Latest news with #ThePitt
Yahoo
2 days ago
- Entertainment
- Yahoo
‘The Pitt' Star Supriya Ganesh on Wanting to See More of Samira's Personal Life in Season 2 and Using She/They Pronouns: ‘Hey, I'm Queer. See Me'
'The Pitt' star Supriya Ganesh was close to quitting acting before she booked the role of Dr. Samira Mohan on the hit Max medical drama. She was seriously considering going to medical school. Yes, before playing a doctor on 'The Pitt,' Ganesh almost became one in real life. More from Variety TV Bosses Behind 'The Pitt,' 'Doc' and More Examine the Rise of the Medical Drama: 'The Stakes Are Clear' 'The Pitt' Will Make Its Linear Premiere on TNT This Fall 'The Pitt' Star Shawn Hatosy Dissects Powerful Rooftop Moment, Reveals the Cut Scene That Confirmed Dr. Abbot's Feelings for Mohan 'I always wanted to be an actor. That was something that I really wanted to do,' she tells me during a Zoom from San Diego, where she's starring in the world premiere of the comedy play 'House of India' at the Old Globe Theatre. 'But my parents, and bless them, I think I really understand this now, they were just like, 'We support you, but we want you to have a good backup plan.' So I got into college pre-med, majored in neuroscience. While I was in college, I started auditioning, and things started working out a lot faster than I had heard they would. So I took a step back from the medicine and decided to act a little bit.' But then everything came to a standstill due to the writers and actors strikes followed by some auditions for too many lousy projects. 'I just thought, 'Is this the best use of my talent?' Ganesh recalls. 'You get a lot of stuff when you're auditioning, where you're just like, 'Come on. I'm not a writer, but I think I could write something better than that.'' Before landing 'The Pitt,' which takes place over a 15-hour shift at a Pittsburgh emergency room lead by Dr, Michael 'Robby' Robinavitch (Noah Wylie), Ganesh appeared on 'Blue Bloods,' 'New Amsterdam,' 'Chicago Med,' 'Billions' and 'Grown-ish.' 'I never thought I would get my break in something that would be so artistically and creatively fulfilling as 'The Pitt,'' says Ganesh. 'When it worked out, it felt like everything in my life had led up to that moment, honestly. Even the week that I was auditioning and getting called back, it felt like something was watching over me or. A bird pooped on me, which if you ask any Indian, is good luck.' Oh my gosh. I'm glad you're doing OK. I'm not surprised at all. I had the exact same thought when I got the script when I was auditioning for it. I have some background in medicine. Nothing compared to the doctors on set. But when I got it, I remember thinking, 'Oh my gosh, I can suspend my disbelief for this because there's actually a logical flow to this intubation. Someone with a medical degree was involved.' I think this maybe sounds conceited to say, but I'm not surprised at how well it's doing either because I knew in that moment that there was nothing like this on TV before. What's so funny is that before 'The Pitt,' whenever I auditioned for doctors, I would do a big song and dance. Sometimes I would add a clip where I was explaining something really medical, or I would solve the medical mystery that was in the script and be like, 'This is what makes the most sense.' But no one really cared. So by the time I got to 'The Pitt,' I was just like, 'All right, I'm just going to say I got a really great score on the MCAT. I'll just tail that to the end of my slate, and if they notice, they notice.' I love that she's such a great patient advocate. I feel like she was written in response to a lot of trouble that's brewing in the medical system these days, and I think she's really trying to push against it in her own individual way. It is an act of optimism to go, 'I know the system's not going to change, but I am still going to give this person my 100%, and I might get shit for it, but that's fine. I'm still going to give this person as much as I possibly can.' I think that's just so beautiful about her. I have not seen anything. I'm learning about everything the same way that you are, which is through the grapevine. The only thing I know, same as you, is that it's set on a July 4th weekend and it's Langdon's [Patrick Ball] first day back. That's the only thing I really know. I mean, obviously, I have hopes and desires and dreams of where things go Maybe something a little bit more into Samira's personal life. I think they explored how lonely she was in Season 1. Does she socialize a little bit more? Is there something going on with her mom? Does she reach back out to her after this, or does she not? I think looking a little bit more into what her life outside the hospital looks like to the extent that they can, I think, would be so wonderful. It is absolutely a relationship with my own queerness as well as race. Coming to America [Ganesh was born in the U.S., but was three years old when her parents moved the family back to India], I was very shocked by how restrictive the gender roles are, because in India you have the existence of a third gender. There is a little more fluidity in how men present themselves, women present themselves. So I think coming here, I felt this instinctive need to want to react against it, which I think is interesting because I feel like a lot of the times I do present as pretty femme. But there are a couple of times where I'm existing outside of that, and I don't always totally feel like I'm fitting into what I think is a very white-conceived perception of femininity. So that was a decision I think I made about a year and a half ago, actually influenced by Lily Gladstone in her decision to adopt she/they pronouns in acknowledgement of third-spirit people and some two-spirit people, I think that was a moment where I felt really seen, where I was like, 'Oh, yeah, I don't need to fit into this.' Even though I feel like I identify a lot more with femininity, that doesn't mean I always fit into what is a very Western idea of it. So I think that was why I made that decision. It also feels like a little bit of a shout-out, being like, 'Hey, I'm queer. See me.' I feel like sometimes I pass really well. I also want queer brown women to look at me and know that that's someone they can turn to and relate to. I think I made the decision before I started this career in earnestness to be as authentic as I possibly could. I mean, it's that same idea of picking someone to write to and writing to them. I feel like I want to make art and exist in art for other South Asian people. And if I'm not being as authentic and true to myself as I possibly can be, then what am I doing? And I just think especially in this generation of Gen Z, which I'm so happy to be a part of, I think that we see so much more queerness and fluidity even with all the restrictions that are happening — and there are so many that I am so frustrated by and angry about — I think people are able to express themselves a little bit more because at least there is this social acceptance, if not a legal acceptance. At least, it's getting pushed a little bit more. And I just think that's really beautiful, and I hope more people feel freer to accept themselves wherever on the spectrum that they may lie. I still can't believe I got so lucky to do this play and originate the part. I actually got really emotional last night thinking about the fact that this play is going to get printed, and my name's going to be there. The cast is all AAPI people. We have three South Asian people, one Thai person. And it's so gorgeous to be able to debate things about South Asian culture and South Indian culture, even more specifically, within that sort of safe space. And I'm Tamilian, and so when I read this play and there was Tamil in it, I was like, 'Oh my God, I have to be a part of it.' The play is centered around a restaurant. The foods that they mention are so specific. My mother would cook these things for me. It had such a hold on me from the beginning. This conversation was edited for length and clarity. Best of Variety 'Harry Potter' TV Show Cast Guide: Who's Who in Hogwarts? Emmy Predictions: Apple, Netflix Lead the Pack as FYC Events Roll On Including 2,100+ Waiting List for HBO Max's Hit Series 'The Pitt' New Movies Out Now in Theaters: What to See This Week
Yahoo
3 days ago
- Business
- Yahoo
Should You Hold on to WBD Stock Despite its 5% Dip in YTD?
Warner Bros. Discovery WBD shares have lost 5% year to date, significantly underperforming the Zacks Consumer Discretionary sector's 25.1% growth and entertainment peers like Disney DIS, Paramount Global PARA and Netflix's NFLX return of 0.6%, 16.4% and 32.9%, respectively. This underperformance reflects investor concerns about the company's transformation amid a challenging media landscape, despite notable operational improvements in the first quarter of 2025. WBD's streaming business delivered encouraging results in the first quarter, adding 5.3 million subscribers to reach 122.3 million globally. The segment generated $339 million in adjusted EBITDA, positioning the company firmly on track to achieve at least $1.3 billion in streaming EBITDA for 2025. Max's content strategy continues resonating with audiences, evidenced by The White Lotus season three averaging more than 25 million global viewers per episode and The Pitt's successful debut with 12 million worldwide viewers across 15 episodes. Recent announcements highlight continued momentum, with The Last of Us attracting more than 90 million global viewers since season one concluded. The Studios segment showed resilience despite a lighter theatrical slate, with first-quarter adjusted EBITDA increasing 63% year over year to $259 million. A Minecraft Movie's success, grossing nearly $900 million globally, and Sinners' strong commercial and critical reception demonstrate the studio's content capabilities. However, the Global Linear Networks segment continues facing headwinds, with revenues declining 6% year over year due to continued cord-cutting pressures and domestic advertising challenges. Warner Bros. Discovery, Inc. price-consensus-chart | Warner Bros. Discovery, Inc. Quote WBD's robust content pipeline supports medium-term growth prospects. The highly anticipated Superman film will arrive on July 11, following strong trailer reception with more than 250 million views. Warner Bros. Television secured multiple renewals and new orders, including The Pitt season two and continued success with Abbott Elementary and The Voice. The upcoming Harry Potter series, scheduled for early 2027, represents a significant franchise opportunity for Max's subscriber product launches, including the Extra Member Add-On feature and Profile Transfer capabilities for Max, address password sharing while providing revenue upside. The WBD Storyverse advertising initiative and new solutions like NEO and DemoDirect aim to enhance advertiser value propositions amid challenging linear advertising markets. The company maintained its 3.8x net leverage ratio while repaying $2.2 billion in debt during the first quarter. With $4.0 billion cash on hand and $38.0 billion gross debt, WBD continues targeting 2.5-3x gross leverage. Free cash flow of $302 million in the first quarter, typically the seasonally weakest quarter, demonstrates improving cash generation capabilities. However, the elevated debt burden remains a concern for investors seeking growth acceleration. WBD merits a Hold rating despite the YTD decline. While streaming momentum and content quality improvements are encouraging, the company faces continued linear television headwinds and elevated leverage constraints. The stock's underperformance creates potential value opportunities, but investors should await clearer evidence of sustainable streaming profitability growth and debt reduction progress. The Zacks Consensus Estimate for WBD's 2025 revenues is pegged at $37.8 billion, indicating a decline of 3.88% on a year-over-year basis. The consensus mark is pegged at a loss of 16 cents per share, narrower than the loss of $4.62 in the year-ago the Zacks Earnings Calendar to stay ahead of market-making shareholders should maintain positions, while prospective investors might consider waiting for a more attractive entry point below current levels before initiating positions. WBD carries a Zacks Rank #3 (Hold). You can see the complete list of today's Zacks #1 Rank (Strong Buy) stocks here. Want the latest recommendations from Zacks Investment Research? Today, you can download 7 Best Stocks for the Next 30 Days. Click to get this free report Netflix, Inc. (NFLX) : Free Stock Analysis Report The Walt Disney Company (DIS) : Free Stock Analysis Report Warner Bros. Discovery, Inc. (WBD) : Free Stock Analysis Report Paramount Global (PARA) : Free Stock Analysis Report This article originally published on Zacks Investment Research ( Zacks Investment Research Error in retrieving data Sign in to access your portfolio Error in retrieving data Error in retrieving data Error in retrieving data Error in retrieving data
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.
Wall Street Journal
3 days ago
- Entertainment
- Wall Street Journal
America's Hospital-Bed Shortage Is About to Become a Crisis
In the television drama 'The Pitt,' patients in a fictional emergency room in Pittsburgh are sometimes 'boarded' in corridors for hours, even days, waiting for a hospital bed. Art, in this case, imitates real life. I once took care of an elderly woman with congestive heart failure who was held in the E.R. for three days before being transferred to a medical ward. She endured the harrowing experience with grace, respectfully requesting a hospital bed each morning, even as she struggled to sit up on her lumpy stretcher so I could listen to her lungs.
Los Angeles Times
3 days ago
- Entertainment
- Los Angeles Times
‘The Last of Us' has a ‘Bear' problem. The show's biggest Emmys hurdle, explained
Why do you watch 'The Last of Us'? For the postapocalyptic horror? Because you played the game? Or for tips on how to be a good dad, save for the part about lying to your daughter that you didn't slaughter a bunch of innocent people to save her? How you answer might determine your feelings about the HBO series as it looks to repeat the success its first season achieved at the 2023 Emmys. I'm Glenn Whipp, columnist for the Los Angeles Times, host of The Envelope newsletter and a guy who knows the downside to eating a clock. (It's time-consuming.) Let's talk about 'The Last of Us.' If a TV series delivers two of the best hours of the television season, how many Emmys should it win? I'm not talking about 'The Bear,' which caught a lot of grief for its third season last year, even though it boasted a couple of episodes that were among its best. This is about 'The Last of Us,' which ended its second season Sunday with a reset that left some people unsatisfied, even with the promise of more Kaitlyn Dever to come. (Never a bad thing.) But then, that's what happens when you kill off Pedro Pascal's Joel, the character Dever in our recent conversation called 'the love of everyone's life.' Imagine if a couple of episodes into the next season of 'The Pitt,' Noah Wyle's Dr. Robby got in the middle of a fracas in the hospital's waiting room and ... no. I can't even finish this sentence. I'm not putting that out into the universe. 'The Last of Us' was hindered by the same structural issue that left many people growling about 'The Bear' last year. Both series delivered arcs that were essentially the first parts of two-season storylines. When we next pick up with 'The Last of Us,' the focus will be on Dever's Abby, seeing Seattle's dire, dangerous world through the point of view of the young woman who killed Joel to avenge her father's death. By the end, we will presumably see the fruition of the showdown between Abby and Ellie (Bella Ramsey), a resolution many were expecting in the Season 2 finale. We're just going to have to wait. How much of the show's audience will stick around is open to question. Viewership was down for this year's finale, with many casual fans tapping out of the series now that Pascal is gone. For them, this season's soul-crushing sixth episode, 'The Price,' covering Joel and Ellie's years between their arrival in Jackson and his death, was The End. When did you cry during that episode? Better question: When weren't you crying? HBO has submitted Pascal once again as a lead actor, even with his diminished presence in the second season. He and Ramsey were the faces on the series' marketing, and Pascal dominated the two episodes mentioned at the outset, the two hours that elevated the season, if not into greatness, at least into appointment viewing. 'The Last of Us' earned 24 nominations for its first season, winning eight. That's not going to happen again, but the series still should be a force in the categories it took in 2023 — visual effects, editing, sound and prosthetic makeup. It also won both drama guest acting Emmys, with Nick Offerman and Storm Reid winning. That could happen again as Dever and Jeffrey Wright are strong contenders for their intense efforts. Like Offerman and Reid, they both had death scenes, but they were the ones dishing it out. Look for Catherine O'Hara and Joe Pantoliano to join them in the guest races. I'd love a Season 3 flashback episode detailing that married couple's lives in Jackson. What would have been Gail's last words to Eugene? Did he want her forgiveness? What exactly did he do? Or maybe she's just really good with words? She is played by Catherine O'Hara. I'll be raising a glass to both of them Emmy nominations morning. Bold prediction: 'The Last of Us' Season 2 ends up with 20 nominations and six wins. It's 6 a.m. in Brisbane, Australia, and Kaitlyn Dever is thinking about going to the beach. Except it's pouring rain outside, which is the only reason she had the option to check out the waves in the first place. The deluge has delayed her call time for 'Godzilla x Kong: Supernova,' the monster movie she's been shooting for the past couple of months. Just how hard is it raining? Like a normal downpour? Or is it the kind of deluge we see in the final minutes of the season finale of 'The Last of Us'? 'It's actually pouring like the finale of 'The Last of Us,'' Dever says, laughing. With the beach off the menu, we had plenty of time recently to settle in and talk about the bruising season finale of 'The Last of Us.' Dever shot the episode more than a year ago, capping an eventful stint on the show that began just four days after her mother's funeral. 'I was terrified,' Dever told me. 'I had spent so much time contemplating my mom's death before she died, thinking about how I wouldn't be able to go on. I couldn't imagine. And then it's a heartbreaking thing to think about, how life moves on. And you have the choice to keep going or not go to Vancouver and do the show that she was so excited about me doing. And then after she passed, I realized there's no part of me that couldn't not do this. I had to do it for her.' You can read the full conversation here.
