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‘The Pitt’ Captures the Real Overcrowding Crisis in Emergency Rooms

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‘The Pitt’ Captures the Real Overcrowding Crisis in Emergency Rooms

The emergency department waiting room was jammed, as it always is, with patients sitting for hours, closely packed on hard metal chairs. Only those with conditions so dire they needed immediate care — like a heart attack — got seen immediately.

One man had had enough. He pounded on the glass window in front of the receptionist before storming out. As he left, he assaulted a nurse taking a smoking break. “Hard at work?” he called, as he strode off.

No, the event was not real, but it was art resembling life on “The Pitt,” the Max series that will stream its season finale on Thursday. The show takes place in a fictional Pittsburgh hospital’s emergency room. But the underlying theme — appalling overcrowding — is universal in this country. And it is not easy to fix.

“EDs are gridlocked and overwhelmed,” the American College of Emergency Physicians reported in 2023, referring to emergency departments.

“The system is at the breaking point,” said Dr. Benjamin S. Abella, chair of the department of emergency medicine at Mount Sinai’s Icahn School of Medicine in New York.

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“The Pitt” follows emergency room doctors, nurses, medical students, janitors and staff hour by hour over a single day as they deal with all manner of medical issues, ranging from a child who drowned helping her little sister get out of a swimming pool to a patient with a spider in her ear. There were heart attacks and strokes, overdoses, a patient with severe burns, an influencer poisoned by heavy metals in a skin cream.

Because this is television, many of the thorny problems get neatly resolved in the show’s 15 episodes. A woman who seems to have abandoned her elderly mother returns, apologizing because she fell asleep. Parents whose son died from an accidental fentanyl overdose come around to donating his organs. A pregnant teenager and her mother, at odds over a medical abortion, come to a resolution following a wise doctor’s counsel.

But over and over again, the image is of a system working way beyond its capacity. There is the jammed waiting room and the “boarders” — patients parked in emergency rooms or hallways for days or longer because there are no hospital beds. (The American College of Emergency Physicians calls boarding a “national public health crisis.”)

There are the long waits for simple tests. There is the hallway medicine — patients who see a doctor in the hallway, not in a private area, because there is no place else to put them.

And there is the violence, verbal and physical, from patients with mental problems and those, like the man who punched the nurse, who just get fed up.

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“‘The Pitt’ shows the duress the system is under,” Dr. Abella said. “Across the country we see this day in and day out.”

But why can’t this problem be fixed?

Because there’s no simple solution, said Dr. Ezekiel J. Emanuel, co-director of the Health Transformation Institute at the University of Pennsylvania’s Perelman School of Medicine. The problem, he said is “multipronged and there is no magic wand.”

Part of it is money.

Having patients jammed up in emergency rooms guarantees that no bed will go unused, bolstering revenues for hospitals.

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Then there’s the problem of discharging patients. Spaces are scarce in nursing homes and rehabilitation centers, so patients ready to leave the hospital often are stuck waiting for a space to open up elsewhere.

Schedules are another difficulty, said Dr. Jeremy S. Faust, attending physician in the Brigham and Women’s Hospital Department of Emergency Medicine. Many rehabilitation centers admit patients only during business hours, he said. If an E.R. patient is ready to be discharged to one during a weekend, that patient has to wait.

In “The Pitt,” as in real life, patients often show up in emergency rooms with problems — like a child with an earache — that a private doctor should be able to handle. Why don’t they just go to their own doctor instead of waiting hours to be seen?

One reason, Dr. Emanuel said, is that “primary care is going to hell in a handbasket.”

In many cities finding a primary care doctor is difficult. And even if you have one, getting an appointment can take days or weeks.

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Many do not want to wait.

“The modern mentality, for better or worse, is: If I can’t get it now, I will look for other solutions,” Dr. Abella said.

That often means the emergency room.

Even building larger emergency rooms has not helped with the overcrowding.

Dr. Faust said that his hospital opened a new emergency room a few years ago with a large increase in the number of beds. A colleague, giving him a tour, proudly told him there was now so much space there would probably be no more hallway patients.

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“I looked at him and said, ‘Bwhahahahaha,’” Dr. Faust said. “If you build it, they will come.”

He was right.

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Matt Damon’s Gluten-Free Diet Helped Him Lose 18 Pounds

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Matt Damon’s Gluten-Free Diet Helped Him Lose 18 Pounds


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Deadly cancer risk could drop with single 10-minute workout, study suggests

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Deadly cancer risk could drop with single 10-minute workout, study suggests

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A single 10-minute workout may trigger blood changes that help fight colon cancer.

That’s according to new research from scientists at Newcastle University, who found that exercise quickly changes the blood in ways that affect colon cancer cells in the lab.

In the study, the U.K. researchers exposed colon cancer cells to human blood serum collected immediately after exercise, finding that the cells repaired DNA damage faster and showed gene activity patterns linked to slower growth.

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The blood samples came from 30 adults who had just completed a short, high-intensity cycling workout that lasted about 10 to 12 minutes, according to a press release.

Even a 10-minute burst of intense exercise may send protective signals through the blood that affect colon cancer cells, researchers say. (iStock)

Samuel T. Orange, an associate professor at Newcastle University and one of the study’s authors, spoke with Fox News Digital about the findings.

“Our findings show that exercise rapidly triggers molecular changes in the bloodstream that can act directly on colon cancer cells, reshaping gene activity and supporting DNA damage repair,” he said.

COMMON OVER-THE-COUNTER MEDICATION SLASHES COLORECTAL CANCER RECURRENCE IN HALF

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The results suggest that even brief activity can make a difference. “Every movement matters. Exercise doesn’t need to last hours or happen in a gym,” Orange added.

The research suggests that exercise quickly triggers changes in the blood that affect colon cancer cells and helps support DNA repair. (iStock)

One of the most surprising findings, according to the researcher, was how strong the biological response was after even a single workout.

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“Exercise altered the activity of more than 1,000 genes in colon cancer cells,” he shared.

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Even brief bouts of activity can make a difference, the researcher said.  (iStock)

The study findings suggest that the effect is driven by exercise-triggered molecules released into the bloodstream, sometimes referred to as “exerkines,” which act like chemical messengers and send signals throughout the body.

“Each time you exercise, you trigger biological signals that support health and resilience to diseases such as cancer, diabetes and heart disease,” Orange said.

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The researchers cautioned that the study was conducted using cancer cells grown in the laboratory, not in patients.

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The findings are based on experiments using colon cancer cells grown in the lab, not studies conducted in people, the researchers noted. (iStock)

The study involved 30 healthy male and female volunteers between the ages of 50 and 78. Their blood samples were used to carry exercise-triggered signals to cancer cells grown in the lab.

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“These findings now need to be replicated in people with cancer,” Orange said. “We also need to better understand the longer-term effects of repeated exercise signals over time.”

Despite the limitations, the researcher said the findings strengthen the case for exercise as an important part of colon cancer prevention.

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“Each time you move your body and get a little breathless, you’re contributing to better health and may help influence biological processes linked to bowel cancer,” he added.

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Brain Health Challenge: Try a Brain Teaser

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Brain Health Challenge: Try a Brain Teaser

Welcome back! For Day 4 of the challenge, let’s do a short and fun activity based around a concept called cognitive reserve.

Decades of research show that people who have more years of education, more cognitively demanding jobs or more mentally stimulating hobbies all tend to have a reduced risk of cognitive impairment as they get older.

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Experts think this is partly thanks to cognitive reserve: Basically, the more brain power you’ve built up over the years, the more you can stand to lose before you experience impairment. Researchers still don’t agree on how to measure cognitive reserve, but one theory is that better connections between different brain regions corresponds with more cognitive reserve.

To build up these connections, you need to stimulate your brain, said Dr. Joel Salinas, a neurologist at NYU Langone Health and the founder and chief medical officer of the telehealth platform Isaac Health. To do that, try an activity that is “challenging enough that it requires some effort but not so challenging that you don’t want to do it anymore,” he said.

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Speaking a second language has been shown to be good for cognition, as has playing a musical instrument, visiting a museum and doing handicrafts like knitting or quilting. Reading is considered a mentally stimulating hobby, and experts say you’ll get an even bigger benefit if you join a book club to make it social. Listen to a podcast to learn something new, or, better yet, attend a lecture in person at a local college or community center, said Dr. Zaldy Tan, the director of the Memory and Healthy Aging Program at Cedars-Sinai. That adds a social component, plus the extra challenge of having to navigate your way there, he said.

A few studies have found that playing board games like chess can be good for your brain; the same goes for doing crossword puzzles. It’s possible that other types of puzzles, like those you find in brain teaser books or from New York Times Games, can also offer a cognitive benefit.

But there’s a catch: To get the best brain workout, the activity should not only be challenging but also new. If you do “Wordle every day, it’s like well, then you’re very, very good at Wordle, and the Wordle part of your brain has grown to be fantastic,” said Dr. Linda Selwa, a clinical professor of neurology at the University of Michigan Medical School. “But the rest of your mind might still need work.”

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So play a game you’re not used to playing, Dr. Selwa said. “The novelty seems to be what’s driving brain remodeling and growth.”

Today, we want you to push yourself out of your cognitive comfort zone. Check out an online lecture or visit a museum with your challenge partner. Or try your hand at a new game, below. Share what novel thing you did today in the comments, and I’ll see you tomorrow for Day 5.

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