Lifestyle

What It Means to Be a ‘Well Woman,’ According to Amy Larocca, Author of ‘How to Be Well’

Published

8 months ago

May 12, 2025

What It Means to Be a ‘Well Woman,’ According to Amy Larocca, Author of ‘How to Be Well’

When I met the writer Amy Larocca at a cafe in the Boerum Hill neighborhood of Brooklyn on a recent afternoon, I could not help but notice: She had the glow. Or seemed to.

The glow, as Ms. Larocca explains in her new book, “How to Be Well: Navigating Our Self-Care Epidemic, One Dubious Cure at a Time,” is what happens when you purify yourself “from the inside out.” When you never miss a day of your skin care routine, regularly drain your lymphatic fluids and take your collagen supplements. But to truly glow, you must also practice mindfulness, self-care and, ideally, transcendental meditation, avoid processed junk and sleep at least eight hours every night.

Such are the exacting standards of a contemporary wellness culture that has swelled to encompass nearly every facet of life. Not just the serums we slather on our faces or the Pilates classes we scurry off to but the food we eat (always whole foods), the bowel movements we pass (must be “firm and beautifully formed”) and the very thoughts we let enter our minds (intentional ones only).

It sounds like a lot of work. Or one might say it sounds like a lot of work — if it were not so incumbent on a well woman to be perpetually at ease.

After talking to Ms. Larocca, 49, for an hour, I learned she did not do everything a well woman should. She tries to sleep a lot. She exercises regularly. And yes, she wears an Oura ring, the latest in wearable tech for tracking one’s blood oxygen rate, body temperature and other biometrics.

But she does not observe 12-step routines of any kind. She is aware of the fact that dry-brushing may be a great way to exfoliate but that it probably does not drain your lymphatic fluid.

Sometimes, she participates in what she calls “recreational wellness,” something she knows is not likely to achieve what it promises but that nonetheless brings her some form of pleasure. Ms. Larocca, who spent 20 years at New York magazine in various roles including fashion director, is no stranger to the intensely human draw to believe that some of these practices will give her a control over her life and her body that she knows is fundamentally unattainable — which may be the emotional core of our wellness obsession.

This conversation, which took place over a matcha latte and an iced green tea, has been edited for length and clarity.

Going into your book, I had a much more narrow view of what wellness was. But I was compelled by your more capacious understanding of this world.

Wellness is really silly exercise classes. It’s also underserved communities talking about how no one takes their health seriously. We can talk about the way the beauty industry uses wellness as a “get-out-of-jail-free” card when it wants to pretend it’s feminist. We can talk about weird colonic therapists. We can talk about wellness as a socially acceptable term for eating disorders. There are 90 million ways to have a wellness conversation. In the end, I tried to say, wellness is all of this and we just live in this messed-up soup.

At this point, it seems hard to draw any firm boundaries around wellness.

Sometimes you see this when you go to these new medical practices. You’re like, “Am I at a spa? A gym? A boutique hotel? At the doctor? In a Kate Hudson movie?”

Credit…Penguin Random House

You started this book before Covid. How was your idea of wellness shaped by the pandemic?

It quickly became clear who was getting sick and who was dying from Covid. So the concept that was driving the project — coming at it from the perspective of someone who has written about fashion and style all these years — was that wellness had become this thing where we’re being sold our own bodies with the same marketing techniques that people use to sell handbags or shoes or lipstick. It’s incredibly dangerous to live in a society that treats health like a luxury product.

I liked that you pointed out some of the inconsistencies contained within wellness culture. At one point, you mention the concept of a single well-intentioned cigarette — a little indulgence.

It’s because all of these things reside within privilege. There’s a term, the narcissism of small differences. The things that make someone unwell are so much bigger than whatever little wellness protocol. They’re these larger socioeconomic factors.

Something I was thinking about as I read was the gendered aspect of wellness, and wellness as a kind of bonding exercise among women — sharing your insecurities, how you want to self-improve, these personal routines.

I think it can be. Going to an exercise class with friends or to a spa — it’s definitely a bonding ritual for a lot of people. There are wellness social clubs, like Remedy Place. It can also be a form of entertainment or recreation. It’s just a question of understanding its position and your expectations. It’s important to say here: It’s not like I hate wellness. I also participate in a lot of it. I think wellness is too entrenched in our lives to be “pro” or “anti.”

I love the term “recreational wellness.” It seems to relate to an experience I often have, which is knowing something is not going to work but doing it anyway.

It’s a diversion. I exercise a lot — part of it is for recreation, part of it is for actual health. I used to do my red light stuff and drink my collagen. Now I’ve sort of whittled it down. Every once in a while, a friend of mine will call me and be like, “My life has been changed by bovine colostrum!” And I’m like, “I need bovine colostrum!”

Recently, I was in a pharmacy filled with beautiful skin care products in an upscale part of Los Angeles. I knew I did not need anything, but I wanted it. And an elegant woman was floating around the store offering to help customers find what suited them.

It can really make you feel cared for and cosseted. It can feel really nice!

I thought about how it would feel to have all of these things in my medicine cabinet. I would feel like one of the fancy women walking around this neighborhood. Which goes back to the luxury aspect.

It’s the same feeling of, “if I purchase this bag. …”

Why is the pull so strong? We often know consciously that these products are not going to do what they say they will.

Wouldn’t it be so great if they did, though? And in the absence of credible information from actual experts, there’s this incredible opportunity. We want it to be true, and there’s a loss of faith in the systems that are supposed to be protecting us and informing us. And it’s on the left and the right. A lot of the Moon Juice products and the Infowars supplements have some of the same types of ingredients. The message on both sides is, “Prepare yourself for the collapse of the world! Wellness will save us from these terrible inevitabilities!”

Something about knowing that there is so much snake oil and bad information out there can also amplify the feeling that somewhere, hidden among these thousands of products, are maybe the two or three that “actually work.”

Totally! I’m like, “Sometime, one of these Bobbi Brown emails is going to have that tip!” And what if that was the time I didn’t click?

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Lifestyle

After years of avoiding the ER, Noah Wyle feels ‘right at home’ in ‘The Pitt’

Published

4 hours ago

January 9, 2026

Press Room

After years of avoiding the ER, Noah Wyle feels ‘right at home’ in ‘The Pitt’

Wyle, who spent 11 seasons on ER, returns to the hospital in The Pitt. Now in Season 2, the HBO series has earned praise for its depiction of the medical field. Originally broadcast April 21, 2025.

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Television

After years of avoiding the ER, Noah Wyle feels ‘right at home’ in ‘The Pitt’

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TMZ Streaming Live, Come Into Our Newsroom and Watch Things Happen!

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5 hours ago

January 9, 2026

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Lifestyle

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

Published

16 hours ago

January 9, 2026

Press Room

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.

Noah Wyle plays Dr. Michael "Robby" Rabinovitch in The Pitt.

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.