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.
Warrick Page/HBO Max
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Warrick Page/HBO Max
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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Warrick Page/HBO Max
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.
Lifestyle
A glimpse of Iran, through the eyes of its artists and journalists
Understanding one of the world’s oldest civilizations can’t be achieved through a single film or book. But recent works of literature, journalism, music and film by Iranians are a powerful starting point. Clockwise from top left: The Seed of the Sacred Fig, For The Sun After Long Nights, Cutting Through Rocks, It Was Just an Accident, Martyr!, and Kayhan Kalhor.
NEON; Pantheon; Gandom Films Production; NEON; Vintage; Julia Gunther for NPR
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NEON; Pantheon; Gandom Films Production; NEON; Vintage; Julia Gunther for NPR
Few Americans have had the opportunity to visit or explore Iran, an ethnically diverse nation of over 90 million people which has been effectively shut off from the United States since the Iranian revolution of 1979. Now, with a U.S. and Israeli-led war on Iran underway, the ideas, feelings and opinions of Iranians may feel less accessible. However, some recent books, films and music made by artists and journalists in Iran and from the Iranian diaspora can help illuminate this ancient culture and its contemporary politics.
These suggestions are just a starting point, of course — with an emphasis on recent works made by Iranians themselves, rather than by outsiders looking in.
Books
For the Sun After Long Nights: The Story of Iran’s Women-Led Uprising, by Fatemeh Jamalpour and Nilo Tabrizy
There are quite a few excellent titles that deconstruct the history of Iran from ancient times through the rule of the Pahlavi Dynasty to the Iranian Revolution. But there are far fewer books that help us understand the Iran of 2026 and the people who live there now. One standout is the National Book Award-nominated For the Sun After Long Nights: The Story of Iran’s Women-Led Uprising by journalists Fatemeh Jamalpour and Nilo Tabrizy, which chronicles — almost in real time — the Woman, Life, Freedom movement that began in 2022, during which Jamalpour was working secretly as a journalist in Tehran. In 2024-25, Jamalpour (who is now living in exile in the U.S.) and I spent a year together at the University of Michigan’s Knight-Wallace fellowship for journalists; her insights into contemporary Iran are among the best.
Gold, by Rumi, translated by Haleh Liza Gafori
If Americans are familiar with Persian poetry at all, it may well be through popular “translations” of the 13th-century Sufi poet Jalaluddin Rumi done by the late American poet Coleman Barks, who neither read nor spoke the Persian language and detached the works of Molana (“our master”), as Iranians call him, of references to Islam. (Instead, Barks “interpreted” preexisting English translations.)
In 2022, Iranian-American poet, performance artist and singer Haleh Liza Gafori offered the first volume of a corrective, in the form of fresh Rumi translations that are at once accessible, deeply contemplative and immediate. A second volume, Water, followed last year.
Martyr!: A Novel, by Kaveh Akbar
This 2024 debut novel by Kaveh Akbar, the poetry editor at The Nation, is an unflinching tour-de-force bursting with wit and insight into the complications of diaspora, the nature of identity in a post-War on Terror world and the inter-generational impact of the 1979 Revolution on Iranians. The protagonist, the Iran-born but American-raised Cyrus Shams, has struggled with addiction, depression and insomnia his whole life, and is trying his best to make sense of a world at the “intersection of Iranian-ness and Midwestern-ness.” As with so many other of the titles here, fiction and fact are woven together: the story centers around the true story of the U.S. downing an Iranian passenger plane in 1988 during the Iran-Iraq war.
The Stationery Shop: A Novel, by Marjan Kamali
Marjan Kamali’s 2019 love story is the wistful tale of a young woman named Roya and an idealistic activist named Bahman, who meet cute in a Tehran store in the 1950s, but whose planned marriage falls apart due to turmoil both familial and political, as Iran’s democratically elected government falls in a U.S.-British lead coup that ends with the installation of the Shah. Roya flees to the U.S. for a fresh start, but the two reunite in 2013, wondering: what if life had spun out in a different direction?
Movies
Coup 53
This 2019 documentary directed by Iranian film maker Taghi Amirani and co-written by Walter Murch recounts Operation Ajax, in which the CIA and Britain’s MI6 engineered the removal of Mohammad Mossadegh, Iran’s democratically elected prime minister, and installed a friendly ruler, Shah Mohammad Reza Pahlavi, in his place. (The Shah was ousted in the 1979 revolution.) As Fresh Air critic John Powers noted in his review, “What emerges first is the backstory of the coup, which like so much in the modern Middle East is predicated on oil. Shortly after the black gold was discovered in early 20th century Iran, a British oil company now known as BP locked up a sweetheart deal for its exploitation. Iran not only got a mere 16% of the oil money before British taxes, but the books were kept by the British — and the Iranians weren’t allowed to see them.”
YouTube
Cutting Through Rocks
Sara Khaki and Mohammadreza Eyni’s film Cutting Through Rocks is up for an Oscar this season after premiering at the 2025 Sundance Film Festival. This inspiring documentary follows Sara Shahverdi — a divorced, childless motorcyclist — as she campaigns to become the first woman elected to the city council of her remote village, and who dreams of teaching girls to ride and to end child marriage.
YouTube
It Was Just an Accident
The latest film from acclaimed director Jafar Panahi — who has officially been banned from making films in Iran — is 2025’s It Was Just an Accident. Panahi, who has been jailed multiple times for his work and was recently sentenced again in absentia, has said in interviews that his inspiration for this brutal – and shockingly funny – thriller was people he met while in prison: an auto mechanic named Vahid finds himself face-to-face with the man who he is fairly certain was his torturer in jail, and eventually assembles other victims to try to confirm his suspicions. Fresh Air critic Justin Chang called It Was Just an Accident “a blast of pure anti-authoritarian rage.”
YouTube
The Seed of the Sacred Fig
This 2024 thriller — shot in secret by director Mohammad Rasoulof — centers on a family whose father, Iman, is appointed as an investigating judge in Tehran. But it soon becomes clear that his job has nothing to do with actually investigating. Iman, his wife, and two daughters come to suspect each other in our age of mass surveillance, as the city streets below erupt into the real-life Woman, Life, Freedom protests.
YouTube
Music
Kayhan Kalhor
One of the primary ambassadors of Persian classical music has been the composer and kamancheh (an Iranian bowed-instrument) virtuoso Kayhan Kalhor. Although music, like poetry, has been central to Iranian culture for centuries, all kinds of music were initially banned after the 1979 revolution. Since then, however, Iranian classical musicians have ridden many looping cycles of official condemnation, grudging tolerance, censorship and attempts at co-option by the regime.
Despite those difficulties, Kalhor has built a thriving career both inside Iran and abroad, including winning a Grammy Award as part of the Silkroad Ensemble and earning three nominations as a solo artist. Back in 2012, I invited him to our Tiny Desk to perform solo. “Didn’t know I could have goosebumps for 12 minutes straight,” a YouTube commenter recently wrote; I couldn’t put it any better.
YouTube
Saeid Shanbehzadeh
Among Iran’s 92 million people, about 40% of come from various ethnic minorities, including Azeris, Kurds and Armenians among many others. One of the most fascinating communities is the Afro-Iranians in the Iranian south, many of whose ancestors were brought to Iran as enslaved people from east Africa. Multi-instrumentalist and dancer Saeid Shanbehzadeh, who traces his ancestry to Zanzibar, celebrates that heritage with his band, and specializes in the Iranian bagpipe and percussion.
YouTube
The underground metal scene
Despite ongoing restrictions on music — including the continued ban on female singers performing in mixed-gender public settings — Iran is home to a thriving underground scene for metal and punk. Though it’s fictional, Farbod Ardebelli’s 2020 short drama Forbidden to See Us Scream in Tehran — which was secretly filmed in Tehran, with the director giving instructions remotely from the U.S. via WhatsApp — gives a flavor of that real-life scene and the dangers those artists face.
YouTube
Lifestyle
Sen. Thom Tillis Rips Kristi Noem, Compares ICE Killings To Dog She Killed
Sen. Tillis To Kristi Noem
ICE Killings Are Like Dog You Killed
Published
Fireworks on Capitol Hill … Sen. Thom Tillis ripped into DHS Secretary Kristi Noem during a congressional hearing … comparing American citizens killed by immigration agents to a dog she killed.
Check out the video … the Republican Senator from North Carolina says Noem has shown terrible leadership and decision-making as Trump‘s DHS Secretary.
AP
Tillis says the killings of Renee Good and Alex Pretti in Minneapolis by ICE and Border Patrol remind him of a passage from Noem’s book … where she recalls killing a dog she brought on a hunting trip.
Noem said the 14-month-old dog, Cricket, was misbehaving … so she led the dog to a gravel pit and shot her.
X/@DHSgov
Sen. Tillis told her straight up … “Those are bad decisions made in the heat of the moment. Not unlike what happened up in Minneapolis. We’re an exceptional nation, and one of the reasons we’re exceptional is we expect exceptional leadership. And you’ve demonstrated anything but that.”
Lifestyle
For filmmaker Chloé Zhao, creative life was never linear
In 2021, Zhao made history as the first woman of color to win the best director Oscar for her film Nomadland. Her Oscar-nominated drama Hamnet has made $70 million worldwide.
Bethany Mollenkof for NPR
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Bethany Mollenkof for NPR
It took a very special kind of spirit to make Hamnet, which is nominated for best picture at this year’s Academy Awards. Chloé Zhao brought her uniquely sensitive, mind-body approach to directing the fictionalized story about how William Shakespeare was inspired to write his masterpiece Hamlet.
Zhao adapted the screenplay from a novel by Maggie O’Farrell, and for directing the film, she’s now nominated for an Oscar. She could make history by becoming the first woman to win the best director award more than once.
Zhao says she believes in ceremonies and rituals, in setting an intention, a mood, a vibration for any event. Before Hamnet premiered at the Toronto International Film Festival last year, she led the audience in a guided meditation and a breathing exercise.

Zhao also likes to loosen up, like she did at a screening of Hamnet in Los Angeles last month, when she got the audience to get up and dance with her to a Rihanna song.
She, her cast and crew had regular dance parties during the production of Hamnet. So for our NPR photo shoot and interview at a Beverly Hills hotel, I invited her to share some music from her playlist. She chose a track she described as “drones and tones.”
Our photographer captured her in her filmy white gown, peeking contemplatively from behind the filmy white curtains of a balcony at the Waldorf Astoria.
Zhao says she believes in ceremonies and rituals, and makes them a part of her filmmaking process.
Bethany Mollenkof for NPR
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Bethany Mollenkof for NPR
Then Zhao and I sat down to talk.
“I had a dream that we were doing this interview,” I told her. “And it started with a photo shoot, and there was a glass globe –”
“No way!” she gasped.
It so happens that on the desk next to us, was a small glass globe — perhaps a paperweight.
I told her that in my dream, she was looking through the globe at some projected images. “We were having fun and it was like we didn’t want it to stop,” I said.
“Oh, well, me and the globe and the lights on the wall: they’re all part of you,” Zhao said. “They’re your inner crystal ball, your inner Chloé.”
“Inner Chloé?” I asked. “What is the inner Chloé like?”
“I don’t know, you tell me,” she said. “Humbly, from my lineage and what I studied is that everything in a dream is a part of our own psyche.”
Dreams and symbols are very much a part of Zhao’s approach to filmmaking, which she describes as a magical and communal experience. She said it’s all part of her directing style.
Chloé Zhao used painting and dance to connect with actors on the set of her latest film Hamnet.
Bethany Mollenkof for NPR
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Bethany Mollenkof for NPR
“If you’re captain of any ship, you are not just giving instructions; people are also looking to you energetically as well,” she explained. “Whether it’s calmness, it’s groundedness, it’s feeling safe: then everyone else is going to tune to you.” Zhao says it has taken many years to get to this awareness. Her own journey began 43 years ago in Beijing, where she was born. She moved to the U.S. as a teen, and studied film at New York University where Spike Lee was one of her teachers. She continued honing her craft at the Sundance Institute labs — along with her friend Ryan Coogler and other indie filmmakers.
Over the years, Zhao’s film catalogue has been eclectic — from her indie debut Songs My Brothers Taught Me, set on a Lakota Sioux reservation, to the big-budget Marvel superhero movie Eternals. She got her first best director Oscar in 2021 for the best picture winner Nomadland. Next up is a reboot of Buffy the Vampire Slayer.
“A creative life,” she notes, “is not a linear experience for me.”
Zhao still lingers over the making of Hamnet, a very emotional story about the death of a child. During the production, Zhao says she used somatic and tantric exercises and rituals to open and close shooting days.
She also invited her lead actors Paul Mescal and Jessie Buckley to help her set the mood on set. They danced, they painted, they meditated together.
“She created an atmosphere where everybody who chose to step in to tell this story was there for a reason that was deeply within them,” actress Jessie Buckley told me.

Buckley is a leading contender for this year’s best actress Oscar. She said that to prepare for her very intense role as William Shakespeare’s wife, Zhao asked her to write down her dreams “as a kind of access point, to gently stir the waters of where I was feeling.”
Buckley sent Zhao her writings, and also music she felt was “a tone and texture of that essence.”
That kind of became the ritual of how they worked together, Buckley said. “And not just the cast were moving together, but the crew were and the camera was really creating dynamics and a collective unconscious.”
Filmmaker and Hamnet producer Steven Spielberg calls Zhao’s empathy her superpower.
Bethany Mollenkof for NPR
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Bethany Mollenkof for NPR
That was incredibly useful for creating Hamnet — a story about communal grief. Steven Spielberg, who co-produced the film, called Zhao’s empathy her superpower.
“In every glance, in every pause and every touch, in every tear, in every single moment of this film, every choice that Chloé made is evidence of her fearlessness,” Spielberg said when awarding Zhao a Directors Guild of America award. “In Hamnet, Chloé also shows us that there can be life after grief.”
Zhao says it took five years and a midlife crisis for her to develop the emotional tools she used to make Hamnet.
“I hope it could give people a two-hour little ceremony,” she told me. “And in the end, I hope that a point of contact can be made. That means that there’s a heart opening. But it will be painful, right? Because when your heart opens, you feel all the things you usually don’t feel. And then a catharsis can emerge.”
As our interview time came to a close, I told Zhao I have my own little ritual at the end of every interview; I record a few minutes of room tone, the ambient sound of the space we’re in. It’s for production purposes, to smooth out the audio.
Zhao knew just what I meant. She told me a story about her late friend Michael “Wolf” Snyder who was her sound recordist for Nomadland. “He said to me, ‘I don’t always need it, but just so you know, I am going to watch you. And when I tell that you are a little frazzled, I’m going to ask for a room tone … just to give you space.’” she recalled. “‘And if you feel like you need the silence space, you just look at me, nod. I’ll come ask for a room tone.’”
I closed our interview ceremony with that moment of silence, a moment of peace, for director Chloé Zhao.
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