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Like a man who pee pees sitting down, I often look away when the show gets gory.

My biggest "knock" on (reservation about?) The Pitt is that it feels like a show designed to compete with phones. Since every episode juggles 8 cases, every salient moment in every case gets its 60 seconds of screentime before the show cuts to the next case to keep me interested. That's not a new strategy in American film and television storytelling, but it feels even more intense when I'm watching The Pitt.
I think you're wildly underestimating the length of those "60 seconds." The Pitt employs approximately zero non-diegetic soundtrack and a lot of pretty long takes without any cuts -- those are not the strategies of a show that's trying to appeal to short-form content consumers, even if you're flipping between a lot of different cases at once. rather than allowing the viewer to pay half attention because nothing on screen really matters, it's trying to get you to pay full attention because everything matters, the way the doctors have to commit the whole of their faculties to every patient they see - split time can't mean split effort.
 
Doctors and nurses who work in emergency departments say The Pitt is the most accurate depiction of the ER they have seen on TV.
Yes, my nurse daughter says the same.

They have actual doctors on staff to help the writers.

And the nurse that was taken away by the ICE agents, is a real ER nurse at his day job.
 
I think you're wildly underestimating the length of those "60 seconds." The Pitt employs approximately zero non-diegetic soundtrack and a lot of pretty long takes without any cuts -- those are not the strategies of a show that's trying to appeal to short-form content consumers, even if you're flipping between a lot of different cases at once. rather than allowing the viewer to pay half attention because nothing on screen really matters, it's trying to get you to pay full attention because everything matters, the way the doctors have to commit the whole of their faculties to every patient they see - split time can't mean split effort.
Good observations, and for my part a discussion of The Pitt centering on its pace of storytelling, or much worse something called "misery porn" is not interesting or on target at all. I'll come back to the latter notion shortly...

The Pitt has as its primary raison d'être confronting an audience with what it has not seen and would for separate reasons look away from in the real world. This is exactly the kind of thing great art does and should do in search of meaning and importance. Narrative functions akin to a large set of short stories (probably 40 or 50, total) each of which confronts us with either forced horrifying and or moral decisions "on the fly" that grab our arm and take us into a separate world for us look at. The moral part of most value is bringing us face to face with the money --and money making-- part of living and suffering and dying that is mostly unique (in the civilized world) in the nightmare of American health care.

To touch on melodrama for a moment, this is often, in the modern world, seen reflexively as negative, meaning happy endings that ingratiate themselves with an audience in a phony or too-easy manner, and it's of course something great artists like Cormac McCarthy and Stanley Kubrick eschewed consistently. The general audience embraces it as escape, like say in The Shawshank Redemption. But a happy ending, of whatever sort is not inherently an artistic problem if it is earned in a realistic way that does not deny the real world, or hide from it. With all those Pitt stories, specific, narrow to patients, and character arcs broader in whole series scope (like Dr. Robbie), there was some melodrama that did not seem overly forced, and often quite real. This is what I meant above when I said the emotions of the finale of The Pitt were earned. They did not strike me as a pacifier or piece of candy for the audience, they seemed real as an outcome of actual emotional struggle.

I don't think The Pitt is anything all-time, in this modern age of prestige TV shows, but it was quite good, very well worth the time, as I have detailed above.

Back to misery, of whatever value in a narrative. It's "porn" in something like Salo, for reasons, but let's not digress there. Please. Here, this is something, of an opposite world kind, to what I said about melodrama. Is it real, is it "earned?" Do I need it to better understand the actual world I live in? Some people want to run from it in art, and that is fine (for them, possibly). The harshest thing I have ever experienced in art is in the film The Grey Zone (an actual confrontation with the Holocaust, like Schindler's List is not), and then quite possibly last year's Warfare, which both were deeply disturbing to me. Both have the value, far deeper than shock, of showing me the real world, and a true degree of real human suffering. When I think of rejecting the experience of reality in these cases, because it's "hard on me," that selfish thought is exploded rapidly, because I think, wait, real human beings went through these things--the least measly me can do is watch it portrayed with honesty. So that is a real, but far lesser value of The Pitt, because we have not been shown this reality before.
 
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