The fact that they are doing episodes in a way that each is hour of shift in ER means someone finally found a way to present things accurately. Every episode starts with time similar to 24 tv show, and actors look like regular people meaning that casting director did amazing job and also that it is representative of how ER anywhere looks.
I just binged the first 5 episodes of this show and I'm absolutely loving it. I just love how every episode is just going from 1 hour to the next and you can literally _feel_ the stress and pressure mounting. And there just like "yep, this is monday."
@@ardynamberglow3124 can’t stress enough how closely it resembles a regular day in the ED. ESPECIALLY a Monday. Keep watching, can’t wait to see what those late afternoon/evening hours look like. Thanks for dropping in on my video 🫡
May not always be the most accurate, but I do appreciate the show is showing some issues that people may not know about. I worked in an area with a high population of sickle cell disease, so I really appreciated a later scene pointing out the struggles and mistreatment those patients often face
@@singchick07I caught that too - that’s how WE know that they’re consulting actual ED personnel. They’re bringing some of the understated issues to the forefront in a very clever way.
Thanks for this. I love the Pitt and I enjoyed your breakdown of it. Would love to hear you do one of these on ER. Either the pilot or the "Hell and High Water" episode. (Awesome ep. Truly cinematic for its time.) Thanks, I'll look forward to watching more of these. :)
I’m just happy I knew what you meant when you said clotting factors. Currently studying A&P II and it’s really cool to slowly understand medicine more and more.
The screaming is definitely accurate! Once I was waiting in the hall to get a lumbar puncture done and they wheel this man into a CT scan room next to me and he is SCREAMING his head off. I obviously didn't know what was going on but he was curled up in a ball clutching his abdomen so I suspect it was his appendix or something.
If there's no screaming, I actually get sort of nervous -- like...why is everyone/everything quiet?? That's when I immediately go check on all my patients.
I got screeners for the first 10 episodes. 10 minutes into the first one, as soon as I heard the word "degloving" I was like, 'please don't show it, please don't sh-AH GOD, they showed it" and that's how I knew I was in for a RIDE. You might be interested to know the whole cast did an "ER doctor crash course" where for two weeks, they trained with real ER doctors and surgeons. They practiced how to do everything from sutures to setting bones to trach tubes to learning how to use the machines. In fairness, you have to give it a *little* bit of leeway. They can't show every single step in a single episode's runtime.
@@FiresCollide Hell yea - they hit the ground running (as it typically goes in the dept)! I def appreciate the commitment they’ve show to getting it right. Makes a huge difference esp among the sea of medical dramas where they tape an ETT to someone’s cheek or move straight to paddles without naming the rhythm. Hindsight is 20/20 - I think as the show progressed (hour to hour) my feel for its accuracy also changed (check out the second review I posted a few days ago). But hands down, the show is lit - best on tv atm.
@@DrItaloBrown For sure! I also dig that it isn't just accurate on the medicine, but also on the racial and social issues that impact medicine (like the sickle cell crisis storyline exposing racial bias when it comes to painkillers), and the rampant nursing and bed shortages. Good stuff. I predict it will make a number of people want to get into medicine, just like ER did.
I am a HUGE fan of ER, and re-watch the series from episode one to closing scene every couple/few years. As a Deafie with mutiple disabilities, most shows didn't have CC until I was in high school, and the ones that provided captions before the ADA went into effect were news stations, sci-fi and soaps. ER was my first show that moved fast enough that anyone watching with me complained that the captions were too fast to read properly (I certainly had no complaints, and plenty of practice, most hearies rely on ears instead of eyes).... and they spoke too fast to understand the dialogue without the captions. It was also the first show I watched that had captions from the start, as others decided many seasons in to finally include us Deafies, and most I could catch un-cc'd episodes when they replayed under syndication, but rarely in order they aired. I watched surguries on TLC (back when it was an ACTUAL educational channel), which actually had cc included. I grew up in a strange era where doctors, both ortho and pediatrics, firmly believed that kids didn't feel pain - they honestly thought that kids could be scared, anxious, mad or sad, but the psychological factor of kids having pain receptors were something that we "grew" into, so managing FEAR was the priority, and essentially the only thing they focused on. I had so many procedures, surgeries, stitches and years of physical therapy under the guise that I be kept "calm" and "shouldn't" feel pain. I absolutely HATED, with the purest level of rage a kid could muster, the entire medical field. I didn't yet have the vocabulary to express it, but imagine a kid trying to understand a medical version of "your body my choice" in the 80's with kids who had CP. ER actually quelled all that actual fear/anger into something less "Clockwork Orange" and more "X-Files" ... and seeing it all from the perspective of a very young Noah Wylie, who seemed to stumble through things and learn pretty much at the speed of a Nascar pit stop. A few stops in an emergency room, doctors and nurses who talked TO me instead of relying on velcro straps to do all the conversating, made me see the show wasn't accurate, but wasnt entirely wrong, either. Totally changed how I saw the medical field as a whole, and even today I pick the most nervous, anxious, anxiety-ridden intern who is usually crossing every finger, toe and eyelash that nobody asks them ANYTHING. They spend years studying, and no experience... I had the experience, but none of the science. I've been watching the reviews for the Pitt, and so far they all seem to be similar to yours. The acting, production, set desigm, layout, dialogue all seems pretty much at an "ER" pace, but without the extesential soapy romance that eventually gets folded into medical shows. First-responder and medical showsnare my go-to, but I rank them by number of eyerolls per episode, and many fall quickly off the radar becauee they are less (AND LESS) believable. And as someone who has had 15-20 surgeries, "kids don't feel pain" is a heavy-arse litmus test to stand up to, and ER was one of the few shows that made an honest attempt. At least (and I say this with an entire arsenal of musicals loaded into my screen-cracked iPod) they didn't do a musical episode... I sincerely wish I had that Max channel to watch this... so, in the meantime, I may have to lean on reviews like yours for an honest peek at how this show is doing, and if it's worth an additional streaming cost... if you don't mind.
Def realistic and well done. What I like most is that they took relatable cases - things many of us have seen/done and can readily identify - then shared them in a cinematic way for viewers of all backgrounds.
Good insight. I think they made the traumas look interesting but that hell nah part I COMPLETELY agree. We getting mannitol and starting PCC before labs and imaging? WOWWWWW
I appreciate the love - and always glad to see another doc moving seamlessly between the trenches and RUclips (did somebody say “work-life balance/wellness?”)
I watched the full episode before I gave my rating; you just can’t show the whole episode on RUclips (or more than 30sec at a time) due to copyright reasons. I think the 8am and 9am hours are 8.5, video forthcoming.
Thanks for making this to help layman like me better understand what actually happens. I appreciate how much time doctors and nurses spend on learning what they know so they can help people who need emergency care.
Emergency medicine is not a surgical subspecialty. It actually branched off Family Medicine in the 70s in the US. Amazing field but just wanted to correct that one point.
Also - read up on Wiegenstein and the creation of ACEP. Outlines how the specialty developed from surgical practices (specifically related to injury management in combat)
@DrItaloBrown truth but in the US it was originally staffed by primary before it was recognized that specialty training was needed for this unique area of medicine. In many places we FM docs are still the ones staffing the ER (obviously less than ideal compared to EM trained docs).
@@DrItaloBrown please don’t take this as a criticism at all. I loved my time as an off-service resident in the ER. Yall are amazing and under appreciated.
Dr. Mike did his own reaction to this episode and he was giving pretty high praises about his so I’m curious where your guys’ opinions may coincide or conflict
Well - I’m an Emergency Physician… he’s a Family Medicine Physician. My vantage point comes from lived experience (as in, I’ve don’t these procedures many times) and actually seeing a high volume of patients in the ED (especially during the pandemic). I’m not sure he works in the ED or sees as many patients as I do. No diss…we just aren’t the same.
But to answer more specifically - I think we both align on contextual accuracy. The show does a great job of giving folks a window into the minute-to-minute operations and complexity of the emergency department. I think Mike and I differ on procedures (as in portrayal of them and their accuracy) and relationship dynamics (either overshot or underplayed) - again, based upon lived experience. I think we both agree this is the most realistic medical show in the past two decades.
@@DrItaloBrown I think that’s a fair pov. I do work in EMS prehospital 911 and IFT so much of what I see is usually the prehospital treatment up to transfer of care. Most IFT work is already stable pt’s and in 911, there’s what I can do along side a medic next to me. I’ll be seeing more of the hospital treatment soon since I start my hospital clinicals for paramedic school
@@SparkkFX shout out to the First Responders 💪🏾. You’re going to grow more familiar with handoff etiquette and even the nuances of management (prehospital vs hospital) as you treat/see more patients. Just keep at it - we need you!
The fact that they are doing episodes in a way that each is hour of shift in ER means someone finally found a way to present things accurately. Every episode starts with time similar to 24 tv show, and actors look like regular people meaning that casting director did amazing job and also that it is representative of how ER anywhere looks.
Your read is spot on - highly intentional and relatable. I wish all medical shows took this approach!
A lot of the cast are new to acting too, I know the male senior resident, the one with the Captian Quark Chin, is his first major role.
Not a big fan of medical shows but I gave The Pitt a chance to try something new and I’m hooked. It’s a pretty good show.
100%. So far they’ve been able to be both entertaining and highly accurate, I’m diggin it too.
I just binged the first 5 episodes of this show and I'm absolutely loving it.
I just love how every episode is just going from 1 hour to the next and you can literally _feel_ the stress and pressure mounting. And there just like "yep, this is monday."
@@ardynamberglow3124 can’t stress enough how closely it resembles a regular day in the ED. ESPECIALLY a Monday. Keep watching, can’t wait to see what those late afternoon/evening hours look like. Thanks for dropping in on my video 🫡
May not always be the most accurate, but I do appreciate the show is showing some issues that people may not know about.
I worked in an area with a high population of sickle cell disease, so I really appreciated a later scene pointing out the struggles and mistreatment those patients often face
Filming an episode on this right now!
As a nurse, I appreciated that they highlighted the shortage of us due to low pay, resulting in no beds being available.
@@singchick07I caught that too - that’s how WE know that they’re consulting actual ED personnel. They’re bringing some of the understated issues to the forefront in a very clever way.
Emergency medicine is born from the combination of Medicine, surgery, ortho and Anaesthesiology.
Thanks for this. I love the Pitt and I enjoyed your breakdown of it. Would love to hear you do one of these on ER. Either the pilot or the "Hell and High Water" episode. (Awesome ep. Truly cinematic for its time.) Thanks, I'll look forward to watching more of these. :)
I’m just happy I knew what you meant when you said clotting factors. Currently studying A&P II and it’s really cool to slowly understand medicine more and more.
The screaming is definitely accurate! Once I was waiting in the hall to get a lumbar puncture done and they wheel this man into a CT scan room next to me and he is SCREAMING his head off. I obviously didn't know what was going on but he was curled up in a ball clutching his abdomen so I suspect it was his appendix or something.
If there's no screaming, I actually get sort of nervous -- like...why is everyone/everything quiet?? That's when I immediately go check on all my patients.
I got screeners for the first 10 episodes. 10 minutes into the first one, as soon as I heard the word "degloving" I was like, 'please don't show it, please don't sh-AH GOD, they showed it" and that's how I knew I was in for a RIDE. You might be interested to know the whole cast did an "ER doctor crash course" where for two weeks, they trained with real ER doctors and surgeons. They practiced how to do everything from sutures to setting bones to trach tubes to learning how to use the machines. In fairness, you have to give it a *little* bit of leeway. They can't show every single step in a single episode's runtime.
@@FiresCollide Hell yea - they hit the ground running (as it typically goes in the dept)! I def appreciate the commitment they’ve show to getting it right. Makes a huge difference esp among the sea of medical dramas where they tape an ETT to someone’s cheek or move straight to paddles without naming the rhythm. Hindsight is 20/20 - I think as the show progressed (hour to hour) my feel for its accuracy also changed (check out the second review I posted a few days ago). But hands down, the show is lit - best on tv atm.
@@DrItaloBrown For sure! I also dig that it isn't just accurate on the medicine, but also on the racial and social issues that impact medicine (like the sickle cell crisis storyline exposing racial bias when it comes to painkillers), and the rampant nursing and bed shortages. Good stuff. I predict it will make a number of people want to get into medicine, just like ER did.
Wow I'm so glad I found your channel. Really enjoyed the breakdown and your added commentary! Happy to be a new subscriber
I’m glad you liked it! Dope to have you on board!
I am a HUGE fan of ER, and re-watch the series from episode one to closing scene every couple/few years. As a Deafie with mutiple disabilities, most shows didn't have CC until I was in high school, and the ones that provided captions before the ADA went into effect were news stations, sci-fi and soaps. ER was my first show that moved fast enough that anyone watching with me complained that the captions were too fast to read properly (I certainly had no complaints, and plenty of practice, most hearies rely on ears instead of eyes).... and they spoke too fast to understand the dialogue without the captions. It was also the first show I watched that had captions from the start, as others decided many seasons in to finally include us Deafies, and most I could catch un-cc'd episodes when they replayed under syndication, but rarely in order they aired. I watched surguries on TLC (back when it was an ACTUAL educational channel), which actually had cc included.
I grew up in a strange era where doctors, both ortho and pediatrics, firmly believed that kids didn't feel pain - they honestly thought that kids could be scared, anxious, mad or sad, but the psychological factor of kids having pain receptors were something that we "grew" into, so managing FEAR was the priority, and essentially the only thing they focused on. I had so many procedures, surgeries, stitches and years of physical therapy under the guise that I be kept "calm" and "shouldn't" feel pain. I absolutely HATED, with the purest level of rage a kid could muster, the entire medical field. I didn't yet have the vocabulary to express it, but imagine a kid trying to understand a medical version of "your body my choice" in the 80's with kids who had CP.
ER actually quelled all that actual fear/anger into something less "Clockwork Orange" and more "X-Files" ... and seeing it all from the perspective of a very young Noah Wylie, who seemed to stumble through things and learn pretty much at the speed of a Nascar pit stop. A few stops in an emergency room, doctors and nurses who talked TO me instead of relying on velcro straps to do all the conversating, made me see the show wasn't accurate, but wasnt entirely wrong, either. Totally changed how I saw the medical field as a whole, and even today I pick the most nervous, anxious, anxiety-ridden intern who is usually crossing every finger, toe and eyelash that nobody asks them ANYTHING. They spend years studying, and no experience... I had the experience, but none of the science.
I've been watching the reviews for the Pitt, and so far they all seem to be similar to yours. The acting, production, set desigm, layout, dialogue all seems pretty much at an "ER" pace, but without the extesential soapy romance that eventually gets folded into medical shows. First-responder and medical showsnare my go-to, but I rank them by number of eyerolls per episode, and many fall quickly off the radar becauee they are less (AND LESS) believable. And as someone who has had 15-20 surgeries, "kids don't feel pain" is a heavy-arse litmus test to stand up to, and ER was one of the few shows that made an honest attempt.
At least (and I say this with an entire arsenal of musicals loaded into my screen-cracked iPod) they didn't do a musical episode...
I sincerely wish I had that Max channel to watch this... so, in the meantime, I may have to lean on reviews like yours for an honest peek at how this show is doing, and if it's worth an additional streaming cost... if you don't mind.
yes they take dramatic license, it's on TV!! but still pretty realistic and well done
Def realistic and well done. What I like most is that they took relatable cases - things many of us have seen/done and can readily identify - then shared them in a cinematic way for viewers of all backgrounds.
Med shows aren’t really my bag, but I will listen to you talk about them all day, doc.
I try to make it interesting- especially bc a lot of the medicalese takes the fun out of it!
Thanks for the intriguing insights, doctor. Just finished the first 4 episodes. Compelling medical drama.
I'm just a phlebotomist, but I'm in the ER CONSTANTLY. I love it down there 😂
Would love for you to react to more episodes of this show!
Loved this vid! Could you also do Season 3 Ep 1 of The Fall? It’s been considered by many to be the most accurate ER scene to date.
Good insight. I think they made the traumas look interesting but that hell nah part I COMPLETELY agree. We getting mannitol and starting PCC before labs and imaging? WOWWWWW
You feel me!
… and I had such hope when they said they want it to be the most accurate medical show … I just can’t! 45 years in ICU/OR … I can’t take it. :-/
This is all nice and all, but is it Protocol to leave keys in the Ambulance in case it needs to get moved?
You go Boi. You're gonna' be a RUclips star!
I appreciate the love!
Love the channel. I’m an ER doctor and just started my 2nd channel just doing medical critiques. I just launched S1E1 the Pitt review today!!
I appreciate the love - and always glad to see another doc moving seamlessly between the trenches and RUclips (did somebody say “work-life balance/wellness?”)
@@DrItaloBrown For sure, we all need our outlet for sure. Might as well turn to RUclips:)
I think a full watch of the episode and not a dissection of the first five mins would be better for an rating i would think
I watched the full episode before I gave my rating; you just can’t show the whole episode on RUclips (or more than 30sec at a time) due to copyright reasons. I think the 8am and 9am hours are 8.5, video forthcoming.
Thanks for making this to help layman like me better understand what actually happens. I appreciate how much time doctors and nurses spend on learning what they know so they can help people who need emergency care.
Emergency medicine is not a surgical subspecialty. It actually branched off Family Medicine in the 70s in the US. Amazing field but just wanted to correct that one point.
@@Gigemhorns2011 gotta read further - the specialty originates before 1970s and beyond the U.S.
Also - read up on Wiegenstein and the creation of ACEP. Outlines how the specialty developed from surgical practices (specifically related to injury management in combat)
@DrItaloBrown truth but in the US it was originally staffed by primary before it was recognized that specialty training was needed for this unique area of medicine. In many places we FM docs are still the ones staffing the ER (obviously less than ideal compared to EM trained docs).
@@DrItaloBrown absolutely EM is procedure heavy but same can be said for FM (and IM to a lesser extent). These aren’t surgical subspecialties tho
@@DrItaloBrown please don’t take this as a criticism at all. I loved my time as an off-service resident in the ER. Yall are amazing and under appreciated.
This is dope man. I love the insight… bc I always think the shows are a very far reach
I appreciate you, and you’re right to be skeptical as hell
Dr. Mike did his own reaction to this episode and he was giving pretty high praises about his so I’m curious where your guys’ opinions may coincide or conflict
Well - I’m an Emergency Physician… he’s a Family Medicine Physician. My vantage point comes from lived experience (as in, I’ve don’t these procedures many times) and actually seeing a high volume of patients in the ED (especially during the pandemic). I’m not sure he works in the ED or sees as many patients as I do. No diss…we just aren’t the same.
But to answer more specifically - I think we both align on contextual accuracy. The show does a great job of giving folks a window into the minute-to-minute operations and complexity of the emergency department. I think Mike and I differ on procedures (as in portrayal of them and their accuracy) and relationship dynamics (either overshot or underplayed) - again, based upon lived experience. I think we both agree this is the most realistic medical show in the past two decades.
@@DrItaloBrown I think that’s a fair pov. I do work in EMS prehospital 911 and IFT so much of what I see is usually the prehospital treatment up to transfer of care. Most IFT work is already stable pt’s and in 911, there’s what I can do along side a medic next to me. I’ll be seeing more of the hospital treatment soon since I start my hospital clinicals for paramedic school
@@SparkkFX shout out to the First Responders 💪🏾. You’re going to grow more familiar with handoff etiquette and even the nuances of management (prehospital vs hospital) as you treat/see more patients. Just keep at it - we need you!
🔥🔥🔥🔥😎
Dang, why you keep degloving injuries on your phone? Party conversation starters? Not really a first date show and tell I hope.....
LOL! They make for good bar banter though!