Latest news with #Mel
West Australian
a day ago
- Entertainment
- West Australian
You'll have to wait for more of The White Lotus, creator Mike White is competing on Survivor first
When The White Lotus wrapped up its third season in April, its creator Mike White gave an interview in which he talked about the pressure to start pre-production for a fourth season. 'We were supposed to start scouting in April, and I was like, 'You guys, I haven't been home in three years',' he told The Hollywood Reporter. Maybe White doesn't like to be home, because the writer and director has just joined the 50th season of Survivor as a contestant, which is sure to pack him off to some locale far from Los Angeles. It might seem like a surprising and rogue move, but it's actually classic White. He competed on the show's 37th season, and was runner-up, and with his dad Mel was twice on The Amazing Race, in 2009 and 2011. The man loves reality TV. Survivor host Jeff Probst announced White's casting on CBS Mornings, revealing, 'Mike, after he finished playing, said, 'I want to play again'. 'When The White Lotus hit, and I thought, 'Well, he'll never play again'. But he kept texting and saying, 'Look, I'm serious. If you ever do anything where you have returning players, I want to play again'. So, we're happy to have Mike.' As you can glean from his spiky, uncomfortable and comedy-forward shows and movies, White is not a conventional Hollywood type. Who else could've gone from a writers room to a Survivor set, and come in second place? When he joined Survivor in 2018, he already had a successful career with credits on Dawson's Creek, Freaks and Geeks, created Enlightened and wrote the screenplays for School of Rock, Beatriz at Dinner, and a raft of other comedies. In 2021, he recalled to The New Yorker when he joined The Amazing Race for the first time. 'I remember I was at a party at Courteney Cox's house – I'm not really good friends with her, but I was there. And I was just about to go on Amazing Race, and Jennifer Aniston was there, and I was so proud and excited. 'I was like, 'I'm going on Amazing Race with my dad'. I could see Jennifer Aniston's eyes being like, 'Why the f—k'. That's not anything that anyone aspire to, to be a reality contestant.' On that season of Amazing Race, the 18th, White and dad Mel finished sixth when they were eliminated on a leg in Thailand. White said one of his initial hesitations about shooting the third season of The White Lotus there was because of those elimination memories from Amazing Race. The pair returned two years later but was eliminated on the third leg and finished in 10th. Like White, Mel was also a writer but his involvement in the performing arts was different. He was a prominent clergyman in the Evangelical movement and had written and ghost-written projects for the likes of conservative firebrands Pat Robertson, Billy Graham and Jerry Falwell. In 1993, Mel came out publicly as gay and published a memoir, Stranger at the Gate: To Be Gay and Christian in America, but was essentially cut off by his former friends in the church. Because of his family history, White grew up attending Christian churches and camps, but turned to eastern philosophies, which he put to use in The White Lotus, during a stressful period while showrunning his series, Cracking Up in the mid-2000s. A devoted Survivor fan – '(It's) the only show I really devotedly watch' – White looks to the drama of Survivor to fuel his own TV writing. He told The New Yorker in 2021, 'Part of my job and my way of life is studying people and analysing motivation and character. I still feel like, even on the most contrived reality show, the people are human, and they're more interesting than some of the most well-scripted drama. 'For me, as a writer of drama, I aspire to do what reality television already does. To create characters that are surprising and dimensional and do weird sh-t and capture your attention.' With another season of Survivor soon-to-be under his belt, White will have plenty of more inspiration for the next season of The White Lotus.
Time of India
a day ago
- Entertainment
- Time of India
Virgin River Season 7: What to expect in Season 7? Here's filming and new cast members details
New Cast Members What to Expect in Season 7? Live Events FAQs (You can now subscribe to our (You can now subscribe to our Economic Times WhatsApp channel Netflix has confirmed the return of Virgin River for a seventh season. Filming is taking place in Vancouver from March 12 to June 26, 2025. The season will include 10 episodes and is likely to premiere in 2026. The story will resume just hours after the events of Season actors have joined the Virgin River cast for Season 7. Sara Canning and Cody Kearsley will appear in recurring roles. Canning previously acted in The Vampire Diaries, while Kearsley was part of 6 ended with Mel and Jack getting married. They are now settling into a new home. The story picks up shortly after the wedding. Marley, a pregnant woman, offers to give her baby to Mel and Jack. The couple may expand their family this way. Their previous miscarriage makes this development important for received a restraining order against Calvin. Calvin wanted involvement with the twins. The show may explore a conflict between them. There is speculation about a possible kidnapping. The community may come together to help Charmaine and the supported Preacher during his legal problems. Their relationship is stable. Kaia is thinking about marriage again. Season 7 may focus on their growing bond. Both characters may explore a future decides to commit to Mike, who proposes. However, she still has unresolved feelings for Brady. The triangle may develop further. Brie must deal with past trauma while deciding her future. Brady might consider becoming a firefighter as he searches for Lark and his missing license was suspended. Grace Valley wants to take over the Virgin River clinic. Doc is not giving up. Hope and Mel will help him resist. The season may show Doc finding new ways to stay involved. Hope's past with her ex-husband may also come into focus. Everett has reconnected with his daughter and Doc. He may appear more often in Season River Season 7 is expected to premiere sometime in 2026 after filming ends in June Canning and Cody Kearsley are joining the cast in recurring roles for Season 7.
Medscape
a day 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.
STV News
2 days ago
- Health
- STV News
Scottish nurse 'haunted' by memories of dead child after working in Gaza hospital
A Scottish nurse says she has been left 'haunted' by memories of a dead two-year-old girl after working in a Gaza hospital. Mel Graham, from Elderslie, was deployed for two months to a UK Government-funded emergency field hospital based in Al Mawasi. The 50-year-old was in the region when the ceasefire between Gaza and Israel collapsed. She is hoping to return to one of the two emergency field hospitals funded by the Foreign, Commonwealth and Development Office and run by Manchester-based frontline health charity UK-Med, which have treated more than 400,000 patients in Gaza so far. Mel said: 'I was in Gaza last year and didn't think it could possibly get any worse… but it has. 'That first night the ceasefire shattered was easily the worst thing I have ever experienced. Even though we knew it was coming, it was still such a shock. Supplied Mel Graham was deployed to Gaza for two months. 'The sound of explosions and fighting were so close to the hospital, so we knew we were going to be busy. At maybe two or three in the morning the first casualties started coming in. It was a conveyor belt of carnage. 'My role involved triaging patients. Amongst that first load of patients brought in, there were was a two-year-old girl dead on arrival. 'There wasn't a mark on her and I just remember standing there thinking 'How can this happen?'. She looked completely perfect and was just covered in a thick layer of dust. 'It's different when you are dealing with people with visible injuries. With some blast injuries there are no obvious signs externally, but the shockwave had fatally affected her tiny wee lungs. 'The porters went to get a body bag for her, but the shortage of aid getting in meant there were only adult body bags available. She just disappeared into it. 'We took her to the temporary mortuary at the back of the hospital. We put two chairs out for the family to come in… but no-one ever came. I fear her parents had obviously been killed too.' Over 50,000 people have now been killed in Gaza and more than 90% of the population displaced from their home. The nurse added: 'The sight of that little girl will haunt me forever. It is the thing that I think about most. It's at the forefront of my brain. It is not natural for a child to die like that. 'I didn't want to leave her there alone, but I had to get back to help the many other casualties who had been rushed in.' Supplied The Glasgow Royal Infirmary ICU nurse had already been deployed to Ukraine twice. UK foreign secretary David Lammy has been leading calls for more aid to enter Gaza and urgently wants to see a return to the ceasefire. In a statement to Parliament last week, he said: 'Our message is clear. There is a UN plan ready to deliver aid at scale, needed with mitigations against aid diversion. There are brave humanitarians ready to do their jobs. 'There are 9,000 trucks at the border. Prime Minister Netanyahu: end this blockade now and let the aid in.' In total the UK has announced £129m last financial year (2024-2025), including £11.5m to support UK-Med's life-saving work in Gaza. Glasgow Royal Infirmary ICU nurse Mel, who arrived in Gaza on February 1, had already been deployed twice to Ukraine. She said: 'When I was in Gaza last year, we heard explosions close to us, but this time my heart was in my mouth much of the time. 'Some bomb blasts were so close you'd feel your feet move first and then you heard the explosion. I don't know what the science is behind that. 'It was just one incident after another. Two of the 14 Palestinian Red Crescent Society ambulance workers killed had left from our field hospital. 'They were our colleagues.' Get all the latest news from around the country Follow STV News Scan the QR code on your mobile device for all the latest news from around the country
Daily Record
2 days ago
- Health
- Daily Record
Scots nurse haunted by memories of dead toddler in Gaza field hospital
Mel Graham has given a shocking first-hand account of life in Al Mawasi, in war-torn Gaza, after returning from two months in a UK Government-funded emergency field hospital. A Scots nurse says she is haunted by memories of a dead two-year-old girl rushed to the hospital where she was working in Gaza after a ceasefire collapsed. Mel Graham has given a shocking first-hand account of life in Al Mawasi, in war-torn Gaza, after returning from two months in a UK Government-funded emergency field hospital. The 50-year-old confessed she's never been more frightened in her life but she hopes to return to Gaza with frontline medical charity UK-Med. Two emergency field hospitals funded by the Foreign, Commonwealth & Development Office and run by UK-Med, have treated more than 400,000 patients in Gaza so far. Mel, from Elderslie, Renfrewshire, said: 'I was in Gaza last year and didn't think it could possibly get any worse… but it has. 'That first night the ceasefire shattered was easily the worst thing I have ever experienced. Even though we knew it was coming, it was still such a shock. 'The sound of explosions and fighting were so close to the hospital, so we knew we were going to be busy. At maybe two or three in the morning. the first casualties started coming in. It was a conveyor belt of carnage. 'My role involved triaging patients. Among that first load brought in, there was a two-year-old girl dead on arrival. 'There wasn't a mark on her and I remember thinking, 'How can this happ-en?'. She looked completely perfect and was just covered in a thick layer of dust. 'It's different when dealing with people with visible injuries. 'With some blast injuries, there are no obvious signs externally but the shockwave had fatally affected her tiny wee lungs. The porters went to get a body bag but the shortage of aid getting in meant there were only adult body bags. She just disappeared into it. 'We took her to the temporary mortuary at the back of the hospital. We put two chairs out for the family… but no one ever came. I fear her parents had obviously been killed too.' Mel added: 'The sight of that little girl will haunt me forever. It is the thing I think about most. It's at the forefront of my brain. It's not natural for a child to die like that. 'I didn't want to leave her there alone but I had to get back to help the many other casualties who had been rushed in.' Over 50,000 people have now been killed and more than 90 per cent of the population displaced from their homes. Foreign Secretary David Lammy has been leading calls for more aid to enter Gaza and urgently wants a ceasefire. In a statement to Parliament, he said: 'There are brave humanitarians ready to do their jobs. There are 9000 trucks at the border. Prime Minister Netanyahu: end this blockade now and let the aid in.' The UK announced £129million aid last financial year (2024-2025), including £11.5million to support UK-Med's work. Glasgow Royal Infirmary ICU nurse Mel, who also worked in Ukraine, said: 'When I was in Gaza, we heard explosions close to us, but this time my heart was in my mouth much of the time. 'It was just one incident after another. Two of the 14 Palestinian Red Crescent Society ambulance workers killed had left from our field hospital. They were colleagues. 'Last year, our accommodation shook a few times, but this year it was practically every day. Sometimes you get woken up thinking, 'I can't believe I've not got a whole house on top of me'. 'Honestly, I wasn't entirely sure I was going to make it out. 'The emotions are strange as it was brilliant to have done it and I don't regret it for a second. Once I've detangled my brain, I want to get back out.' UK-Med just launched a Gaza Hospital Appeal. Mel admits her time there has only made her appreciate her family even more. She said: 'My two-and-a-half-year-old nephew Hunter has been getting extra tight cuddles. 'That's good for me as quiet moments are difficult because things I experienced in Gaza kind of flash into your brain. 'He is lucky he has his whole life ahead of him, unlike that poor little baby I saw who had been killed in Gaza.'
