Noah Wyle, Star Of 'The Pitt'

Summary

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Fresh Air: Noah Wyle, Star of 'The Pit'

Air Date: September 5, 2025
Host: Terry Gross
Guest: Noah Wyle (Actor, Executive Producer, Writer)
Episode Focus: A deep dive into HBO Max's medical drama "The Pit," Noah Wyle's career and creative approach, realistic portrayals of emergency medicine, and the show's social resonance in a post-COVID era.

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Overview

This episode of Fresh Air features a candid and insightful conversation with Noah Wyle, acclaimed actor, executive producer, and writer of the Emmy-nominated HBO Max series "The Pit." Host Terry Gross and Wyle discuss the creative genesis, production challenges, and social themes of the series, which explores the relentless pressures and human drama of a contemporary urban emergency room. The episode also touches on Wyle's influential run on “ER,” his activism, and the psychological toll—and rewards—of depicting medical professionals on screen.

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Key Discussion Points & Insights

1. Character and Series Origins

• Returning to Medical Drama
  • Wyle plays Dr. Michael Rabinovich (“Dr. Rabi”), a grizzled, deeply experienced senior attending in a Pittsburgh ER who “probably should have retired a couple years ago,” but is compelled to keep working post-COVID out of a deep sense of duty and care.

    “Because he's really good at what he does and he really cares about the people he works with, he's kept working and it's taken a toll on him.” — Noah Wyle [02:21]

  • The show covers a single, high-stakes day over its 15 episodes, unfolding in real time—an intentional departure from standard medical dramas and from “ER.”
• Casting Philosophy
  • Young ensemble cast, mostly unknowns with strong theater backgrounds, cast internationally.

    “I knew early on that I was going to be a Trojan horse that was going to introduce all this young talent to your living room.” — Noah Wyle [03:10]

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2. Realism and Medical Authenticity

• Technical Advisors and Realistic Jargon
  • Dr. Joe Sacks, ER physician, served as technical advisor and writer (also worked on "ER"). Doctor-patient banter and procedures crafted for maximal realism.
  • Deliberately left out a traditional musical score to let the procedural sounds and medical jargon create the show’s “soundtrack.”

    “It’s really less important that the audience understands and more important that the audience sees that the doctors know what they're talking about. It's competency porn.” — Noah Wyle [06:48]

• Challenging Rehearsals
  • Medical scenes rehearsed extensively, with overlapping dialogue to capture ER chaos.

    “The rehearsals are extensive, especially for the medical scenes. We often rehearse those 24 hours in advance...” — Noah Wyle [07:54]

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3. COVID, Trauma, and Inspiration

• Show’s Genesis during COVID
  • Letters from real-life medical professionals inspired Wyle to revisit hospital drama, appreciating how "ER" inspired a medical generation.

    “Outside of the birth of my kids, this is probably the best thing I ever did with my life, because we inspired a generation of practitioners to go into the work that is saving lives right now.” — Noah Wyle [08:54]

• Depicting PTSD
  • Dr. Rabi’s arc: Confronting suppressed grief and trauma linked to pandemic losses.
    • The show’s single day is the anniversary of losing his mentor during COVID.

    “The aggregate of all that grief and all of that suppressed emotion just overwhelms him.” — Noah Wyle [17:48]

  • Real-life parallel: Wyle's mother, a former OR nurse, had her own cathartic reaction to a scene.

    “That’s 35 years it’s been in there. Came out last Sunday.” — Noah Wyle [19:56]

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4. Emotional Honesty & Tough Decisions

• Conversations with Families
  • Show devotes slow-burn hours to ethical dilemmas, such as DNR decisions or organ donation, rather than wrapping them up in a single episode.

    “When you can have these things arc over several hours, it feels like you can kind of walk through those five stages of grief with these characters.” — Noah Wyle [15:58]

• Debriefing After Trauma
  • A staff’s emotional regroup after a child’s death; Wyle wrote a poignant scene based on real ER debrief techniques.

    “That’s as hard as it gets. We do these debriefs to try to give a sense of closure, meaning to difficult cases so that they won’t linger. But trust me, the kids you’ll lose will linger.” — Noah Wyle [21:56]

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5. Topical Issues and Social Context

• Culture Wars in the ER
  • The show addresses pandemic-era controversies: mask resistance, vaccine skepticism, and the rising public distrust of medicine.

    “It’s a great sort of metaphor for all the distrust that’s been seeded between us and our doctors. And it’s really, I think, incredibly unfortunate.” — Noah Wyle [23:43]

• Pittsburgh Setting and Local Color
  • Embraces its setting via specific references (Primanti sandwiches, local dialect), giving authenticity and a sense of place.

    “I’ve gotten some mail from Philly that didn’t appreciate it. I meant it as sort of a compliment…almost an homage to Philly to say it’s the tougher of the two.” — Noah Wyle [25:56]

• Highlighting Freedom House Ambulance
  • Incorporates little-known Black history: the first 911 ambulance service created by and for Pittsburgh’s Black communities.

    “It was the very first ambulance service, the very first 911 system in the country. It was incredibly successful…All those original drivers lost their jobs…We brought in a patient who was depicting a guy who had been one of the original drivers.” — Noah Wyle [26:41]

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6. The Professional and the Personal

• On-Set Dynamics
  • Wyle intentionally mirrored hierarchical hospital structure on set: residents and med students trained (and even ate) in separate groups to foster realism.

    “It set a kind of hierarchical tone…there was a lot of meta energy where everybody was sort of playing the dynamics that were present and just sort of heightening them a little bit.” — Noah Wyle [12:15]

• Efforts Toward Egalitarianism
  • Tried to foster a “company” atmosphere, breaking down barriers between cast, background, and crew.
• Career Path
  • Credited ER co-stars (Clooney, Edwards, LaSalle) as mentors.

    “They were all 10 years older than I was and really took me under their wing like big brothers to a certain extent…” — Noah Wyle [33:00]

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7. Advocacy and Activism

• Charity Work
  • Described selective approach to causes; highlighted work with Doctors of the World and Human Rights Watch, including time spent in Kosovo/Macedonia refugee camps during the war.

    “…I saw in that moment the medical, psychological tandem treatment that was having an effect, both treating the body, but also treating the psychological damage of the trauma.” — Noah Wyle [35:18]

• Current Concerns
  • Profound anxiety about current American healthcare’s fragility, practitioner burnout, and anti-scientific sentiment.

    “I can’t express enough how interdependent we are as a population… And yet it just seems like every day the seeds of division are being sowed to greater and greater degrees. And it’s unsustainable.” — Noah Wyle [37:23]

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8. Notable Quotes & Memorable Moments

• On returning to “scrubs”:

  “I spent 15 years avoiding, actively avoiding walking down what I thought was either hallowed ground or traveled road. And then finally I had an opportunity to come back...and just felt right at home.” — Noah Wyle [09:55]

• On the show’s emotional realism:

  “Sometimes, when you only have an hour to tell a story, that feels like extremely hurried work… So when you can have these things kind of arc over several hours, it feels like you can kind of walk through those five stages of grief with these characters.” — Noah Wyle [15:58]

• On the future of healthcare workers:

  “These people won’t let those patients fall between the cracks because that’s who they are, which is why it’s so infuriating to watch them be taken advantage of or worse, take it for granted.” — Noah Wyle [38:17]

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Important Segment Timestamps

• Noah Wyle Introduces Dr. Rabinovich: [02:21]
• Authenticity of ER Jargon & No Soundtrack Approach: [06:48]
• Rehearsing Realistic ER Chaos: [07:54]
• Origin Story: Pandemic-Inspired Show: [08:41]
• Litigation & Show Structure (Real-time Day): [11:06]
• On-Set Dynamics and Medical Bootcamp: [11:40]
• DNR Conversation with Family Clip: [14:14]
• On Playing Grief, PTSD, and Wyle’s Mother’s Story: [17:48], [19:56]
• Staff Debrief after Child’s Death Clip: [21:56]
• Mask & Vaccine Disputes in Modern ERs: [23:43]
• Freedom House Ambulance Storyline: [26:41]
• Organ Donation “Honor Walk” Scene: [28:52]
• Wyle’s Career and Mentorship: [33:00]
• Activism and Global Healthcare Work: [35:18]
• Modern Healthcare Fears and the Future: [37:23]
• Series Renewal & Hopes for The Pit: [38:08]

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Conclusion

This episode offers a rich, behind-the-scenes exploration of a drama that uses authenticity, emotional realism, and topical relevance to redefine what a medical show can do. Wyle’s thoughtful commentary—on everything from set hierarchy to ongoing health care crises—underscores his commitment to both craft and conscience. For fans of medical dramas, contemporary social issues, or Noah Wyle himself, this conversation is both illuminating and affecting.

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Transcript

[Dave Davies]

Immigration raids, masked ICE agents, Operation Patriot. Our podcast here and Now Anytime is.

[Terry Gross]

Looking at Trump's agenda of mass deportation through the eyes of one state.

[Dave Davies]

I'm coming to Boston.

[Terry Gross]

I'm bringing hell with me. Listen to the podcast here and now anytime from NPR and wbur. This is FRESH air. Dave I'm Dave Davies. The HBO Max series the Pit, which portrays the chaos and drama of a big city hospital emergency room, has earned 13 Emmy nominations, including Outstanding Drama Series and lead actor in a drama series for our guest, Noah Wylie. Wiley's also an executive producer and writer of the series, which has drawn critical praise for its engaging storylines, intelligent dialogue and well drawn characters. It's also gained a following of real life emergency room doctors who praise the accuracy of the show's depiction of medical conditions and treatments. Noah Wylie is a veteran of stage, screen and television who's no stranger to lab coats and hospital scrubs. He played a medical student and later a physician on the hit NBC TV series ER for most of its 15 seasons, where he earned nominations for a three Golden Globe and five Primetime Emmy Awards. He starred in the TNT series Falling Skies and the Librarians and appeared in many movies. He's also been active in the organization's Human Rights Watch and Doctors of the World. I spoke to Noah Wylie in April when the Pit was wrapping up its 15 episode run. Production is already underway on a second season, which premieres in January. Noah Wylie, welcome to FRESH air.

[Noah Wylie]

Thank you so much for having me.

[Terry Gross]

You know, I mentioned in the introduction that your character maybe I didn't he's the senior attending physician in this emergency room. And you know, in addition to treating patients, you're really running this big organization and it's a teaching hospital. So while you're an experienced pro, there are all these others who are less experienced, residents in training and medical students on their first day. I believe in their rotations as this thing begins. So there's a lot going on here. Tell us just a little bit more about your character, Dr. Robbie I played.

[Noah Wylie]

Dr. Michael Rabinovich, who is several decades into his medical career and probably should have retired a couple years ago. But like many practitioners post Covid felt pressed into service and out of the increasing need. And because he's really good at what he does and he really cares about the people he works with, he's he's kept working and it's taken a toll on him. He's seen a lot and done a lot and he's been able to compartmentalize a lot of that. And today we are embedded with him for his entire shift on the day that he's no longer able to do that.

[Terry Gross]

Right. And things he runs into some rough seas, you know, he's surrounded by these young medical students. And I don't think I recognize any of the actors in this, but they are just so terrific.

[Noah Wylie]

The casting process was laborious. We were looking for people with theater backgrounds, people who were really adep at memorizing lots and lots of dialogue. Very good with props. We could do all sorts of things while doing a procedure and walking backwards. And we had to cast the show internationally. We, we found actors in Australia, we found them in England, we found them on the east coast, west coast. But we found tremendous performers. So while you haven't seen them before, I knew early on that I was going to be a Trojan horse that was going to introduce all this young talent to your living room.

[Terry Gross]

And they're great. Well, let's listen to a scene and get a little bit of a flavor of the show. This scene is typical of many where a new patient is being wheeled in by paramedics from an ambulance. And we hear them barking out critical facts as they're rolling them in. And then you hear this 1, 2, 3. As the team coordinates lifting the patient from the ambulance stretcher to a hospital gurney. And then the team gets to work. Let's listen.

[Noah Wylie]

23 year old Ben Kemper. No helmet, got doored, riding an e scooter.

[Terry Gross]

Neck versus handlebar, then faceplanted to the pavement. Obvious facial fractures, but alert and oriented with good vitals.

[Noah Wylie]

Here we go.

[Terry Gross]

1, 2, 3. How we doing, Ben? Fine. Back in my throat.

[Noah Wylie]

That's probably from the nosebleed. Short rapid Rhino, please. Tacky at 120. Pulse ox borderline at 90. Low buy at 15 liters from now.

[Dave Davies]

Neck contusion, larynx shifted to the right.

[Terry Gross]

No crepitance.

[Noah Wylie]

Four of morphine.

[Terry Gross]

I'm gonna stick something in your nose to stop the bleeding. No hemotympanum.

[Noah Wylie]

Inflate the balloon.

[Terry Gross]

How about now, Ben?

[Noah Wylie]

Better.

[Terry Gross]

What's up?

[Noah Wylie]

Good vitals A and O.

[Terry Gross]

Let's have a look. And that's a scene from the pit where our guest Noah Wylie is a star. Awfully intense.

[Noah Wylie]

Tough to get the impact of that clip on radio. But that was a lefort III floating face fracture which when you put your fingers on somebody's teeth and you pull their teeth forward, their entire face comes with it. It's rather dramatic. You don't see it very often in an emergency room.

[Terry Gross]

Right. And you don't see it on the radio, but it is dramatic there. But just the audio, I mean, you can hear the intensity of it. And there's all this medical jargon flying by. I mean, did you know all this STU stuff before you got into the series?

[Noah Wylie]

I knew quite a bit of it. You know, after 15 years on a medical show, you pick up certain things through osmosis. The specifics of what each patient needs when they come in is a total mystery to me. And thankfully, we've got a great team of technical advisors on the writing staff and on the set. Our secret weapon is a man named Dr. Joe Sacks, who is a board certified emergency room physician. He was a technical advisor and a writer on er and he is with us again. And he is meticulous, his attention to detail and he basically does those trauma scenes. He will sort of present what the appropriate medicine and procedures are, what each person in the room's role is, given their hierarchy in the hospital, and even weighing in a little bit on emotionally how they may be feeling given the circumstances and stakes of the case.

[Terry Gross]

Yeah, you know, I watched this series with my wife, who's 25 years as a primary care physician. She gets almost all of it. I get maybe a third of it, but I don't feel like I'm missing much. But I did wonder. You were a writer on the show. I know. I mean, do you think about maybe letting up on some of that or is getting all that in critical to the authenticity of it?

[Noah Wylie]

One of the decisions we made early on was to not employ any soundtrack in the show. And by lifting the music out, we've sort of removed the artifice that says you're watching a TV show and we need you to feel sad here because we're playing strings or exciting here because we're using percussion. We're letting the sort of symphony of the sound of the procedures in the room be arcade. And a lot of that is the technical jargon that the doctors are employing. It becomes the soundtrack in the scene and the intensity with which they're delivering those lines becomes the emotional equivalent of a score. And it's really less important that the audience understands and more important that the audience sees that the doctors know what they're talking about. It's competency porn.

[Terry Gross]

Well, the other thing that's interesting about those scenes is everybody's moving and all of these different actors are barking these observations, and they've got to be careful not to talk over each other so much that you can't hear it. So it's got to be crisply delivered and well mic'd. I imagine this took some pretty meticulous rehearsal.

[Noah Wylie]

The rehearsals are extensive, especially for the medical scenes. We often rehearse those 24 hours in advance of shooting them, so we can come in with it pretty well in our muscles already and then figure out how we want to photograph it on the day we shoot. In terms of how the dialogue is overlapped, that's intentional because that's real. You know, you've got four or five people in the room, all who are working simultaneously, trying to do their own thing and record their own thing in the medical record. So a lot of times the sound is really cacophonous.

[Terry Gross]

The effect is impressive. You know, the origins of this show are interesting. As I understand it, during the pandemic, you began hearing from medical providers and first responders who were dealing with all this high stakes, stressful demand on them. Is that right?

[Noah Wylie]

Yeah, yeah. I was, you know, watching the news, but I was also getting a lot of mail that was coming from first responders, and some of it was, you know, hey, Carter, we could use you out here.

[Terry Gross]

Carter was the character you played on er, right?

[Noah Wylie]

He was, yeah.

[Terry Gross]

Right.

[Noah Wylie]

And a lot of them were sort of thanking me for inspiring him to go into a career in medicine, but also telling me how hard it was at that moment. And I was sort of overwhelmed being a lightning rod for that at that time. And so I pivoted. A lot of that mailed to John Wells, who executive produced ER and said, outside of the birth of my kids, this is probably the best thing I ever did with my life, because we inspired a generation of practitioners to go into the work that is saving lives right now. And then I went on to say that I think something's happening here, and if you ever want to make a show about what's happening here, even though we said we'd never do it again, I might be ready to volunteer. And a couple years later, after we saw how this broke down over socioeconomic lines and racial lines and geographic lines, there was a show to be told here.

[Terry Gross]

What was it like for you to put on scrubs and a lab coat and get back in a hospital setting again after all those years?

[Noah Wylie]

It was wonderful. I think I spent 15 years avoiding, actively avoiding walking down what I thought was either hallowed ground or traveled road. And then finally I had an opportunity, opportunity to come back and was excited about it and slipped a stethoscope around my neck and just felt right at home.

[Terry Gross]

But now you have a beard. I mean, you were a callow young kid when you started that show, and then you were eventually an attending physician. Now you're a guy with a lot of miles on you.

[Noah Wylie]

Yes, yes. Ironically, I'm 20 years older than Anthony Edwards was playing the attending 30 years ago, so that makes me sound ancient.

[Terry Gross]

Right, right. You know, I should just mention, it's been widely reported that there is some litigation around this. The estate of Michael Crichton, who was the creator of er, has sued, alleging that the Pit is an unauthorized reboot of the program. I mean, one of the differences between the two shows is that the Pit is. The entire 15 episodes are one day in the life of this ER. There's an hour, essentially in real time. An hour per episode is one hour of the day. And so you get to see these things develop just over a day. So that's a real distinction.

[Noah Wylie]

Very much so. Different city, different character. We had started down a reboot road, and then it became an impossibility, and so we pivoted as far away from it as we could to come up with a new medical show. I stand by. We have.

[Terry Gross]

You're the lead attending in this emergency room, and in real life, you're also an executive producer and a writer, an experienced actor among a cast which includes a lot of, you know, much younger actors. Were you kind of a coach on the set in the same way you're a medical coach for these people, learning.

[Noah Wylie]

The craft in a way. You know, it's interesting. We started with two weeks of medical boot camp for everybody, myself included, to kick some rust off and to refamiliarize myself with how much has changed in healthcare, but also to bring everybody up to speed with where they needed to be. By the time we rolled the cameras and John Wells, who directed the pilot episode and executive produced, said to me, don't be too nice to him. And then he sort of segregated us where I was off by myself, and I ate lunch by myself, and then the R4s ate together. The R2s and 3s ate together.

[Terry Gross]

That's fourth year residents, second year residents.

[Noah Wylie]

Yeah, second year residents, fourth year residents, and the med students all ate together by themselves, and they all sat behind me. And then when we did our training rotations, the med students learned what med students know, and the R2s learned R2 stuff and so forth. And I kind of walked around and did a little bit of everything, but it set a kind of hierarchical tone and differentiated us enough as performers that when we started working, it carried over. So whether it was a byproduct of the rehearsal or the fact that I am considerably older than the rest of the cast or that I've played a doctor before? Yes, there was a lot of meta energy where everybody was sort of playing the dynamics that were present and just sort of heightening them a little bit.

[Terry Gross]

Was there a wrap party after you finished taping in which those barriers broke down?

[Noah Wylie]

Yeah, to a degree. I mean, I don't stand on ceremony when I work, and I try to create as much of an egalitarian and democratic environment as possible. And so I try to erase numbers on call sheets and I try to erase barriers between foreground and background or cast and crew and try to call the whole thing company and get everybody to buy into the same thing. And. And it's very hard to do that. And it's very rare that you're successful. This one was. The stars aligned beautifully. Everybody just jumped in, which made it a real pleasure.

[Terry Gross]

You know, we listened to a clip earlier that was an intense moment in which a patient is being wheeled in and the staff is immediately getting to work on him. There are a lot of quieter moments in this series where you are dealing with a patient or a relative and have some tough issues to communicate. This is one I want to play now where a man and a woman who are a brother and sister, played here by Rebecca Tilney and Mackenzie Astin, are at the hospital with their elderly father who has pneumonia. The father has left instructions. He does not want to be intubated. And they're talking to you as Dr. Rabi about it. Dr. Rabi speaks first. Let's listen.

[Noah Wylie]

Either his pneumonia is getting worse or his heart couldn't handle the fluids that we gave him to treat the sepsis. His lungs are filling up with fluid. Can't you take the fluid away? Not without his blood pressure crashing with very bad concentration. So let's just hope the BiPAP works. And if it doesn't, then I would need to know your decision about using a breathing machine. We're still talking about it. Well, we know he expressed his wishes in writing. Do not intubate. We're thinking try it for a week. That would be a very painful week. He wouldn't get a lot of rest with all the monitors and all the blood tests. He might need to be sedated. He might need to be restrained because he'd be in an unfamiliar place with a very uncomfortable tube down his throat, and he wouldn't really know what was happening. Elderly patients can often develop psychosis.

[Terry Gross]

But he might get better or he might get worse.

[Noah Wylie]

What would you do? I really can't answer that for you. This is your father. That's your decision to make. I can guarantee you that we will keep him as comfortable as possible if a natural death is what you choose.

[Terry Gross]

But he's not your father, and he can recover from.

[Noah Wylie]

What my sister means is that we're still deciding the best thing to do. Well, the sooner you decide, the better. I'm really sorry. I wish there was more that I could do. I'm not sure that he has that much time left.

[Terry Gross]

And that is our guest, Noah Wylie, in a scene from the Pit, which is now streaming on Max. There are a lot of these scenes where you're dealing with loved ones who just can't accept what's happening. There's another one, two parents who just can't accept the fact that their son who came in with a fentanyl overdose, is brain dead. You want to just say a little bit about preparing for these scenes.

[Noah Wylie]

Well, first of all, it's really gratifying to be able to play a storyline over several episodes so that you can watch the gradation of acceptance and watch the different methods and strategies that practitioners use to help families prepare. And sometimes, when you only have an hour to tell a story, that has to have a beginning, a middle, and an end, that feels like extremely hurried work and oftentimes feels disingenuous or inauthentic to the process. So when you can have these things kind of arc over several hours, it feels like you can kind of walk through those five stages of grief with these characters. When we prepare for them, there's a lot of conversation about tone and about specificity of point of view. In this particular instance, we have a brother and a sister who have very different reasons for wanting to keep their father alive that have an emotional core to them that gets revealed in subsequent episodes. So you want everybody in these scenes to have a real point of view that's legitimate to who they are. And then when those three truths come out and they are in conflict with each other, as they often are, that makes for good drama.

[Terry Gross]

The other thing that's happening in this story with your character is, you know, I mentioned before that, but this series, kind of the germ of it began during COVID when you were hearing from first responders and the crises they were facing. And in the show, your character, Dr. Robbie, during COVID lost a mentor, another doctor. And I believe this day that is the focus of the series is the anniversary of his death. Right. I think we learned that early on. And then you want to just talk a bit about how his flashbacks, his ptsd, if you will, is portrayed in the show.

[Noah Wylie]

This is the five year anniversary of him taking his mentor off life support, which during the height of COVID you know, he had to be put on. And then ultimately in our backstory, he had to be taken off the life support to give it to another patient who had a better chance of survival. And then everybody died. And it was a traumatic memory that my character has just not really ever dealt with. He's moved on and today is a day he probably should have stayed home, but today he went to work. And as a result, he's just getting triggered by different things. And those memories begin to come up with greater and greater frequency and greater and greater poignancy to the point where he becomes totally debilitated by them. And the aggregate of all of that grief and all of that suppressed emotion just overwhelms him. And it was interesting. My mother was an orthopedic nurse and an operating room nurse. She worked for 20 years at a hospital in Hollywood. And she came over for breakfast last Sunday and she came into the kitchen and within five seconds of being there, she said, you know, Noah, I can't stop thinking about last week's episode in that scene where you were listing all the people who died. And I think I had my own PTSD reaction. I suddenly remembered everybody. I remembered the four year old, I remembered the pregnant woman with the baby. I remembered the gang member that I tried to keep alive by squeezing. And she's just listing these names and she's getting teary eyed and she finishes. And I said, my goodness, Mom, I was on a medical show for 15 years. You never told me that. And she said, well, that wasn't real. I said, well, this one wasn't either. And she said, but it felt real and it brought all that up for me. Isn't that funny? And so here I am in my own kitchen having this lovely sort of cathartic and catalytic moment with my mother. And I asked her, I said, the four year old, how, when was that? She said, oh, I think your brother was probably about four at the time. I think that's why it hit me. And then I thought to myself, oh, so you came home and you made us dinner that night and you helped us with our homework. Wow.

[Terry Gross]

And she's carried that painful memory for all these years.

[Noah Wylie]

That's 35 years it's been in there. Came out last Sunday.

[Terry Gross]

Noah Wiley, an executive producer, writer and star of the HBO Max series the Pit. Recorded in April, the series has earned 13 Emmy nominations. We'll hear more of our interview after this short break. And Justin Chang reviews the new film from Darren Aronofsky, who directed Black Swan and the Wrestler. I'm Dave Davies. This is FRESH air.

[Dave Davies]

Life is a mystery for those of faith or no faith.

[Terry Gross]

Ye Gods with Scott Carter is the.

[Dave Davies]

Podcast that makes sense of how we make sense of life. Each week we talk to celebrities, scholars.

[Terry Gross]

And mere mortals to unearth what on.

[Dave Davies]

Earth we believe and what we don't Listen to. Ye Gods with Scott Carter, part of the NPR Network. Wherever you get your podcasts on how.

[Terry Gross]

To do everything, we take your questions.

[Noah Wylie]

And find phenomenal experts to answer them. Because we love you, Elizabeth asked us how do I exercise while I'm in my car?

[Terry Gross]

And because we love Elizabeth, we rang.

[Dave Davies]

Up our favorite bodybuilder turned actor turned governor turned actor.

[Terry Gross]

Hello, Arnold, hello. We're here to talk to you today from npr. Very nice. Season two just dropped. Listen to how to Do Everything from npr. Hey everybody, it's Ian and Mike, the.

[Noah Wylie]

Hosts of how to Do Everything.

[Dave Davies]

That's the show where we take your questions and find overqualified experts to answer them.

[Terry Gross]

Alex asked us to write his out.

[Dave Davies]

Of office email message, but we don't.

[Terry Gross]

Know how to write.

[Dave Davies]

So we called up US Poet Laureate Ada Limon.

[Noah Wylie]

Is this National Public Radio?

[Terry Gross]

Sort of. Technically, yes.

[Noah Wylie]

Season two just dropped.

[Terry Gross]

Listen to the how to Do Everything podcast from npr. Alright, the next clip I wanted to play is a painful moment in the emergency room where a young child has died and in this case she drowned, I think after jumping into a swimming pool to try and save her sister who survived, right?

[Noah Wylie]

Yes.

[Terry Gross]

Right. So after the child dies, you gather the medical students and residents into a room for a moment and let's listen to what you say.

[Noah Wylie]

That's as hard as it gets. We do these debriefs to try to give a sense of closure, meaning to difficult cases so that they won't linger. But trust me, the kids you'll lose will linger. So what do you do? I did my residency at Big Charity in New Orleans and day one I got a kid, five year old boy, accidentally shot by his brother playing with dad's gun, worried he was gonna get in trouble right up until he coded and died. Then I asked myself like, what do I do with this kid? Where do I put this feeling? And I found myself walking all night. I was walking and walking, walking. I found myself back at the gates of Big Charity Cemetery and I'm looking at all those mausoleums and those crypts, and I'm thinking to myself, okay, that's what I need. I just need a safe place where I can put these feelings in patients.

[Terry Gross]

Throwing punches in chairs.

[Noah Wylie]

Uh, okay, everybody, let's get back to it. Just remember, the employee assistance program is available, as are Kiara and myself, if anybody needs to talk.

[Terry Gross]

What an interruption. You wrote this scene, didn't you? This. This was your episode, right?

[Noah Wylie]

Yeah. That was one of the two episodes I wrote.

[Terry Gross]

Your speech about how to overcome a loss like this is interrupted. It's because they say patients are throwing chairs and fists and it turns out to be two women who are fighting because one has. In the waiting room. Yes. One woman has asked another woman to mask her coug child and the other mom calls her a fauci zombie and slugs her. This is one of the many topical issues that you get into in this series which weren't even around in er. I mean, people listened to their doctors. They didn't, you know, resist vaccines and masks.

[Noah Wylie]

Then, you know, we had a bit of a mandate. Let's not be too biased. You know, the fastest way to get people to turn the channel is if they feel like we're preaching to them or we're being dogmatic. So what we wanted was accuracy and realism. We wanted to just be presentational with what emergency rooms look like. I wrote that episode and I couldn't resist just taking one stance, which I thought was fairly benign, which is to talk about the efficacy of masks in cutting down the transmission of disease and germs, which shouldn't be a political statement and shouldn't even be called into question. And yet it has been the last couple of years. And it's a great sort of metaphor for. For all the distrust that's been seeded between us and our doctors. And it's really, I think, incredibly unfortunate. And I don't know if by the time this airs how much worse the situation is going to get, but there was so 20% of the NIH was just laid off. We're going to be seeing the tail of that decision making for years and years and years to come.

[Terry Gross]

Yeah. And you do have an episode later about a measles outbreak.

[Noah Wylie]

Well, that was. What was so funny, is we wrote these episodes almost a year ago. And so when we did a storyline about neurocystic circosis, we had no idea that RFK Jr. Was going to be diagnosed with neurocystic circosis. Nor did we think, when we did a measles storyline that it was going to be as topical as it is right now. Nine months ago it wasn't. But it wasn't hard to look into your crystal ball and see what was going to happen if vaccine rates continued to drop. And we live with an international community that travels all the time like we are as vulnerable as the next incoming flight.

[Terry Gross]

You know, one of the things that I like about the show is that it is set in a real place. It's in Pittsburgh and we're in Philadelphia. I've traveled around Pennsylvania a bit, and if you listen carefully, you can hear a lot of Pittsburgh stuff. I mean, Primonti sandwiches, which is a thing there. And when the charge nurse breaks up this fight between the two women, there's this moment where she says, what are you doing? What are you doing? Where do you think you are? This ain't Philly. It's a hospital. I really appreciated that.

[Noah Wylie]

Oh, I'm glad I've gotten some mail from Philly that didn't appreciate it. I meant it as sort of a compliment because when I grew up, I grew up, I'm from la and you know, when the Lakers would play the Sixers or when I would see Rocky or the Broad street bullies, like, you guys were tough. They were tough.

[Terry Gross]

Yes.

[Noah Wylie]

So I just thought that's almost an homage to Philly to say it's the tougher of the two.

[Terry Gross]

One of the interesting storylines in the pit involved the Freedom House Ambulance Service, which had been established by a group of black men in Pittsburgh. I believe it's really the first kind of 911ambulance services in the nation. And one of the patients, I guess, is a veteran of that. You want to tell us how that got into the story?

[Noah Wylie]

Well, it actually circles back to what you mentioned before about trying to put as many details about Pittsburgh into the show. And in doing our Pittsburgh research, we came across this incredible story that is now starting to get told about the Freedom House Ambulance Service, which was a program started by Dr. Safer, who invented CPR, where he recognized that up until that point, if you lived in any neighborhood and you needed to go to the hospital, you had to call the police. The police would come and pick you up and you went into a paddy wagon and they took you to the hospital. But if you lived in the black neighborhood, that didn't happen. So the mortality rate in the black neighborhoods was just terrible in the late 50s and early 60s. And so this was an attempt to train high school, college age young black men in life saving techniques for the first time, deploy them in the field with that training and ambulances that could go to these neighborhoods and pick up people and bring them back. And it was the very first ambulance service, the very first 911 system in the country. It was incredibly successful. The mortality rate dropped considerably. And it got the attention of all of the city fathers who looked at this and thought, my goodness, what a great program. We should fire all these young men, replace them with white drivers and make this a national standard, which is what happened. And all those original drivers lost their jobs. Some of them stayed in healthcare and worked in healthcare. And I actually got to meet a couple of the surviving members when I was in Pittsburgh a couple weeks ago. And so we brought in a patient who was depicting a guy who had been one of the original drivers. So we could just shed a little.

[Terry Gross]

Light on the you know, one of the other things that you see in in the series depicted is and I think this was the kid who died with of the fentol overdose. And the parents, once they come to terms with the fact that he is brain dead, agree to let him become a an organ donor. And then when he's wheeled out, when the when the son is wheeled out to start his journey, the whole staff line up in honor of this contribution. It's an honor walk, I guess is what you call it, right?

[Noah Wylie]

Yes.

[Terry Gross]

That's a real thing, right?

[Noah Wylie]

That is a real and I've seen films of it done, and it's just as moving as we depicted it, if not more so in real life. It's really beautiful.

[Terry Gross]

Noah Wylie is an executive producer, writer and star of the HBO Max series the Pit. We'll hear more of our interview after this short break. This is FRESH air.

[Noah Wylie]

This message comes from NPR sponsor Shopify. Start selling with Shopify today. Whether you're a garage entrepreneur or IPO ready, Shopify is the only tool you need to start, run and grow your business with without the struggle. Go to shopify.com npr if you're a.

[Terry Gross]

Robot, this might not be the show for you. But if you're a human with hopes, dreams and bills to pay, the Life Kit podcast might be just what you need. Three times a week, Life Kit brings you a fresh set of solutions to help you tackle topics big and small, from how to save money on groceries to how to bring the house down at karaoke. You know, human stuff. Listen to the LifeKit podcast from NPR presentado por mi Mariel Segarra. Sources and methods, the crown jewels of the intelligence community. Shorthand for how do we know what's real. Who told us? If you have those answers, you're on the inside and NPR wants to bring you there. From the Pentagon to the State Department to spy agencies, Listen to understand what's really happening and what it means for you. Sources and methods. The new National Security Podcast from npr, talk a little bit about your own life. You grew up in Los Angeles. Right. Your mom was an orthopedic head nurse, and you said an or nurse, too. Right. You had two siblings, and then I guess your parents divorced when you were pretty young and both remarried and had other kids. So it was a.

[Noah Wylie]

This is where the tree gets very fuzzy. I understand.

[Terry Gross]

A lot of people. What was your childhood like? What kind of kid were you?

[Noah Wylie]

Eclectic. You know, I'm one of seven children spread over a couple of marriages at the most. We had six under one roof sharing a bathro. That's a lot of kids at the table. That's a lot of vying for attention. We had all sorts of, you know, we've had academics, we've had athletes. And I was trying to find my identity in the midst of all that, and I ended up the storyteller.

[Terry Gross]

Right. You went to a private school about 100 miles away from LA, I gather, and got interested in theater there.

[Noah Wylie]

I did. I went to a boarding school, the oldest boarding school in California, a school called the Thatcher school, founded in 1889. And when I was there my sophomore year, I auditioned for a play, kind of as a joke, intentionally to go and kind of make fun of the process, and ended up getting cast. And I just took to it. I enjoyed the process more than that. I enjoyed somebody telling me that I was good at it after the show. And that feeling of being told I was good at something was enough to make me want to continue doing it.

[Terry Gross]

Yeah, performing is fun. Getting praised for it is better.

[Noah Wylie]

Yeah. Also, growing up in Los Angeles, an acting career didn't work. Seem like a foreign concept. You know, I knew that roadmap fairly well, so it all seemed within grasp.

[Terry Gross]

So you spent a few years, you know, I assume you were taking acting lessons, Right. And going to auditions. And was that, I mean, that stretch where you were going to auditions and getting small parts, what did it feel like at the time? Was it frustrating? It can be tough, right?

[Noah Wylie]

Yeah. But how, I mean, in retrospect, how long was that period of time for me? So short. So short that it's almost ridiculous that I could have been impatient. The truth is I started when I was 19, and when I was 22 or 23, I did the pilot for ER and never looked back after that.

[Terry Gross]

Right. Which was a huge success from the beginning. It was a big project for NBC. Well, so this was like what, 1994 when it debuted. Right. The series.

[Noah Wylie]

So that's when you shot the pilot. 93.

[Terry Gross]

94. So that's when there weren't all these videos on the Internet and all that stuff. And people watched network television and NBC. They had a two hour special, I think, on Sunday night. And then the next step was on Thursday night at 10, where it stayed for 15 seasons. Quite a remarkable thing. Were you ready for that kind of success? What was it like for you?

[Noah Wylie]

I'm really incredibly grateful to George, Anthony and Tony. They were all 10 years older than I was and really took me under their wing like big brothers to a certain extent. Sherry and Julian as well.

[Terry Gross]

But we're talking about the cast of A Yard.

[Noah Wylie]

I'm talking about the cast of Yard.

[Terry Gross]

George Clooney.

[Noah Wylie]

Clooney. Anthony Edwards, Eric LaSalle.

[Terry Gross]

So.

[Noah Wylie]

So they were mentors and tutors to me in the early years. And I don't know how I would have handled all the success and the workload if I hadn't had such incredible role models around me showing me how to be professional.

[Terry Gross]

You know, during the series run, you had a platform to connect with causes that matter to you. And you got connected with an organization called Doctors of the World that's distinct from Doctors Without Borders. Tell us about that relationship, what you did.

[Noah Wylie]

Well, sure. During that period of time and subsequently, I was approached by a lot of different charities and organizations, a lot of them medical based, to use my celebrity to raise awareness or money for them. And I got very selective because you want to pick and choose, you want to make sure that when you go out and stump for something, it has some resonance in your own life and you can speak intelligently about it, passionately about it. And then I got approached by this group called Doctors of the World that was an American based version of Doctors Without Borders, which is French, that was doing frontline triage medicine in different war zones around the world. And I was really moved by. It's a purely volunteer organization. Doctors GPs from America would go and volunteer their time to go halfway around the world and practice wartime MASH medicine in very harrowing circumstances. And I had an opportunity to go during the war in Kosovo and be in a refugee camp in Macedonia and watch firsthand the heroic efforts of these doctors trying to treat this refugee population. And came back really galvanized about helping this organization and ones like it. Do that kind of humanitarian aid. And it was catalytic for us doing the storylines in Darfur and the Belgian Congo that we eventually did on the show.

[Terry Gross]

Right. You carried it in to er. What kinds of things did you see in Macedonia? I mean, you weren't treating people, obviously.

[Noah Wylie]

Well, I wasn't, but you know, it was sort of an all hands on deck situation there too. A bus would show up with, you know, maybe 50, 60 refugees of varying ages, mostly young children and old women, because any man that was of fighting age was fighting. So a lot of people had been on the road for a really long time. They were wearing everything that they could carry. So there was a lot of dehydration and a lot of malnutrition and a lot of fear. And it began with taking people off buses and doing basic medical assessments. And then also there were lawyers and psychiatrists who would go and do interviews with the refugees and ask them about their experiences. And those became testimonials that were later used in the war crimes tribunal trials with Milosevic. But I saw in that moment the sort of hand in hand medical, psychological tandem treatment that was having an effect, both treating the body, but also treating the psychological damage of the trauma. And that led me to another organization called Human Rights Watch, which is a legal based advocacy group that does exactly that kind of work. They go around and they take testimony to try and effect social change. So those two organizations kind of defined 90s and early teens for me in terms of activism.

[Terry Gross]

Have you stayed active in doctors in the world?

[Noah Wylie]

I'm not even sure they're still together, to be honest. It's been a long time since I've been in contact with them. I've been involved with a lot of other grassroots medical organizations over the years. Ones that do anything from feeding people in disaster zones domestically to international stuff. Obviously, the cutbacks in USAID and a lot of the NGOs funding that we're seeing are, are disastrous to the communities that I've become close with. And it's very, very troubling.

[Terry Gross]

So what are your priorities today?

[Noah Wylie]

As an activist, I tend to align myself with anything that involves human rights or civil rights. I'm right now extremely concerned about our healthcare system and its fragility to the next pandemic. I'm extremely concerned about the burnout rate of our practitioners and the overburdening that the nursing shortage and the boarding crisis is causing. I can't express enough how interdependent we are as a population, how much we need each other, and yet it just seems like every day the seeds of division are being sowed to greater and greater degrees. And it's unsustainable. It really is.

[Terry Gross]

Well, you have been renewed for a second season of the Pit, right? I mean, you've got your work there.

[Dave Davies]

Yes.

[Noah Wylie]

More bread and circus.

[Terry Gross]

Well, I mean, it's not just that. I don't think.

[Noah Wylie]

I don't think it is. I like to think that we're part of a lighthouse kind of light that's gonna keep everybody reminding everybody about what kind of country we really are at heart and how amazing the people that do this kind of work are. And that's the irony. You know, you can cut Medi Cal and you can take 80% of California's population off those rolls and you can kick people out of assisted living homes or out of old folks homes and you can force emergency to close. The practitioners will still take care of sick people. The aged will still be cared for. Children will still be cared for because these people won't let those patients fall between the cracks because that's who they are, which is why it's so infuriating to watch them be taken advantage of or worse, take it for granted.

[Terry Gross]

Well, Noah Wylie, thank you so much for speaking with us. It's been fun.

[Noah Wylie]

Oh, this has been a pleasure. Thank you.

[Terry Gross]

Noah Wiley is an executive producer, writer and star of the HBO Max series the pit. It's earned 13 Emmy nominations, including outstanding drama series and lead actor in a drama series for Wiley's performance. The awards ceremony will be broadcast Sunday, September 15, on CBS and streaming live on Paramount. Production is already underway on a second season of the Pit, set to premiere in January. Coming up, Justin Chang reviews Caught Stealing, a new action comedy film from Darren Aronnagar. This is FRESH air. Military commanders, intelligence officials, diplomatic power players. They know things you may not about where the world is headed. And we will pull back the curtain on what they're thinking. On sources and methods. NPR's new National Security podcast. Our team will help you understand America's shifting role in the world. Listen to Sources and Methods from NPR.

[Dave Davies]

On the Throughline podcast from npr.

[Terry Gross]

Immigration enforcement might be more visible now, but this moment didn't begin with President.

[Dave Davies]

Trump's second inauguration or even his first, a series from Throughline about how immigration.

[Terry Gross]

Became political and a cash cow. Listen to Throughline in the NPR app.

[Dave Davies]

Or wherever you get your podcasts.

[Terry Gross]

I'm Peter Sagal. NPR is very serious. Mostly, it treats newsmakers with all due respect almost all the time. It brings you the most important information about the issues that really matter usually, and it never asks famous people about things they don't know anything about, except once in a while. Join us for the Great Exception. Listen to Wait, Wait, Don't Tell Me the News quiz from npr. In the action comedy Caught Stealing, now playing in theaters, Austin Butler plays a bartender living in New York City in 1998 who agrees to cat sit for a neighbor and get sucked into a violent web of entreaties intrigue. It's the latest from Darren Aronofsky, the director of Black Swan and the Wrestler, and it was adapted by Charlie Houston from his own novel. Our film critic Justin Chang has this review.

[Dave Davies]

I have enjoyed many films directed by Darren Aronofsky, even the ones whose titles alone can trigger stomach turning images of flesh being mutilated or pulverized. With Black Swan, the first thing I think of is Natalie Port Portman peeling away the skin from her fingers. With the Wrestler, it's Mickey Rourke mishandling a meat slicer. Thankfully, I have only vague memories of Jared Leto's gangrenous arm from Requiem for a Dream. In movie after movie, including the recent Brendan Fraser starring drama the Whale, Aronofsky delights in pushing the human body to extremes of physical and sometimes spiritual endurance. By his grisly standards, the darkly funny crime thriller Caught Stealing comes across as a lighter affair, even though it has a sky high body count and its protagonist loses a kidney in the first half hour. The movie, which was adapted by Charlie Houston from his own 2014 novel, takes place in New York in 1998. It begins with a shot of the Twin Towers and there's an early reference to Mayor Rudy Giuliani's Draconian crackdowns on local nightlife life. Austin Butler stars as Hank Thompson, who works at an East Village dive bar, lives in a grimy apartment and has a girlfriend, Yvonne, played by a good if frustratingly sidelined Zoe Kravitz. Yvonne is a paramedic, which comes in handy soon enough. One day Hank's next door neighbor Russ, that's Matt Smith with a fiery orange mohawk, has to leave town due to a family emergency and persuades a reluctant Hank to watch his cat. Nothing good comes of this. Before long, two Russian speaking mobsters show up at Russ's door demanding to know where he is. They take their aggression out on Hank, beating him so badly that he winds up in the hospital. After the assault, Hank calls the police. A detective named Elise Roman, sharply played by Regina King, shows him a photo of two other men snooping around the area. The Men are both ultra Orthodox Jews. It took me a second to recognize the actors Liev Schreiber and Vincent d'. Onofrio. And Detective Roman warns Hank that they're also extremely dangerous killers.

[Noah Wylie]

When was the last time you talked to these guys? I don't know. I don't know those guys.

[Terry Gross]

These guys right here, they're scary monsters. Whatever you're doing with them, you should.

[Noah Wylie]

Tell me about it before they decide.

[Dave Davies]

You look better with your eyes cut out.

[Noah Wylie]

I'm not doing anything with them, okay?

[Terry Gross]

I, I. Are you messing with me? Kind of.

[Dave Davies]

Never know what'll pop loose. Before long, Hank finds himself caught up in a messy plot involving a missing key, a lot of guns and a few million dollars in cash. Many desperate chases ensue, and Aronofsky stages them with undeniable verve. Whether Hank is racing through a crowded fish market or being pursued around the scenic Flushing Meadows in Queens, complete with a detour through Shea Stadium. Aronofsky was raised in Brooklyn, but later lived in the East Village, and you can feel his affection for the grungy late 90s New York he's recreated here. Here, there are even shots of iconic neighborhood fixtures like Kim's video. You can practically see the city seething in every frame shot by Aronofsky's longtime cinematographer, Matthew Libatique, who's a hugely versatile talent. He also filmed the summer's other sweatily atmospheric New York crime thriller, Highest to Lowest, as a funny bloody valentine to the city during a bygone era. Era Caught Stealing is awfully engrossing, though I can't say that its mix of rambunctious slapstick and bone crunching violence always gels. When it comes to his villains, Aronofsky plays broadly with cultural stereotypes, sometimes spinning them in outlandishly violent directions. And the movie nearly loses you early on with a nasty twist that feels too callous by half. Butler is a terrific actor, as we've seen from his commanding star turn in Elvis and his otherworldly villainy in Dune Part 2. He does something very different here. He plays a hard drinking screw up with an air of sweetness, even innocence about him. The title Caught Stealing nods to the fact that Hank was once a promising baseball player until a terrible mistake sidelined his athletic dream and doomed him to the life he's currently leading. Aronofsky often flashes back to that tragedy to underscore how little control Hank has had over his destiny, and also to set him up for a thrilling comeback. Butler makes Hank easy enough to root for, even if the movie itself, for all its cheerfully disreputable pleasures, ultimately plays like minor league Aronofs.

[Terry Gross]

Justin Chang is a film critic at the New Yorker. He reviewed the new film Caught Stealing, starring Austin Butler, on Monday's show. Singer, songwriter and guitarist Billy Strings. He's got one foot in traditional bluegrass and another in improvisational jam music. He has a new live album and he brings his guitar to the studio. I hope you can join us where the air is clear.

[Noah Wylie]

All the choices have been made.

[Dave Davies]

I'll keep rolling right along.

[Terry Gross]

Leaning on a traveling song. Fresh Air's executive producer is Danny Miller. Sam Brigger is our managing partner Producer. Our technical director and engineer is Audrey Bentham, with additional engineering support from Joyce Lieberman, Julian Hertzfeld and Charlie Kyer. Our interviews and reviews are produced and edited by Phyllis Myers, Ann Marie Baldonado, Lauren Krenzel, Teresa Madden, Monique Nazareth, Thea Chaloner, Susan Yakundi, Anna Bauman and John Sheehan. Our digital media producer is Molly CV Nesper. Hope Wilson is our consulting visual producer for Terry Gross and Tonya Moseley. I'm Dave Davis. U.S. government vaccine policy could be changing dramatically in Florida.

[Dave Davies]

It already has.

[Terry Gross]

This week on Consider this, we're answering.

[Dave Davies]

Your questions about COVID shots with help from a doctor and expert on infectious disease. Plus, chaos roils the CDC after high.

[Terry Gross]

Profile departures from that agency.

[Dave Davies]

Listen to Consider this on the NPR app or wherever you get your podcasts.

[Terry Gross]

Here at Life Kit, we take advice seriously. We bring you evidence based recommendations and to do that we talk with researchers and experts on all sorts of topics because we have the same questions you.

[Noah Wylie]

Do like what's really in my shampoo?

[Terry Gross]

Or should I let my kid quit soccer?

[Noah Wylie]

Or what should I do with my savings in uncertain economic times?

[Terry Gross]

You can listen to NPR's Life Kit in the NPR app or wherever you get your podcasts.