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Medical commentary: TV medical dramas mirror real medicine — not in facts, but in feelings

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As a doctor, I’m constantly asked by non-medical friends: “Are those TV medical shows realistic?”

For years, I’d roll my eyes at the over-the-top emergencies, the soap-opera romances, and the instant, miraculous diagnoses. But lately, I’ve found myself answering yes. At least, in ways that matter most.

We’re living in a golden age of medicine: AI-assisted diagnostics, gene-editing breakthroughs and virtual care that connects patients to specialists across the country. But we’re also in a golden age of medical television. And oddly enough, some of the most honest portrayals of health care today are showing up in our watch lists.

Shows like "The Pitt," "Doc" and the still-running "Grey’s Anatomy" have moved beyond formulaic scripts. They now portray the emotional truths, ethical dilemmas and systemic frustrations that providers face every day.

Take "The Pitt," for example. Each episode captures a single hour of an ER shift in real time. One complicated delivery had me so tense I nearly poured myself a whiskey — something I’ve never done after an actual call shift. My wife, a nurse, and I sat glued to the screen. We were riveted. Triggered. And somehow — seen.

Even historical dramas like "Call the Midwife" offer modern insight. Set in 1960s London, the show confronts issues like measles outbreaks, reproductive rights, and the slow grind of public health work. These stories echo today’s headlines, dressed in period costumes.

Sure, there’s still plenty of drama. But what today’s best medical shows increasingly get right is how it feels to work in health care: the exhaustion, the heartbreak, the moments of grace and small victories within flawed systems.

So why, after a day in the real hospital, do I still tune in to a fictional one? Because now TV medicine mirrors real medicine — not in the facts, but in the feelings. And when it gets too intense? Unlike real life, I don’t have to chart, consult or resuscitate.

I can just change the channel.

More medical commentaries from Dr. Joseph Sirven

Dr. Joseph "Joe" Sirven is a professor of neurology and chairman emeritus of the Department of Neurology at the Mayo Clinic in Arizona and past editor-in-chief of epilepsy.com.