
The Pitt, The White Lotus, and Severance have people talking about TV again. A writer from The Pitt and Vulture's Kathryn VanArendonk explain why. This episode was produced by Hady Mawajdeh, edited by Miranda Kennedy, fact checked by Miles Bryan, engineered by Patrick Boyd, and hosted by Sean Rameswaram. Transcript at vox.com/today-explained-podcast Support Today, Explained by becoming a Vox Member today: http://www.vox.com/members A scene from the medical drama The Pitt. Photograph by Warrick Page/Max via HBO. Learn more about your ad choices. Visit podcastchoices.com/adchoices
Chapter 1: What is 'Water Cooler TV' and why is it making a comeback?
Remember the global COVID-19 pandemic? All of a sudden, everyone had to stay home and people didn't really know what to do. So they started watching TV, lots of TV. And we talked about all the TV we were watching. Not since way back then have more people been asking me about the TV I'm watching. Like, my dude, are you watching The Pit? Don't you have to know basic anatomy to become a doctor?
He's a student doctor. Did you see that White Lotus monologue? Maybe what I really want is to be one of these Asian girls. Severance. Have you ever heard the story of the Gluckshupen?
Uh, let's assume we haven't.
Something's afoot with all these seemingly unrelated television programs.
Chapter 2: What makes the shows The Pit, White Lotus, and Severance connected?
Yes, they actually have one very, very important thing in common that has directly to do with what you are saying, which is that they are released weekly.
Water Cooler TV is back on Today Explained.
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Megan Rapinoe here. This week on A Touch More, we are launching our much-anticipated book club, and we're doing it with Abby Wambach and Glennon Doyle, who will introduce their upcoming book, We Can Do Hard Things, Answers to Life's 20 Questions. Plus, we've got some fun and important updates from The W and the NWSL, and of course, we've got a new Are You a Megan or Are You a Sue?
Check out the latest episode of A Touch More wherever you get your podcasts and on YouTube.
You're listening to Today Explained. All right, so TV's got people talking again, and one of the shows they're talking about is The Pit. And if we're going to talk about The Pit, we got to talk about ER.
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Chapter 3: Who is Joe Sachs and how did ER influence medical dramas?
I'm Joe Sachs. I am an executive producer, writer, and also a real-world emergency physician. I came in halfway through the first season of ER and stayed for 14 and a half years.
For people in our audience who maybe weren't even alive in 1994, can you just help people understand how big a deal ER was and why?
Yeah, you know, back in the day, there was no streaming. There was no YouTube. Basically, there were four television networks. There was NBC, CBS, ABC, and Fox. So after I came on the show, there was a milestone.
One man's defining moment. Over 48 million people experienced it.
the show got a 50 share. That means that 50% of all televisions in America that were on were watching ER. So, you know, right now a big hit show that's two or 3% of the American public is watching you. And it was really the classic water cooler show.
And what's fascinating about the pit is that I've heard so many stories and so many online postings from people who say that on Friday morning, everybody's talking about the pit in the office.
Joe had half the TV-watching country eating out the palm of his hand in the 90s, a feat that's basically impossible to pull off now unless you're the Super Bowl. So we asked him why he wanted to return to the medical drama with The Pit.
Well, after ER, I didn't have a strong desire to work on a medical show. And in fact, I worked for 10 years on a crime show. When John Wells, Noah Wiley, and Scott Gemmel first called me in to pitch the show, they said, well, what's changed? What's different? And my answer was everything. And I said... After COVID, you wouldn't recognize the place. There's this thing called the boarding crisis.
Most of the beds and all the hallway spaces are taken up by patients who can't go upstairs to be admitted because they don't have the nursing staff. They don't have the beds. The waiting room is filled to the brim, and you have to try to practice medicine from the waiting room. So people are angry. People are frustrated. Waits are long.
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Chapter 4: Why is The Pit set in a post-COVID emergency room and what's the boarding crisis?
And in order to tell this story of what it's like to be an emergency medicine physician in 2025-ish, you guys decide to tell this show in this continuous fashion where every episode is picking up exactly where the last episode left off, depicting the course of one long, chaotic, gnarly shift. Yeah. at one hospital.
Yes. How can we make the show different from anything you've seen before? And that's to do a 12-hour shift in 12 hours where every episode is an hour of the same day.
I wanted to ask you about that. It's funny, you know, I'm used to shows on HBO being six episodes, eight episodes, ten episodes. I just watch Adolescence. It's four episodes. This show is 15 hours, which, it's HBO, it's Max or whatever, but it feels kind of like old-school network television where there's a lot of episodes.
Yeah, and the powers that be at... HBO max decided that they wanted this show to be unique from what people are used to seeing the seven or eight hours and 12 just wasn't enough. So they wanted 15 to say, wow, here's a streaming show that can give you 50 in a year. And, um, And one of the reasons we can do 15 in a year is because we're in the same place, same set. We don't go out on location.
We don't go home with people to see their personal lives. So we are literally in this submarine for 15 hours. And that saves you a lot of time and money with location work and sets and costumes because everybody is wearing the same thing for the whole... The whole run, except for Whitaker, of course, who gets bodily fluids on his scrubs every now and then.
Oh, do something, man. I need a little help here. Jesus.
No. Were you nervous that the amount of stress in this hospital, in this emergency room, in this sort of like tight 15-hour period would overstress your audience out and they might get scared off? Were you at all nervous about that?
I honestly had no idea. how the public was going to respond to our show. I just wanted to do it as realistically and as accurate as possible. And that was the bar that I sat for the medicine, but what a delightful surprise to see that people responded in a way to seeing what we worked so hard to create.
How did people respond?
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Chapter 5: How does The Pit's continuous 15-hour shift format differ from other shows?
The show's also pretty gnarly at times. I mean, if you're like, you know, faint of heart, there's this floating face moment early in the show where I was just like, I mean, the noises that come out of me while I'm watching the show are pretty hilarious, I imagine. Yeah. The skinless foot, I think in the first episode, there's like a needle in the heart.
Was there stuff that didn't make it because it was too gnarly or did you guys just go for it?
Not so far. No, no, no. The first episode, the degloved, fractured, dislocated foot.
Train ran over her foot. Got caught between the platform and the incoming train.
Ma'am? Ma'am, what's your name?
Came about by the writer's room looking to me and saying, what would make a young medical student faint?
An artery is totally transected. The smooth muscle in the tunica media contracts with hemostasis.
But if it's a partial cut, get out your umbrella.
I'll stabilize the need for the reduction. Dr. Langdon will be distracting distally before moving medially to clear the tibia. Ready?
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Chapter 6: How have audiences and medical professionals responded to The Pit's realism?
And on other medical shows and on ER, you know, we open chests and we put in chest tubes and we put tubes in every orifice and this and that. But the degloved, fractured, dislocated ankle was a case that I had actually had as an emergency physician. And when I pitched it to the room, all the eyes lit up and they all said, that's it.
So, what are you going to show us that we haven't seen before in season two? Stay tuned.
Joe Sachs is an executive producer and writer on The Pit, which had its season finale last night on Max, which means you can binge the whole thing over the weekend now and maybe still catch the tail end of some of that water cooler conversation that we are going to be talking about when we return on Today Explained.
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The regular season's in the rearview, and now it's time for the games that matter the most. This is Kenny Beecham, and playoff basketball is finally here. On Small Ball, we're diving deeper to every series, every crunch time finish, every coaching adjustment that can make or break a championship run. Who's building for a 16-win marathon? Which superstar will submit their legacy?
And which role player is about to become a household name? With so many fascinating first-round matchups, will the West be the bloodbath we anticipate? Will the East be as predictable as we think? Can the Celtics defend their title? Can Steph Curry, LeBron James, Kawhi Leonard push the young teams at the top?
I'll be bringing the expertise, the passion, the genuine opinion you need for the most exciting time of the NBA calendar. Small Ball is your essential companion for the NBA postseason. Join me, Kenny Beecham, for new episodes of Small Ball throughout the playoffs. Don't miss Small Ball with Kenny Beecham. New episodes drop in through the playoffs.
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Chapter 7: What are some of the most intense medical scenes in The Pit and how are they created?
Available on YouTube and wherever you get your podcasts.
Scalpel.
Scalpel.
Suction.
Suction.
Today. Today.
Explained.
Explained.
My name is Catherine Van Arendonk, and I'm a critic at Vulture and New York Magazine.
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Chapter 8: Where can listeners binge The Pit and continue following the water cooler conversation?
No, there are hundreds, thousands. You could be buried underneath them. There are so many medical shows right now. It's wild.
What are the big ones that we maybe don't know of yet?
Well, so a lot of these live on network television. And if you have only ever been watching Netflix or Max in the last couple years, but you're like, I need more doctors. Where are all the doctors? They're on network TV. They've always been. They've never left. But now there are all these other options. There is one called Watson on CBS, and that one is your more detective-y kind of medical drama.
Not a lot of blood, not a lot of guts, a lot of people staring at a board and being like, what if it's this genetic mystery? That's the vibe of Watson. There's a truly bonkers one called Doc that's on Fox. And the premise of Doc, roughly, is that the main character suffered a traumatic brain injury and does not remember the last eight years, but does still remember mostly how to be a doctor.
And so she's just wandering around the hospital, like, being a doctor, even though she's also, you know, not fully compos mentis. But... The other great thing about Doc is that it turns out eight years ago, she was a jerk. And now she's nice. So she's trying to understand everything that happened to her in the last eight years to turn her into a jerk. That show's crazy.
You're really selling me on Doc.
Look, there's a lot of options for people. If you prefer your medical dramas to be not in English, there's also Berlin ER on Apple TV Plus that's quite good. And like The Pit, that's kind of the vibe of Berlin ER. But if you're like not that kind of not in English, there are also several Korean, new Korean medical shows on Netflix, too. So again, you're hurting for choice, really.
And you didn't even mention the one I have heard of, which is Dr. Odyssey.
Dr. Odyssey is the new Ryan Murphy show on ABC. And in that, Joshua Jackson is a super hot daddy doctor. And he wears pristine white uniforms and yet somehow cares for people's blood and other liquids. And there's threesomes. Like, that's kind of the vibe of that show. Oh!
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