicine, is widely recognized for his innovative spirit, global impact, and commitment to education. He is the founder of EM:RAP , a pioneering medical education platform, and EM:RAP GO , a nonprofit organization that delivers free emergency medicine education to clinicians in more than 160 countries. A passionate advocate for making excellence accessible, Herbert explores this theme in his book, The Extraordinary Power of Being Average . Beyond the clinical world, he has lent his expertise as a medical consultant to television, including the iconic series ER and the current Max original The Pitt . Nicholas Cozzi, MD, MBA , is an emergency physician, EMS medical director, and assistant professor at Rush University Medical Center in Chicago, Illinois. He is a co–course director for Practice Essentials of Emergency Medicine and leads several key modules, including reimbursement and operations. Cozzi is dedicated to expanding access to business education for emergency physicians and cofounded the Health Careers Pipeline Program, which has helped over 130 Michigan high school students pursue health careers.
Buzz Feed
3 days ago
- Health
- Buzz Feed
17 Doctors Share Wildest Things Patients Survived
We recently asked medical professionals of the BuzzFeed Community to tell us the wildest things they've witnessed a patient survive, and they revealed unbelievable ER moments that genuinely made them think, "How are you alive?!" Here are the most shocking stories: "We were the closest hospital, so they brought a civilian in (I'm a former Air Force medic). His safety gear failed, and he fell 128 feet from a communications tower. It had rained the night before, and he fell into a marshy puddle of high grass, flat on his back, with a concussion and whiplash. He had no broken bones, but the bruises that covered his body from head to heel were something to behold." "We had a patient come in after mowing the lawn. The patient said something was kicked up by the lawn mower and hit him in the head. Didn't think much of it and finished cutting the grass. A few hours later, he still had a headache, so he came to the ER. We CAT-scanned his head, and there is an entire nail embedded in his brain." "We once received a patient who was bitten by a rattlesnake, TWICE. He only managed to get to the emergency ward three hours after being bitten. Then, to make things worse, we only managed to get the correct antivenom flown in one hour after his arrival. He now works as an admin clerk at our hospital and is as healthy as ever." "I had a patient who was already blind from diabetes, lost some toes, and part of a foot. I checked the blood sugar, and it was 45 (this is Canada, so your normal range is 4 to 7); I rechecked it: 45. This patient had no symptoms of hyperglycemia. He just took his insulin pen, cranked it, and self-injected (home care). I had to wait a bit to see what would happen, but eventually we left, and he ended up fine." "Had a patient with an internal temp of 75 degrees Fahrenheit. He was drowsy, but fully alert and oriented. He was found on a river embankment in the middle of winter. He had been lying there overnight before a dog walker found him. We didn't believe the equipment when it told us 75 degrees, so we repeated with a rectal thermometer, a different rectal thermometer, and a rectal probe attached to the bedside and Medi-Therm system. They were all consistent, and after several hours of heating measures, we got their internal temp up to 90 degrees before they went to ICU." "Another 'how the f*ck are you not dead' patient was a person who had a blood sugar of 1,800. They weren't in a coma. It was just a woman who walked in to complain about abdominal pain." "The guy with the crossbow bolt lodged in his head. He was initially described as having an arrow in his head, which it definitely looked like on first glance. But the angle of entry into his head made no sense. It entered under his chin and exited from the top of his head. That's when one of the nurses surmised that he would have to be lying on the ground to have been hit with the arrow at this angle." "I was an intern working in a Grand Rapids ER in 1978 when a man came in, complaining of a headache that developed halfway through a local marathon. I quickly identified the cause of his headache as a .22-calibre bullet lodged in the top of his skull. He finished the marathon in three hours and nine minutes." "My mom was a critical care nurse and said the freakiest thing she ever went through was having a 15-minute conversation with a little old lady who had no pulse. As I recall, she said the little old lady passed mid-sentence. Just stopped." "Aside from hospice patients who have hung on for a surprisingly long time, I have a few that stick out in my mind. There was a patient in third-degree heart block with a pulse of 30 at best. Sitting up and talking like nothing was wrong. I was a new nurse at the time, and that freaked me out. Basically, the electrical system in the heart was malfunctioning, and this person was flirting with a massive cardiac event." "There was a lady with a hemoglobin of 4. It should be at least 12. She was whiter than the bed sheets. It was really unsettling to see a living human that color." "I was a surgery resident on nights. Critical trauma page came in. I rushed down to the trauma bay in the ER, and a man in his 20s came in with a gunshot wound to the head. Specifically, the guy was running from the cops, and instead of going to jail, he put the gun in his mouth and pulled the trigger. The exit wound was perfectly in the middle of the top of his head." "While I was a student, I did a clinical placement at a major trauma hospital where they kept a collection of X-rays you never usually see because the injury would typically kill the patient instantly. The most interesting one was a smashed pelvis from a jockey in a horse racing accident. That kind of injury would usually also result in rupture of femoral arteries, which means you bleed to death very quickly, but somehow, this guy survived and made it to the hospital and lived long enough to get X-rayed. I don't know if he recovered, though." "Not me, but my mom was an ER nurse right after college. A family got in a car crash, and there weren't any serious injuries; they were just taken to the ER to be assessed. They had a baby, and my mom asked them about its health, etc. When asked what the baby was being fed, the mom said, 'Juice.' Just juice. She had heard that at 6 months, you can start feeding the baby juice. Not realizing it was juice, in addition to baby food or milk. This woman had been feeding her baby ONLY JUICE for months." "Back in my surgical days, I was a resident on my trauma rotation. A really nice young guy comes in via EMS. He'd been working on a factory site doing work high up on a tower (think 80 to 100 feet, kind of deal). He was climbing his way down, about halfway, when he heard commotion overhead and someone shouting, 'Watch out!' He's on the ladder, so he can't do much but bow his head to cover it. Feels something strike the back of his neck. Manages to stay calm, reaches around, and realizes a large piece of metal is embedded in him. His medic training kicks in, he calmly climbs down the rest of the ladder, sits down, and asks someone to call an ambulance." "I'm a sleep tech, and I had a middle-aged patient whose oxygen fell all the way down to the 40s and was having central apneas for over a minute… He spent more time not breathing while asleep. No wonder he complains he feels dead every single day. I couldn't believe it, so I tried a bunch of other oximeters and different hands/fingers, and they were all incredibly low while he was asleep." And finally... "A young woman, in her 30s, had a stroke. She clotted off the basilar artery, the big artery in the base of the brain that supplies all of the 'primitive' functions, like breathing and awareness. I found out about her a day after the event. This, by the book, is a hopeless case. She was literally already dead. But, because she was young, they prevailed upon me to do something. I poked a catheter (a long, skinny plastic tube) into her groin artery, then snaked it up to the blocked artery in the base of her brain. I infused a clot-busting drug into the artery for about 12 hours (tPA, tissue plasminogen activator). I rechecked, and the clot was gone. She woke up the next day. After a month, she walked out of the hospital." WOW. Fellow doctors and other medical professionals, what's the wildest thing you've ever seen a patient survive? Tell us in the comments, or use this anonymous form below:
