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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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Jewelry Among the Exhibits at a Daniel Brush Retrospective

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Jewelry Among the Exhibits at a Daniel Brush Retrospective

Nearly four years after his death, a retrospective of the multidisciplinary work by the self-taught American artist Daniel Brush — encompassing sculpture, paintings and jewelry in materials as diverse as steel, Bakelite and gold — is scheduled to open June 8 at the Paris location of L’Ecole, School of Jewelry Arts.

“Daniel Brush: The Art of Line and Light” will be the fifth time that L’Ecole has exhibited the artist’s work. But its president, Lise Macdonald, said she believed Mr. Brush’s legacy warranted repeated consideration: “He is a very niche artist, but he is excellent — really one of the greatest artists of the 20th and 21st century.”

The diversity of his creations has been part of his appeal, she said. “We don’t really consider him as purely a jeweler but more a protean artist where jewelry was part of his approach.”

L’Ecole Paris, which operates in an 18th-century mansion in the Ninth Arrondissement and is supported by Van Cleef & Arpels, has prepared programming to complement the show, from conversations with experts on Mr. Brush’s work (to be held on site and streamed online) to jewelry-making workshops for children. Details of the free exhibition and the events are on the school’s website; the show is scheduled to end Oct. 4.

The exhibition is to include more than 75 pieces, which span much of Mr. Brush’s five-decade career. They have been selected by Olivia Brush, his wife and collaborator, and by Vivienne Becker, a jewelry historian and author who said she first met the couple more than 30 years ago. Some exhibits, they said, have never been seen by the public before.

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Ms. Becker, who wrote the 2019 monograph “Daniel Brush: Jewels Sculpture,” said the artist had possessed vast knowledge of the history of jewelry and shared her belief that jewels “answer a very important, very basic human impulse to adorn — that it’s essential to customs, beliefs, and ceremonies around the world.” She also has written a book documenting the L’Ecole exhibition — and with the same title — that examines the artist’s preoccupation with the themes of light and line.

“He loved the idea of making a real, intransigent, opaque metal into something that was almost translucent, or transparent,” said Ms. Becker, citing as an example a trio of bangles made in 2009 to 2010 that are called the “Rings of Infinity.” The lines that he engraved on the aluminum pieces functioned, she explained, to “elevate the jewel from a trinket to a great, great work of art.”

A series of engraved steel panels titled “Thinking About Monet” used the interplay of line and light to achieve a different effect, she said. Mr. Brush made individual strokes in tight formation on the panels, producing gently rippling surfaces whose color changes with shifting light conditions.

The effect “is really hard to understand. I couldn’t,” Ms. Becker said. “So many people ask, ‘Are they tinted? Are they colored?’ It’s absolutely nothing. It’s just the breaking of the light.”

Though Mr. Brush was a widely acknowledged master of skills such as granulation, the application of tiny gold balls to a metal surface, both Ms. Brush and Ms. Becker said the exhibition’s goal was not to highlight his virtuosity — nor, Ms. Becker said, was that ever a concern of Mr. Brush’s. “He didn’t want to talk about the technique at all,” she said. “Technique has to just be a means to an end. He just wanted people to be amazed, to have a sense of wonder again.”

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The works selected for the L’Ecole exhibition reflect his range, which veered from diamond-set Bakelite brooches inspired by animal crackers to a steel and gold orb meant to be an object of contemplation. “He didn’t want to have boundaries,” Ms. Brush said. “He wanted to do what he wanted to do when he wanted to do it.”

The couple met as students at what is now called Carnegie Mellon University in Pittsburgh, and her 1967 wedding ring was the first jewel that Mr. Brush made.

All of Mr. Brush’s works were one-of-a-kind creations, completed from start to finish by him in the New York City loft that served as a workshop as well as a family home. Photographs of the space, which contained a library with titles on the eclectic subjects that preoccupied him — Chinese history, Byzantine art, Impressionist painting — and the antique machinery that inspired him and that he used to make his tools, are featured in the exhibition and reproduced in Ms. Becker’s book.

Ms. Brush is a fiber artist in her own right, but Mr. Brush also frequently credited her as an equal participant on pieces bearing his name. “I did not physically make the work,” she explained, “but the work would not have evolved or happened the way it did if it were not for the way we lived our lives,” she said.

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Thanks to ‘Mormon Wives,’ Dirty Soda Is a National Obsession

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Thanks to ‘Mormon Wives,’ Dirty Soda Is a National Obsession

The first time Pop’s Social, a catering company in South Orange, N.J., that specializes in dirty soda, served an alcoholic drink at an event, something strange happened.

At the event in December, its nonalcoholic offering, a spiced pear-cider seltzer with vanilla and peach syrups, cream, lemon and cold foam, was a hit. The Prosecco-spiked version? Not so much.

“People were more interested in the mocktail than the cocktail,” Ali Greenberg, an owner of the business, said in an interview.

Dirty soda — a customizable blend of soda, flavored syrup, creamer and sometimes fruit, served over pebble ice — has been crossing into the mainstream for years, especially after the cast of “The Secret Lives of Mormon Wives,” the hit reality show that premiered in 2024, frequented Swig, the Utah chain that started it all.

But its reach has gone far beyond the Mormon corridor, and its rise in popularity has dovetailed with an overall decline in U.S. alcohol consumption. “There’s not a lot of Mormon people in our neighborhood,” said Greenberg. “But there are a lot of people who are sober-curious or not drinking.”

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The reality show, which follows a group of Mormon influencers in Utah, helped popularize dirty soda beyond the Mountain States and inspired a wave of TikTok videos on the subject. Swig rapidly expanded — growing from 33 locations in Utah and Arizona in 2021 to now more than 150 locations in 16 states — along with other Utah chains, and spawned copycats nationwide.

Dirty soda has joined other Mormon cultural exports, like tradwife influencers, a “Real Housewives” franchise in Salt Lake City and Taylor Frankie Paul, the Bachelorette who wasn’t, that have captivated America.

With the recent rollouts of dirty soda at McDonald’s, Chick-fil-A and Dunkin’ — behold the Dunkin’ Dirty Soda: Pepsi, coffee milk and cold foam — and the appearance on grocery shelves of Dirty Mountain Dew and a coconut-lime Coffee Mate creamer for homemade dirty sodas, we may have reached peak dirty.

The idea for dirty soda came out of a desire for members of the Church of Jesus Christ of Latter-day Saints, which has millions of followers in Utah and surrounding states, to have more options for social drinking, as the church prohibits the consumption of alcohol, hot coffee and hot caffeinated tea.

When Swig introduced dirty soda in 2010, it filled a need, providing a pick-me-up for car-pooling moms and an after-school treat for their kids. It was quickly adopted by many in the community.

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“In other cultures, parents go, they pick up their coffee in the morning, and for me and for a lot of my other friends’ parents, it was, ‘Let’s go pick up our dirty soda,’” Whitney Leavitt, a breakout star of “Mormon Wives,” said in an interview.

Leavitt was surprised when her dirty soda order became a recurring question from reporters in recent years. “They were so excited to hear all of the different syrups and creamers that we add to our drinks to make whatever your go-to dirty soda is,” Leavitt said. (Hers is sparkling water with sugar-free pineapple, sugar-free peach and sugar-free vanilla syrups, raspberry purée, a squeeze of lime, and fresh mint if she’s “feeling really fancy.”)

In April, Leavitt became the chief creative and brand officer at Cool Sips, a beverage chain based in New York that sells dirty sodas.

“Mormon Wives” inspired Kaitlyn Sturm, a 26-year-old mother of three from Jackson, Miss., to post recipes for dirty sodas on her TikTok. The one she makes the most contains Coke or Dr Pepper, homemade cherry syrup, a glug of coconut creamer and a packet of True Lime crystallized lime powder, which she combines in a pasta-sauce jar filled with pebble ice. “It kind of has become like a ritual, where I make one for my husband as well, and we have it most evenings,” Sturm said in an interview.

The trend has also hit fast-food menus. The new “crafted soda” menu at McDonald’s is riddled with dirty soda DNA. The Dirty Dr Pepper, with vanilla flavoring and a cold-foam topper, is the chain’s version of what has shaped up to be the universal dirty soda flavor. Since 2024, Sonic, beloved for its porous, soda-absorbing pebble ice, has offered “dirty” drinks — your choice of soda plus coconut syrup, sweet cream and lime.

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These drinks might feel new, but there are antecedents in the Italian sodas of the ’90s (fizzy water and a pump of Torani syrup); the Shirley Temple (ginger ale or lemon-lime soda with grenadine and maraschino cherries); and the egg cream, a tonic of seltzer, chocolate syrup and milk. And what is a dirty Dr Pepper with cold foam if not a descendant of the root beer float? “It’s just a soda fountain from 125 years ago,” Kara Nielsen, a food and beverage trend forecaster, said in an interview.

Though Leavitt moved to New York City with her family in December, her dirty soda ritual has remained consistent, with one key difference. “In Utah, we don’t get to walk to dirty soda shops,” Leavitt said. “We have to drive there.”

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Chaos Gardening: A Laid-Back Way to Garden

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Chaos Gardening: A Laid-Back Way to Garden

Annuals include flowers like marigolds and nasturtiums. They grow fast but won’t come back the next spring (though they will drop seeds and possibly propagate). Perennials like lavender and sage will return year after year, but they may take longer to grow. Wildflower and pollinator packets often contain both annual and perennial seeds but are frowned upon by some serious gardeners, because the selection can be haphazard and ill-suited to the area.

It’s a good idea to exercise a little situational awareness. How much rain can you expect? How much sunlight? Dig the earth and feel it between your fingers — is it sandy? Loamy? These are things to keep in mind as you prepare for your journey into horticultural chaos.

“You want to prepare your soil, your site, at least a little bit,” said Deryn Davidson, a sustainable landscape expert at Colorado State University Extension in Longmont, Colo. “Try to get rid of weeds. Make sure the soil is ready to receive seeds.”

Davidson, who has written about chaos gardening, strongly advised covering the seeds with a layer of soil, lest they become bird food. As for watering, that depends on where you live, she added. On the whole, though, the formula is straightforward: “Soil, sun and water is what these seeds need,” Davidson said.

Not everyone is a fan of the trend, or at least the way it has been portrayed on social media. “Nature is not chaos — nature is pattern,” said Robin Wall Kimmerer, a botanist and the author of “Braiding Sweetgrass,” which recommends imbuing modern life with Indigenous wisdom.

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“It seems unrealistic,” Kimmerer said of the chaos gardening videos she has watched. The feeling of effortlessness they convey — a common social media effect, almost always the result of deft editing — seems to elide the work that goes into a garden, whether chaotic or not, she suggested.

“I want my garden to be natural and biodiverse,” she said. “That’s a good impulse. I don’t think this technique is going to get you there, but that’s an important impulse.”

Boitnott, the maker of the viral video, offered a simple reason for why chaos gardening has become popular: “It just makes you happy.”

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