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Doctors says ‘The Pitt’ reflects the gritty realities of medicine today

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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.

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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.

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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.”

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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.

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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.

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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?

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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.

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.”

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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.

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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.

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Is it safe to eat from your garden after the Boyle Heights warehouse fire?

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Is it safe to eat from your garden after the Boyle Heights warehouse fire?

After the eight-day-long fire in a 500,000-square-foot Boyle Heights warehouse, eastern Los Angeles residents are contending with putrid smells, soot and potentially hazardous airborne chemicals after heavy plumes of smoke spread throughout the city. But those who grow food in nearby neighborhoods may also be wondering: How will the fires affect the plants and produce in my garden?

The Boyle Heights warehouse, owned by Lineage — a global temperature-controlled storage facility operator — housed 85 million pounds of frozen food and other products. In the days since the fire, local emergency visits for smoke inhalation and throat pain spiked while agencies still scramble to measure the amount of PM 2.5 — harmful fine particles — and heavy metals, like lead and arsenic, in the air.

According to researchers, any toxic airborne chemicals would likely stem from the charred foam insulation, metal exterior, burned solar panels and any lithium batteries that might have been present inside the warehouse.

After a fire, heavy metal particles can spread through ash and smoke over gardens and inhibit growth, said Olukayode Jegede, an agricultural toxicologist and assistant professor at UC Davis. Since the warehouse fire is so recent and cleanup has just begun, Jegede said the precise impact on gardens can’t be measured until comprehensive soil tests are conducted in the area.

While the L.A. city government hasn’t announced plans for soil testing, the Contaminant Level Evaluation and Analysis for Neighborhoods project at USC is offering free contaminant testing for Boyle Heights and East L.A. residents. Residents can collect soil samples and deliver them to Boyle Heights City Hall and other locations for an evaluation of lead, arsenic, chromium and mercury levels.

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The good news is produce, plants and roots can still be preserved. According to Jegede, many of the soil tests conducted last year in the Altadena area after the Eaton fire showed that gardens and poultry were not as contaminated as one might expect.

“Quite a number of the soils we tested [in Altadena] were not really contaminated,” Jegede said. “We weren’t seeing many soils with concerning elevated levels of metal, so gardeners should not be too alarmed when these things happen.”

Nevertheless, there are several measures that gardeners can take to keep themselves, their children, plants and produce safe from potentially harmful contaminants stemming from the fire. Researchers, gardening experts and horticulturists offered some guidance on the handling, recultivation and cleanup that can keep you and your garden in good health.

How do I remove ash and contaminants from my garden?

Altadena horticulturist Leigh Adams said Boyle Heights plants and produce already live in a difficult environment, surrounded by industrial warehouses that spread contaminants daily.

“That area has been used industrially for 100 years, and the soil is impacted by many, many, many things,” Adams said. “Low-income neighborhoods and gardens usually don’t have a lot of resistance against dominant manufacturing.”

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This means that the contamination of gardens in eastern L.A. won’t be as catastrophic as compared with those in Altadena, a more suburban environment, Adams said. But fallen ash still poses major health risks if ingested or inhaled.

An advisory from University of California Agricultural and Natural Resources last year recommended suiting up in an N95/KN95 mask, long sleeves, pants, close-toed shoes and gloves before attempting to deal with ash in the garden to limit exposure to potentially toxic contaminants. The advisory added that individuals should make sure all of this gear is cleaned thoroughly before bringing it back inside.

Once in the proper gear, Adams recommends removing the top two inches of topsoil from gardens, where the highest concentration of contaminants will settle after a fire. Using a plastic bag to collect the soil and disposing of it in the garbage — not green yard waste bins — will help to reduce the spread of airborne chemicals.

Gardeners with raised beds are advised to remove approximately six inches of soil, because excess ash can raise the pH level and prevent nutrients from soaking into the soil bed.

After this, watering the garden gently but plentifully will help to promote soil health and get rid of most of the ash present on plant leaves and stems. Adams said replacing the top two inches of soil with store-bought mulch or straw will help to contain any remaining ash and prevent it from spreading any further.

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Experts say to avoid using leaf blowers if ash is present in the garden because they can send particles airborne. Doing so will increase the likelihood of heavy metal particles, which can carry lung irritants and carcinogens, being spread and inhaled.

A Boyle Heights resident keep a watchful eye on the fire at the 5,000-square-foot commercial building, which stores 85 million pounds of frozen food.

(Genaro Molina / Los Angeles Times)

Is it safe for me to eat produce from my garden?

Several studies, including one from the UC Cooperative Extension of Sonoma County, have shown that consuming produce in a fire-affected area poses minimal health risks.

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Jegede said most root vegetables like potatoes and carrots, along with any fruit that has an outer layer, can be washed to remove potential contaminants, even if they were covered in ash. Peeling the outer layer of your produce can also help to reduce potential risks, he said.

Lettuce and other leafy foods with multiple layers pose a higher risk of contamination, but with a vigorous wash and peeling the outer layers, even the greens can be saved. The County of Los Angeles Department of Public Health recommends soaking leafy produce and fuzzy fruits like peaches in a 10% white vinegar and 90% water mixture.

Jegede said if the leaves or fruit are too delicate to wash or ash is still visible, it would be best to dispose of the produce.

How can I tell if my soil is contaminated?

After ridding your garden of visible ash, you might wonder how to tell if your plants will still thrive in the soil.

At-home soil tests that measure for alkaline, fertility and pH levels are widely available and can be purchased for $15 to $100 (for more detailed results) online. But Jegede said these tests can’t tell the full story of soil health.

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Comprehensive soil testing is “something you can’t do properly at home,” Jegede said. “In labs, we are testing for metals like lithium and zinc, stuff that an at-home test will not show … If it comes to the point that you’re worried about your soil, I would just send it out to a lab.”

Wallace Laboratories in El Segundo, Babcock Laboratories in Riverside, Waypoint Analytical in Anaheim and other labs offer more detailed soil tests that measure heavy metal particles in addition to other fertility factors. Prices at Wallace Laboratories can range from $115 to $295 for a complete compost test.

The soil below two inches should be unharmed, Adams said, so long as new compost is set and plants are watered plentifully, which will promote natural biological cycles.

“What you’re doing is capping the soil, so that moisture stays in there, and instead of being dirt, it’s a living system called soil,” Adams said. “The more carbon we can get into our soil, the better.”

What can I do to help my soil recover?

For the last 12 years, Adams has been working with Metabolic Studio, a Los Angeles-based art and research hub focused on environmentalism, on methods for bioremediation, the practice of using additional fungi, plants and compost to decontaminate ash and break down contaminants.

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Adams said straw, mushrooms, corn, rye and sunflowers are great bioremediators that can help to repair damage to soils. She said certain samples she’s worked on with Metabolic Studio have gone from testing at high heavy metal levels to nearly contaminant-free.

But for a more immediate fix, wash your produce, water your plants and have a little patience during ash cleanups. Your garden should look better in no time, Adams and Jegede said.

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Why Gen Z is movie-maxxing : Pop Culture Happy Hour

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Why Gen Z is movie-maxxing : Pop Culture Happy Hour

Inde Navarrette and Michael Johnston in Obsession.

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Two big horror films, Obsession and Backrooms, just smashed all box office expectations. So much of their success has been driven by Gen Z, which is now the biggest moviegoing demographic. But what makes a movie a Gen Z movie? Today we’re bringing you an episode of NPR’s It’s Been a Minute. Host Brittany Luse talks about this trend with Sam Adams and Reanna Cruz. 

If you want to hear more about these movies, check out these episodes: 

In ‘Obsession,’ love hurts. It really, really, really hurts.

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‘Backrooms’ brings YouTube horror to the big screen

Zendaya brings ‘The Drama,’ we bring the spoilers

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10 new books you won’t want to miss in July

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10 new books you won’t want to miss in July

I regret to inform you I’ll need to keep this introduction brief. Not because there’s any lack of things to say about July’s crop of notable new releases; it features award-winning journalists and several different flavors of anxiety about our bleak ecological future and data-dominated present, as well as the welcome returns of several beloved novelists.

No, these books certainly deserve some love, dear readers. It’s just that I’m finding it a bit tough to type while bearhugging a box fan. And since it seems that may be my last best chance to get through this latest U.S. heat wave here on the east coast without sweating through my shirt, I feel some urgency to get back at it.

So enough with the ado. With any luck, you’ll soon be cracking open one of these great reads on the beach — or in front of a decent air-conditioning unit, at any rate.

You Won’t Get Free of It: Stories of Mothers and Daughters, by Rachel Aviv

You Won’t Get Free of It: Stories of Mothers and Daughters, by Rachel Aviv (July 7)

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Aviv, New Yorker staff writer and finalist for this year’s Pulitzer Prize, has a fairly extensive purview in her role as reporter at large. Still, when reviewing her latest work, Aviv noticed a crucial throughline: “I realized that, to some degree, I’d been writing about mother-daughter pairs for the last decade,” she explained to the Paris Review. Seeing this, she decided to collect and revise half a dozen of those stories, which cover ground from a daughter’s troubling fugue states to the immigrant nannies who must leave their own children behind, to Alice Munro’s daughter, whose claims of sexual abuse went unheeded yet regularly resurfaced in her mother’s fiction.

Country People, by Daniel Mason

Country People, by Daniel Mason (July 7)

In Mason’s first novel since North Woods, 2023’s critical darling and book club stalwart, readers are plopped right back in the New England woods but the time scale has shrunk considerably. Whereas North Woods spanned centuries, his new novel confines itself to a single year, during which Miles, loving family man and lackadaisical Ph.D. candidate, plans to finally buckle down on that derelict degree of his and reassert his worth to one and all! At least, that’s the idea. But plans don’t stand much of a chance when there are eccentric neighbors to befriend and mysterious local legends to investigate.

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