The Pitt and the Reality of Doctors
Earlier this evening, my wife was bored and I suggested she check out The Pitt. We both love The Bear, and I've read that its competence porn like The Bear, and its been impossible for me avoid the fandom regarding Taylor Dearden's performance as autistic physician Dr. Mel King. It's rare for there to be positive representations of autistic individuals that down lean into the Rain Man route, so I knew my wife would appreciate that.
She watched the first episode and loved it. She told me she thought I'd love it and I really want to. There is just something holding me back, and that is my years of experience in hospitals.
I started The Pitt when it first debuted, and I was really excited to watch it, but I turned it off within a few minutes. I mean, it's television, so its obviously not a realistic portrayal, the same way Better Call Saul was not a realistic portrayal of being a lawyer. I'm sure The Pitt strives for a bit more accuracy than say Better Call Saul, but what I saw in those first few minutes were the opposite of what I saw working over a decade in hospitals. Despite working directly with physicians in a couple of roles, I honestly never met a doctor that wasn't a narcissistic asshole.
Sure, maybe it was the hospitals I worked in, but almost all of my interactions with doctors was negative. In my most recent gig in healthcare that ended in 2021, I worked with two major radiology groups here in North Carolina as direct support in what they call the "reading room." I interacted with the ED doctors, the urologists, surgeons, OB, and everyone in between that might order radiology exams and/or procedures. And in the seven years I worked in that last role, I can count one hand, the number of positive interactions I had with doctors.
In those radiology groups (which consisted of somewhere between 30-50 doctors, so say around 70 doctors total) only one was not a nepo-baby. These were all individuals who grew up with maids and servants and when you are waiting for a doctor, they are making plans to fly to England on the weekend to catch a Premiere League game and then fly back home. One doctor I worked with did this almost weekly.
The lack of empathy and concern, not to mention the constant discussion on how to get higher billings and how to code things so they bring more money into their practices were daily conversations. I watched physicians who hadn't performed procedures since med school, do a quick YouTube watch and then go perform one. One particular situation, I saw the guy leave the procedure room multiple times to watch a few minutes of the video on YouTube and then go back and do that part, before running back to the reading room to watch some more. He was practicing medicine the same way I watch YouTube videos and work on my car.
You might think this is some rural hospital, but no, this is a major hospital system in my State with several large hospitals and probably hundreds of affiliated doctor offices.
So, you might be thinking, Brandon's its a fuckin TV show, get over it, and you are right. In fact, thats what prompted me to write this. Why does it piss me off to see good doctors portrayed on TV? Well, I believe the answer is I'm just disappointed. I grew up admiring doctors and thinking the best of them, and I was in for a rude awakening not long after high school when I began working in an emergency department. I had hoped it would be better as the years went by, but it never was. I didn't see the ethical, honorable people who actually cared for your health in real life, and I think that disappointment is what makes it so hard for me to sit there and see it represented on TV.
I loved working in healthcare. I loved helping people and I was good at it, but at the end of the day, I walked away because of the treatment myself and others received from the physicians.
Obviously, my experience is not the be all, end all. I'm sure there are some great doctors out there that do care. I just spend a decade working alongside them and with them, and I never once met one.