Or alternatively titled: Why I Don’t Watch TV.
Nearly every medical show irritates the piss out of me. That’s why I can’t watch those shows.
Chicago Med doesn’t appear to have any nurses- the doctors do everything.
I saw one show where there was a car accident near the hospital and the doctors ran down the street to the scene, snatched the extrication tools from the firefighters’ hands, and extricated the patient from the car.
This is how it works-
- the patient comes in and is triaged by the nursing triage team.
- The patient is taken to an ED bed. The nurse assigned to that bed conducts the initial assessment and orders some basic tests, and maybe even a few medications.
- The doctor reviews the patient’s chart and orders some additional tests and more medicine.
- Then we wait for the results if testing and imaging
- More medications are ordered and the patient is either admitted or discharged
The doctor may appear to see the patient at any point in this process, or may not. There are times when the patient may not even see the doctor until hours after they arrived. It doesn’t mean that the provider isn’t evaluating you- it means that some maladies don’t require him to physically be in the room for most of it.
Not so on TV. On television, the doctors are waiting outside for the ambulance, then they run into the ED with the patient, frantically shouting orders. People see this, and when they come into the hospital are shocked and angered that it doesn’t work like that.
I get at least one patient each day who asks: “So when is the doctor going to come see me? I’ve been waiting for an hour.” In reality, the doctor and I have been in constant contact, you have an IV, blood has been drawn, a CT scan was ordered and done, you have received three or four medications, and we are awaiting the results of all of that testing. It’s remarkably efficient, fast, and maximizes the wise use of everyone’s time.
Even shows about EMS and firefighters is nothing close to reality. I once watched a show where a paramedic needed to deliver a shock to a patient in cardiac arrest, but the patient was lying in a puddle of water. He then placed the paddles on the patient’s chest (paddles are largely a relic of the past) did a handstand on those paddles to get out of the water, and shocked the patient.
I can’t tell you how many times someone has said to me: “Why aren’t you doing X? It always works on Greys Anatomy/Chicago Fire/Rescue 911.” People watch this stuff and think that it’s a documentary.
The few times that my wife tried to get me to watch shows that cover topics in which I have some knowledge, I spent the entire time rolling my eyes and making comments. She doesn’t watch them while I am around any more.
The only thing that all of those shows get right is that there are tons of people who work together that are having romantic affairs. Every hospital seems to have a doctor or two who enjoys diddling the nursing staff, and there are plenty of young nurses fresh out of school who think that they are going to bag themselves a doctor husband, not realizing that they are the fourth or fifth nurse he has bedded this year.
At this point, I just assume that every show on TV is BS. Then there are the people who Google their symptoms or malady and want to know why we aren’t doing what Google recommends, but that is another topic entirely.

