Lifestyle
Doctors says ‘The Pitt’ reflects the gritty realities of medicine today
From left: Noah Wyle plays Dr. Michael “Robby” Robinavitch, the senior attending physician, and Fiona Dourif plays Dr. Cassie McKay, a third-year resident, in a fictional Pittsburgh emergency department in the HBO Max series The Pitt.
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The first five minutes of the new season of The Pitt instantly capture the state of medicine in the mid-2020s: a hectic emergency department waiting room; a sign warning that aggressive behavior will not be tolerated; a memorial plaque for victims of a mass shooting; and a patient with large Ziploc bags filled to the brink with various supplements and homeopathic remedies.
Scenes from the new installment feel almost too recognizable to many doctors.
The return of the critically acclaimed medical drama streaming on HBO Max offers viewers a surprisingly realistic view of how doctors practice medicine in an age of political division, institutional mistrust and the corporatization of health care.
Each season covers one day in the kinetic, understaffed emergency department of a fictional Pittsburgh hospital, with each episode spanning a single hour of a 15-hour shift. That means there’s no time for romantic plots or far-fetched storylines that typically dominate medical dramas.
Instead, the fast-paced show takes viewers into the real world of the ER, complete with a firehose of medical jargon and the day-to-day struggles of those on the frontlines of the American health care system. It’s a microcosm of medicine — and of a fragmented United States.
Many doctors and health professionals praised season one of the series, and ER docs even invited the show’s star Noah Wyle to their annual conference in September.
So what do doctors think of the new season? As a medical student myself, I appreciated the dig at the “July effect” — the long-held belief that the quality of care decreases in July when newbie doctors start residency — rebranded “first week in July syndrome” by one of the characters.
That insider wink sets the tone for a season that Dr. Alok Patel, a pediatrician at Stanford Medicine Children’s Health, says is on point. Patel, who co-hosts the show’s companion podcast, watched the first nine episodes of the new installment and spoke to NPR about his first impressions.
To me, as a medical student, the first few scenes of the new season are pretty striking, and they resemble what modern-day emergency medicine looks and sounds like. From your point of view, how accurate is it?
I’ll say off the bat, when it comes to capturing the full essence of practicing health care — the highs, the lows and the frustrations — The Pitt is by far the most medically accurate show that I think has ever been created. And I’m not the only one to share that opinion. I hear that a lot from my colleagues.
OK, but is every shift really that chaotic?
I mean, obviously, it’s television. And I know a lot of ER doctors who watch the show and are like, “Hey, it’s really good, but not every shift is that crazy.” I’m like, “Come on, relax. It’s TV. You’ve got to take a little bit of liberties.”
As in its last season, The Pitt sheds light on the real — sometimes boring — bureaucratic burdens doctors deal with that often get in the way of good medicine. How does that resonate with real doctors?
There are so many topics that affect patient care that are not glorified. And so The Pitt did this really artful job of inserting these topics with the right characters and the right relatable scenarios. I don’t want to give anything away, but there’s a pretty relatable issue in season two with medical bills.
Right. Insurance seems to take center stage at times this season — almost as a character itself — which seems apt for this moment when many Americans are facing a sharp rise in costs. But these mundane — yet heartbreaking — moments don’t usually make their way into medical dramas, right?
I guarantee when people see this, they’re going to nod their head because they know someone who has been affected by a huge hospital bill.
If you’re going to tell a story about an emergency department that is being led by these compassionate health care workers doing everything they can for patients, you’ve got to make sure you insert all of health care into it.
As the characters juggle multiple patients each hour, a familiar motif returns: medical providers grappling with some heavy burdens outside of work.
Yeah, the reality is that if you’re working a busy shift and you have things happening in your personal life, the line between personal life and professional life gets blurred and people have moments.
The Pitt highlights that and it shows that doctors are real people. Nurses are actual human beings. And sometimes things happen, and it spills out into the workplace. It’s time we take a step back and not only recognize it, but also appreciate what people are dealing with.
2025 was another tough year for doctors. Many had to continue to battle misinformation while simultaneously practicing medicine. How does medical misinformation fit into season two?
I wouldn’t say it’s just mistrust of medicine. I mean that theme definitely shows up in The Pitt, but people are also just confused. They don’t know where to get their information from. They don’t know who to trust. They don’t know what the right decision is.
There’s one specific scene in season two that, again, no spoilers here, but involves somebody getting their information from social media. And that again is a very real theme.
In recent years, physical and verbal abuse of healthcare workers has risen, fueling mental health struggles among providers. The Pitt was praised for diving into this reality. Does it return this season?
The new season of The Pitt still has some of that tension between patients and health care professionals — and sometimes it’s completely projected or misdirected. People are frustrated, they get pissed off when they can’t see a doctor in time and they may act out.
The characters who get physically attacked in The Pitt just brush it off. That whole concept of having to suppress this aggression and then the frustration that there’s not enough protection for health care workers, that’s a very real issue.
A new attending physician, Dr. Baran Al-Hashimi, joins the cast this season. Sepideh Moafi plays her, and she works closely with the veteran attending physician, Dr. Michael “Robby” Robinavitch, played by Noah Wyle. What are your — and Robby’s — first impressions of her?
Right off the bat in the first episode, people get to meet this brilliant firecracker. Dr. Al-Hashimi, versus Dr. Robby, almost represents two generations of attending physicians. They’re almost on two sides of this coin, and there’s a little bit of clashing.
Sepideh Moafi, fourth from left, as Dr. Baran Al-Hashimi, the new attending physician, huddles with her team around a patient in a fictional Pittsburgh teaching hospital in the HBO Max series The Pitt.
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Part of that clash is her clear-eyed take on artificial intelligence and its role in medicine. And she thinks AI can help doctors document what’s happening with patients — also called charting — right?
Yep, Dr. Al-Hashimi is an advocate for AI tools in the ER because, I swear to God, they make health care workers’ lives more efficient. They make things such as charting faster, which is a theme that shows up in season two.
But then Dr. Robby gives a very interesting rebuttal to the widespread use of AI. The worry is that if we put AI tools everywhere, then all of a sudden, the financial arm of health care would say, “Cool, now you can double how many patients you see. We will not give you any more resources, but with these AI tools, you can generate more money for the system.”
The new installment also continues to touch on the growing corporatization of medicine. In season one we saw how Dr. Robby and his staff were being pushed to see more patients.
Yes, it really helps the audience understand the kind of stressors that people are dealing with while they’re just trying to take care of patients.
In the first season, when Dr. Robby kind of had that back and forth with the hospital administrator, doctors were immediately won over because that is such a big point of frustration — such a massive barrier.
There are so many more themes explored this season. What else should viewers look forward to?
I’m really excited for viewers to dive into the character development. It’s so reflective of how it really goes in residency. So much happens between your first year and second year of residency — not only in terms of your medical skill, but also in terms of your development as a person.
I think what’s also really fascinating is that The Pitt has life lessons buried in every episode. Sometimes you catch it immediately, sometimes it’s at the end, sometimes you catch it when you watch it again.
But it represents so much of humanity because humanity doesn’t get put on hold when you get sick — you just go to the hospital with your full self. And so every episode — every patient scenario — there is a lesson to learn.
Michal Ruprecht is a Stanford Global Health Media Fellow and a fourth-year medical student.
David Bowie debuted his Ziggy Stardust persona and released The Rise and Fall of Ziggy Stardust and the Spiders from Mars in 1972 — the last year humans went to the moon.
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Evening Standard/Getty Images/Hulton Archive
The Artemis II rocket launched on Wednesday, carrying astronauts to the moon for the first time in over half a century.
The four-person crew is headed on a 10-day, 230,000-mile journey around the moon and back — a pivotal test of the Orion spacecraft that NASA hopes will bring future astronauts to the lunar surface as soon as 2028 and Mars after that.
The last time humans went to the moon was the Apollo 17 mission in December 1972.
The final Apollo mission involved three astronauts: Command module pilot Ronald Evans orbited above as Eugene Cernan and Harrison “Jack” Schmitt — a professional geologist, in a notable first — touched down on the moon’s Taurus-Littrow valley.
The pair spent just over three days on the lunar surface, collecting some 250 pounds of moon rock and soil samples. They set multiple records, including the longest stay on the moon (75 hours), the most lunar samples collected and the longest mission duration at 12 days, 14 hours.
NASA astronaut Eugene Cernan, commander of the Apollo 17 lunar mission, is welcomed back to Earth after splashing down in the Pacific Ocean on Dec. 19, 1972.
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NASA/Getty Images/Hulton Archive
The crew knew they would be the last to visit the moon at least for the foreseeable future, as NASA had decided two years earlier to cancel the remaining Apollo missions, primarily due to budget cuts.
Cernan became the last human to walk on the moon on Dec. 14, 1972. He acknowledged the significance of the moment out loud as he stepped off the lunar surface, seemingly nodding to Neil Armstrong’s infamous words from the 1969 moon landing.
“As we leave the moon and Taurus-Littrow, we leave as we came — and God willing as we shall return: with peace, and in hope, for all mankind,” said Cernan, who died in 2023.
A lot has changed in the 53 years since. Here’s what life was like the last time astronauts launched to the moon.
A banner year for geopolitics, pop culture and technology
Richard Nixon became the first U.S. president to visit China in February 1972.
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The year 1972 is in many ways synonymous with upheaval: the uncovering of the Watergate scandal, “Bloody Sunday” in Northern Ireland, the “Munich massacre” at the 1972 Olympics, North Vietnam’s “Easter Offensive” in the final years of the Vietnam War — and antiwar protests at college campuses and political conventions.
That was the year President Nixon announced that no more draftees would be sent to Vietnam, and the year he visited China in a presidential first.
The Volkswagen Beetle officially surpassed the Ford Model T as the most popular — and most-produced — car in the world. And a gallon of regular gasoline cost 36 cents, or the equivalent of $2.53 a gallon today, according to the AARP.
Herbie, the anthropomorphic Volkswagen Beetle featured in the 1969 Disney film The Love Bug, terrorizes a young woman at a car show in Berlin in June 1972.
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Keystone/Getty Images/Hulton Archive
1972 was also a major year for still-beloved cultural creations. It marked the debut of David Bowie’s alter ego Ziggy Stardust, the formation of ABBA, the opening of Grease on Broadway. The top-selling album of the year was Neil Young’s Harvest, and the biggest box office hit was The Godfather, which came out in March.
Fashion was dominated by bold colors and patterns, bell-bottoms, shawls, platform shoes and synthetic fabrics, as part of “the Polyester Decade.” Style icons included Bianca Jagger, Jane Birkin and Diana Ross.
Mick Jagger and Bianca Jagger, pictured in 1972, were among the style icons of the era.
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There was a lot of news, but fewer ways to consume it. Some 95 percent of U.S. households owned televisions, according to Census data, and just three commercial broadcast networks dominated the airwaves: ABC, CBS and NBC. Total print newspaper circulation reached a record 62.5 million, before it began to drop.
And of course, it was a time of innovation — and not just in space. The digital watch made its debut. Atari published “Pong,” the first commercially successful arcade video game. Other key inventions from that year include the floppy disk, the first handheld scientific calculator (the HP-35) and the Hacky Sack. McDonald’s Egg McMuffin entered test markets, and Shrinky Dinks were on the brink of creation.
According to Merriam Webster, some of the words recorded in print for the first time in 1972 include: animatronic, beer pong, bird flu, habanero, garage band, glam rock, lowrider, page-turner, sound bite, spaghetti strap, veggie burger, women’s studies and yard sale. Far out!
As far as wellness trends go, small talk isn’t sexy. The same with participating in civic government or helping a neighbor carry their groceries. But connecting with others might be the ultimate form of self-care, according to psychiatrist Joanna Cheek.
Shelf Help is a wellness column where we interview researchers, thinkers and writers about their latest books — all with the aim of learning how to live a more complete life.
In her book, “It’s Not You, It’s the World: A Mental Health Survival Guide for Us All,” published in February, the University of British Columbia professor makes a case for the health benefits of collective care. For example, Cheek cites research that connects altruistic behavior and a sense of purpose with reduced inflammation, as opposed to hedonistic pursuits, which can worsen inflammation.
Perhaps most importantly, Cheek warns how individual solutions aren’t enough to protect and heal us. “Emotional alarms” such as fear, guilt, shame and anger are healthy signals that help us avoid obstacles and find rewards, she says. When it comes to poverty, discrimination, isolation and other systemic problems, a sense of “moral distress” warns us away from harm and toward a more just, equitable society. And taking small steps to connect with others — even as simple as engaging in idle chitchat with a stranger — can be an impetus for broader change.
Portrait of author Joanna Cheek.
(Tegan McMartin)
“I’m constantly trying to think about socializing in the same way I think about exercise or physical activity,” says Cheek. “In the same way I eat a certain amount of vegetables or have a certain amount of quiet time to meditate, I think, ‘Have I had enough social contact today?’”
People obsessively track their steps. They might want to count their social interactions, too, she says. Those moments can build confidence and trust, until the momentum transforms us and the communities we call home.
This interview has been edited for length and clarity.
In the book, you quote the renowned psychiatrist Viktor Frankl, who wrote, “Happiness cannot be pursued. It must ensue.” Why should we focus on cultivating purpose instead of pursuing happiness?
There are a lot of studies that show that cultivating any emotional state — happiness in particular, but also calmness or lack of anxiety — actually backfires. The more we try to feel a certain way, we inevitably won’t, because we don’t have much control over how we feel and then we’ll compare it to some standard of how we should feel, which will only magnify our suffering.
Rather than chase an emotion, which is futile because our emotions are constantly shifting, we can chase purpose, which gives us a lasting sense of accomplishment, because we’re living in line with our values. That’s true wellness.
“It’s Not You. It’s The World” book cover bo Joanna Cheek, MD.
(Hachette Book Group)
How can people who feel isolated take steps toward cultivating purpose with others?
There was a large study that reviewed studies on loneliness. It showed it posed the same risk as smoking 15 cigarettes a day. I was utterly shocked when I read that, and started a deep dive and met [author and professor of psychology at the University of Sussex] Gillian Sandstrom. Her research shows that connections don’t need to be with the love of our life, a tight-knit family or best friends. When we have contact with a barista at the coffee shop, someone delivering the mail or just say hello to a neighbor who’s walking their dog past you, these weak ties actually have similar benefits to having really deep, personal connections. She ran a study with students at her university and found even if they had no friends in class, if they talked to strangers, they felt better and had more wellness indicators.
When we’re separated from others, we haven’t really evolved that fast, so it sets off alarms in our bodies. When you talk to someone at the grocery store, it’s like, “Oh, I’m not alone, I’m OK, I belong to something.” It silences those alarms so they don’t keep going off.
So it’s beneficial for us to have social interactions. How does it help our communities?
The more that we’re connecting with each other, the more we’re talking across differences, the more that we speak with people of different lived experiences, different politics, different cultural backgrounds, different ages, different levels of health and abilities and needs, then we can have more empathy and really take care for each other and make decisions that are based on the truth that we’re all connected.
Building community can start with weak ties. It can be really scary to join a new group in person. When we talk about anxiety, we talk about graduated exposure, where we don’t expose ourselves to the scariest things right away. So sometimes baby steps can help us get comfortable with weak ties. Then, with time, we can move toward deeper contact.
I just had knee surgery this summer, and I ended up doing a lot of water walking in the pool for rehab, and I was amazed at this community pool. There were all these people who were either retired or injured there during the day and I would have so many conversations. And so often we think that these connections don’t matter because we’re not building a friendship that might continue on. What is the point? The point is that through each interaction, we’re building a sense of community for everybody. And it doesn’t have to be more than one interaction. It helps create a sense that we can trust each other and we can learn from each other. It feels good to be in connection and that makes us want to care for one another.
(Maggie Chiang / For The Times)
You mention the term McMindfulness in the book. Could you describe what that means and why it can be damaging?
Yeah, there are a lot of concerns about quick fixes for mental health. I speak a lot about how mental health is really about the health of our entire systems. When we sit with that, it can be overwhelming to recognize that we can’t be well until our systems are well. We can practice wellness, we can do the best we can, but feeling better in a sick world isn’t going to fix us. We need to fix the world. McMindfulness is taking people in a toxic workplace and giving them mindfulness classes and not changing the toxic structures of the workplace. We should ask, “Why are they having these symptoms? And how do we make this workplace healthy so that our workers aren’t constantly falling sick?”
People need a sense of agency to thrive. But examining big problems through a systemic lens can create the impression we don’t have control over our lives. How do you reconcile the two?
Every connection we have, every time we live in a way with care and kindness, when we’re offering mutual aid or caring for our neighbors, those little things become contagious. Day to day, we can choose if we’re going to share our resources, whether that be our time, our care, our inclusiveness. Every time we choose to care for others, it’s contagious. It creates a culture. And every little connection like that matters. So while stress and dysfunction can ripple outward, I think our kindness and our unity and our caring can also ripple outward.
TAKEAWAYS
From “It’s Not You, It’s the World: A Mental Health Survival Guide for Us All”
That sounds wonderfully optimistic.
I think a lot about hope and I think hope has to be active. I think we can’t just passively wish for a brighter future. And so I like to think about what agency I have today. It doesn’t have to be becoming the next world leader or finding a cure for cancer. What matters is every little decision I make to make the world a little bit brighter.
Lifestyle
‘The Super Mario Galaxy Movie’ remembers every Nintendo moment ever : Pop Culture Happy Hour
Mario (Chris Pratt) in The Super Mario Galaxy Movie.
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Universal Pictures
The Super Mario Galaxy Movie is the ultimate piece of Nintendo fan service. Mario (Chris Pratt), Luigi (Charlie Day), Princess Peach (Anya Taylor-Joy) are on an outer space adventure to save Princess Rosalina (Brie Larson). The film features other beloved Nintendo characters like Bowser (Jack Black) and Yoshi (Donald Glover) – and a few surprises. It’s a sequel to The Super Mario Bros. Movie, which made more than a billion dollars worldwide.
Follow Pop Culture Happy Hour on Letterboxd at letterboxd.com/nprpopculture
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