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Hunter Harris
How's our little girl who took a stair tumble? I'm going to check for internal hemorrhage with an ultrasound.
Rick Gladmaid
What is your gut telling you?
Hunter Harris
Her gut?
Taylor Dearden
Yeah.
Rick Gladmaid
It's this thing that AI will never have.
Supriya Ganesh
I don't want to think about what.
Hunter Harris
My gut is saying right now.
Alok Patel
Welcome to the Pit Podcast, the one and only official companion to the Pit hit from HBO Max. I'm Alok Patel, physician, journalist, and if it's about medical storytelling, I'm in.
Hunter Harris
And I'm Hunter Harris, a screenwriter and cultural critic. Every week on this show, we go inside the pit to look at the characters, the storylines, the motivations that keep the Pittsburgh Trauma Medical center running.
Alok Patel
And then we'll go outside the pit to talk about the real world health issues that this show highlights so well. Today we're talking about episode two, season two. I was very excited to talk to Supriya ganesh, who plays Dr. Samira Mohan, and Taylor Dearden, who plays Melissa King.
Hunter Harris
Let's go. Today's shift starts now.
Taylor Dearden
Almost always our rehearsal is, like, just before we do it.
Alok Patel
Okay.
Taylor Dearden
Which for some of the crazy stuff is like, how did we do that?
Supriya Ganesh
Yeah, like the lung flip. But I'm still kind of like, what? Like, how did we do, like, the first episode where it's like the clamshell. I don't know how we did that.
Alok Patel
It's been a week, Hunter. I'm like, I. I've been so excited to talk to you. I feel like when I watch this show, I just take little notes, like, bring this up on the podcast. This is hilarious. Give us a recap of what happened.
Hunter Harris
Listen, I always have my notebook out when I'm watching this show. The biggest, I think, development this episode is the tension between Dr. Robbie and Dr. Alhashmi. That's maybe my favorite kind of runner through this episode. But speaking of Dr. Rabi, is there a little romance between him and Noel, the case manager? I feel like there's a little bit of, like, a wink and a nod that even, like, nurse Dana picks up on. And then we also have just a quick moment of a woman who had glued her eye shut trying to put on lashes. Listen, I've been there. And she's asking for Dr. J. And Dr. Langdon is like, I don't know who you're talking about. Can you tell me who Dr. J is? But I think the most shocking, stunning. I had to cover my eyes moment was the unhoused patient who comes in to get a cast off. And he. They open the cast and see maggots. And it is like nurse Emma's first day.
Alok Patel
I also love how you see, once again, get to see how, like, just hardened and experienced that charge nurse stain is when she's like, I see you brought some friends with you. Let's see those friends. Let's see those friends.
Hunter Harris
We could pass, Bren.
Supriya Ganesh
Thank you.
Hunter Harris
Okay, Okay.
Supriya Ganesh
Oh, I see you brought some friends.
Taylor Dearden
Oh, my God.
Hunter Harris
Are those maggots?
Supriya Ganesh
I'll need ethyl chloride spray to freeze them off.
Hunter Harris
Never saw that in nursing school, am I right?
Alok Patel
I'm so here for it.
Hunter Harris
Absolutely hated it. Absolutely hated it. No, I will never recover, actually.
Alok Patel
I mean, I love nurse Emma's reaction versus Dr. Mo, who's like, let's get rolling. Versus Dana, who's like, of course. I bet you people, like ER doctors and people who work with certain populations probably saw this clip and were, like, nodding. But here's the medical nerdiness. So this condition is called my Iasis and is essentially when you get a parasitic infection. Like a bug comes and lays their eggs in a wound. And then if you have wounds that are not properly cleaned and there's a lot of tissue for those eggs to grow and for the maggots to, like, basically have Thanksgiving dinner every day. So under a cast where it's, like, moist, they have a perfect environment to do that.
Hunter Harris
I'm sick to myself. I'm sorry for the visual, but this happens. Sounds fake. Listen, that sounds like my worst nightmare.
Alok Patel
The maggots. In medicine, in science, like, you got forensic. My ISS where like, forensic scientists will look at, you know, maggots on dead bodies and be like, that's how long this body may have been sitting around. There's medical Grade maggots. And then there's just cases like this. Listen, we can nerd out. I'll stop now on the maggot conversation before we lose our listeners.
Hunter Harris
I might not make it through a really good moment with a nun who has gonorrhea somehow. And is. Is it Santos who has, like, the line of the episode, maybe the immaculate infection?
Alok Patel
I'm gonna. I'm agreeing with you that that is the line of the episode.
Hunter Harris
Yes. So it wasn't from God, the gonorrhea. It actually came from doing laundry at a homeless shelter. And that's kind of a very sweet moment of sort of checking your privilege when they all wanna make a joke out of it. But the nurse is actually, like, doing God's work 100%. One of the more heartbreaking storylines this episode is that Whitaker's patient dies and he has to tell the man's widow that the patient died. But she forgets. So he tells her again and again and again and again. And I was like, oh, Whitaker, of course this would happen to you. I do appreciate that he approaches it with sensitivity every single time, even though he is repeating himself.
Alok Patel
It's that one. That scene, like, got all the feels. Cause, like, I think the second time he told her, she had heartbreak. He's not sick. And then she needed to know again. Then he took her to see him. Maybe Whitaker was thinking, like, I. I need to physically show her.
Hunter Harris
Right? And she doesn't even see. She doesn't realize.
Alok Patel
She's like, honey, I'm glad you're resting. Let's go home now. I was like, oh, my gosh.
Hunter Harris
No.
Alok Patel
This is like in the Titanic. That couple who just, like, holds each other, and they're like, we're going down with the ship. I was like, oh, my gosh.
Rick Gladmaid
Love.
Alok Patel
Eternal love.
Hunter Harris
Speaking of couples, there's a patient hitting on Mel.
Alok Patel
Good.
Hunter Harris
And she kind of doesn't know what to do about it. And then the cops come and he knocks her over. As he's, like, making an escape. I'm like, that's modern dating. That's what it's like.
Alok Patel
Let me tell you, it's a metaphor for modern dating. Also, if we were to have a side plot of any character right now, I want it to be about Mel. Because right before he knocks her over, that part when he's like, what do you like to do for fun? She's like, I like the Renaissance Fair. And he's like, makes fun of her for wanting to be an alter ego. And she's in the middle of Saying that she has envisioned being a 17th century French. And then she gets knocked over, and I'm like, wait, wait. I want to hear more about Mel's alter ego in the 17th century.
Hunter Harris
Well, I mean, men never listen. That's why. But you know what is listening?
Alok Patel
Dang. All right.
Hunter Harris
Is AI. Oh, my God. What a transition. Dr. Alhashmi has an AI tool that she uses on a patient. And I'm like, no, my dad is not protected. But she says the AI tool can take notes, do a lot of charting, keep the charting time to a minimum and keeping, like, bedside time to a maximum. I think we can watch that clip.
Alok Patel
Let's do it. Because this is an important one.
Hunter Harris
Dr. Langdon, you are more than welcome.
Rick Gladmaid
To stay too, maybe for a minute. We're pretty busy in triage.
Hunter Harris
Okay, Stevens, I have an app on my phone that can listen to our conversation and the details of my physical exam and write it all up in your medical record.
Alok Patel
Wow.
Hunter Harris
It's protected confidential.
Alok Patel
This is happening, like, in real time. There are digital health tools and AI tools that physicians, that healthcare systems are trying to use. And I think Dr. Al Hashmi brings up an important point when she, like, first of all, shows the patient, I'm using this tool, this. Then she mentions it is HIPAA compliant, meaning, like, we're gonna protect your data with it. And she clearly explains what it's being used for. But then she even, like, kind of covers it and says, like, hey, we. We can't solely rely on AI tools. You gotta make sure you check over your work. But there's another big scene when a gentleman comes in who has a prolonged erection. We call that priapism. And Dr. Langdon also drops this, like, heater of a line when he's like, is it a big one? I mean, your anniversary, like, great line. And then we move on again to more conversations about AI and that back and forth between Dr. Al Hashemi and Dr. Ravi. She's having a very important conversation. I don't know if this has been your experience with doctors, Hunter, but she talks about how much time doctors spend charting on a computer, doing whatever administrative tasks they need to do and not actually directly with patient care. Talks about the patient passport efficiency. And then this almost like, scene stealing moment. Ambulance rolls in. And while Dr. Alhashmi was in the middle of this conversation, Dr. Ravi's like, let's do real medicine. Because you had this presumably college age student who is just combative, swearing, screaming. We hear that he's been tased, and it's like this massive little Episode cliffhanger.
Hunter Harris
Tased in the library, too.
Alok Patel
There's a lot in the world, and this actor is going 120% credit to that. Let's see this scene.
Hunter Harris
Take generative AI, for instance. ER doctors spend 40% of their time charting only 28% of their time at the bedside.
Rick Gladmaid
That doesn't sound accurate.
Hunter Harris
I've included the study in my packet.
Alok Patel
Wait.
Hunter Harris
And patient passports have been shown to increase satisfaction because they show the time required for each phase of the visit.
Rick Gladmaid
We got combative college kid flipped down the library, Tased in the neck by campus security. 5. Midazolone didn't touch him.
Alok Patel
Will you get the fuck off me?
Hunter Harris
2901. 2901, motherfucker. Get off. Fuck you.
Rick Gladmaid
Tell me some more about your ideas.
Hunter Harris
Maybe later. I also like the way that Dr. Robbie kind of rolls his eyes a little bit at Dr. Alhashmi. Like, okay, we get it. Can we actually go do medicine now?
Alok Patel
I know. I think it's. Listen, this is. It's such. I keep laughing at this, but it's like, it's such a real kind of back and forth that's happening right now where she's like, let's talk about efficiency. And he's like, please, let me just get to my patients. Yeah, I mean, she still cares about patients.
Hunter Harris
It's one of those things that, like, this, honestly, could be an email. Like, we don't talk about this right now. This is not a real meeting.
Alok Patel
Every health care professional just saluted you, Hunter Harris. This could just be an email. Should just be like a bumper sticker in every hospital, everywhere.
Hunter Harris
Well, thank you, Hunter.
Alok Patel
Let's dial in a little bit on what I think is your favorite subplot going on right now.
Hunter Harris
I'm ready.
Alok Patel
And that's two attendings with two contrasting ideologies about how to approach the emergency department. And maybe there's a little bit of personal tension there. We don't know yet. But I'm curious how you see their interaction. Dr. Al Hashmi and Dr. Rabi kind of affecting the rest of the staff.
Hunter Harris
Well, I will say two attendings, both alike in dignity. I like that. We trust both Dr. Rabi and Dr. Alhashmi, but when they butt heads, it's not because they don't respect one another. It is just that they do things differently. They approach the work very differently. And I think Dr. Alhashmi comes in a little bit hot for being, like, Robbie's last day. He's trying to kind of, like, set everything aside. I'm about to go on the road, whatever. But she keeps asking him, like, question after question. You can tell that he feels a little bit. A little bit sort of paranoid about having someone looking over his shoulder, like, literally all of the time. But I wonder, will people maybe reject Dr. Alhashmi just because she's new? Like, the Pit is very. Everyone's, like, in a routine, everyone feels very comfortable with one another. And she is a little bit of a disruptor. No, I mean, is that how you feel about her?
Alok Patel
I. I have a hard time even calling her a dis. I guess disruption doesn't have to be a bad thing.
Commercial Narrator
No, I don't think.
Alok Patel
Maybe. Maybe. Maybe disruption without the negative connotation. I mean, I. I struggle with that too.
Hunter Harris
Well, you're an SF person, so maybe disruptor has a little bit of connotation for you.
Alok Patel
Attack disruption. That's what she's doing, almost. She's coming in here with some. Some tech disruption. But to your previous comment, perhaps this could have been an email ahead of time. They could have talked beforehand saying, hey, I'm coming into. To shadow you before you go on sabbatical to the Alberta Badlands. And, like, let's talk about these. These tools. And I wonder if the staff has experienced this before or if they're like, hold up, like, Dr. Ravi is. Is like the captain. But then some of them are like, no, we need this. This fresh perspective.
Hunter Harris
Yeah, tell me if this is your experience, because I wonder how much this staff is used to having multiple doctors, multiple residents, multiple bosses, maybe. So they're all pretty quick on their feet and not just taking aside or you can't really, like, you know, turn your back on your attending. You have to listen to them. Right?
Alok Patel
Yeah, I think you're totally right. I think the residents are just like, hey, I've got an attending who cares about this patient, my situation. The one thing they're probably adapting is how do I work with this attending? Or how do I impress this attending? Do I impress this attending with my fund of knowledge, with extra teamwork skills, with empathy? And you should be doing all those things.
Hunter Harris
Right.
Alok Patel
But there's a little bit of maybe tweaking of your approach.
Hunter Harris
Yeah. Because people work different ways. I'm so glad you brought up. Do I impress them with, like, my font of knowledge? Because Ogilvy. Can we talk about him?
Alok Patel
Ogilvy goes. Is going. Is going all out.
Hunter Harris
I respect how smart Ogilvy is, but I'm a little bit like, oh, my gosh, put your hand down. It's like teacher's Pet Almost like, I hate someone who's like, first hand up in a class. Like, please relax. How do you feel about him? And have you been in a circumstance where you're like, I so respect your knowledge. However, we do have a job to do and you, you know, just like, rattling off facts is not super helpful in this moment.
Alok Patel
I feel like everyone has been around someone who wants to remind the world about their experiences or how smart they are. We call them one up mushrooms because anytime you say something, they'll try to one up you.
Hunter Harris
Oh, that's like, mister, me too.
Alok Patel
Yeah, yeah. Like, just someone else is like, oh, you know, actually, like, you know, in 1971, I. I wrote 17 papers again, like, dude, I get it. You're cool, but let's work as a team together. But, yeah, Ogilvy is really coming in at Santos calls it as a gunner.
Hunter Harris
Yeah.
Alok Patel
And he's really trying to impress everyone. She almost, like, puts him against Javati in that scene where she's like, he's your competition. There's a question for you.
Hunter Harris
Yeah.
Alok Patel
Is he trying to impress Dajar Al Hashimi by speaking Farsi, or is he spitting game? Because he drops that line when he's like, she's like. Or she's like, oh, so you learned the language. And he's like, enough to break the ice.
Hunter Harris
I.
Alok Patel
What are we doing here?
Hunter Harris
I'm sorry. I cringe so hard. I really think it's a little bit of both. But he seems like the kind of person who would do anything to get a little bit of a leg up over someone else. And I almost wonder, are the other residents in that room, or I should say the residents in that room, a little bit like, okay, we get it. Like, you went to medical school. Like, so did all of us.
Taylor Dearden
We.
Hunter Harris
You all know what you're talking about. And it's. I like that Dr. Ravi sort of calls out, like, we work as a team here. And so this sort of, like, recitation of textbook knowledge of all of these complicated terms does not really do a lot to, like, improve patient experience and care or to really make your teammates want to work with you.
Alok Patel
Nailed it. No notes. Hunter. I was very excited to talk to Supriya ganesh, who plays Dr. Sameer Mohan, and Taylor Dearden, who plays Melissa King. Not only because their. Their characters are fascinating in their development, but also when you watch a show like the Pit, you're always curious, like, how much is the actor, like, the character? How different are they? Super fascinating. And it's also exciting because now Dr. Mohan is a fourth year resident. Dr. King is now a third year resident. R4, R3.
Hunter Harris
I'm doing long division.
Alok Patel
I got you. I'm gonna make like a family tree or something. Perfect. Just to show you like how, how this progresses. But anyway, let's check out this interview. This is a good one. Slate.
Supriya Ganesh
We should hire him.
Taylor Dearden
Especially saying Slate is a choice.
Hunter Harris
Taylor. Dr. King has been going through a lot this season so far. In these first two episodes, she's hit on by a patient and she's also named in a medical malpractice lawsuit, which is causing her a lot of anxiety. Can you sort of talk to us about like, where she is emotionally when we pick up with her this season?
Taylor Dearden
It's a rough day to start with, knowing the deposition is that day. So she's definitely in a different mood than all of season one and kind of a different Mel and quite distracted the whole time. And yeah, it's a tough. It's a tough day.
Alok Patel
Supriya. Dr. Mohan.
Supriya Ganesh
Yes.
Alok Patel
A little bit of her personal life kind of comes out in this episode. And we hear her walking and getting annoyed with her mom on the phone. By the way, for my own edification, were you speaking Tamil?
Supriya Ganesh
Yeah, I was.
Taylor Dearden
Yeah.
Alok Patel
Knew it. I heard Saudi and I was like, Tamil. Anyway, why do you think this moment happened at that time? Why did it bubble up? And where is the line between personal and work life for Dr. Mohan?
Supriya Ganesh
I think what happened with her mom was really sudden. She's had this surprise engagement. So Mohan's father passed away when she was pretty young and she always just thought it was gonna. And then all of a sudden this new boyfriend comes out of nowhere. They get engaged, they're going on this cruise around the world. And Mahone's kind of like, oh, like, what about me? Like, I had planned the rest of my life around you being here for me, actually. I planned my career around you being here for me, actually. And I'm so happy you asked about the Tamil because it was actually my mother tongue. I've lost so much of it. So it was really nice to re explore that in this. In this season through this character because I really think she feels her dad a lot when she speaks Tamil. I think that's how she feels connected to him still. And I think it was just really great being able to relearn it a little bit. And yeah, I don't know about the line between personal and professional. I think it really. She really is having a hard time keeping her personal life out of the hospital today. And her mom simply won't let her have those boundaries.
Alok Patel
So the cultural context, that's already one area where there's a blend between Dr. Mohan and the real Dr. Mohan. Supriya. But also, I read that you were actually considering going to med school. You were a tutor for the mcat. MCAT sucks, by the way. I took it once upon a time, so very impressive.
Hunter Harris
He's a doctor, but it's cool.
Supriya Ganesh
You were.
Alok Patel
But you were a shooter.
Commercial Narrator
Financial.
Taylor Dearden
She got nearly a perfect score.
Supriya Ganesh
I got a 99 percentile score.
Taylor Dearden
I think the audience needs to know.
Alok Patel
How impressive it is to be a tutor for the mcat. And then you got.
Taylor Dearden
While we were shooting season one.
Alok Patel
Get out of here. Wow.
Supriya Ganesh
Yeah, I was shooting was like, well, maybe they'll write me off. Maybe they'll like. I don't know, maybe people won't like me.
Taylor Dearden
She'll be like, oh, God, hold on, I gotta go. A student needs help.
Alok Patel
And I'm like, this is like, not even method acting.
Taylor Dearden
Ridiculous.
Alok Patel
You're just a real person. So what got you to change course and say, actually, we're going all in on acting?
Supriya Ganesh
Well, I mean, I came to America being like, okay, I'm just gonna do the pre med thing and I'm gonna audition on the side. And the more I auditioned, the more it started working out. And I was like, okay, well, maybe I need to give this a shot. And actually, right before I got the job, we had our strikes. It was the actor strike and the writers strike. And even after, things weren't really working out. And so I was just like, oh, maybe I should just. You know, this is. Most of my resume is padded in this direction. I should just do this. And so I studied for the mcat, took it was tutoring it, and then this worked out right after. So it was, yeah, kind of wild.
Hunter Harris
This is a question for both of you. Can you talk to us a little bit about what it's like to perform these medical procedures on camera and, like, how you practice or pick them up ahead of time?
Taylor Dearden
Not much ahead of time. Almost always our rehearsal is like, just before we do it.
Hunter Harris
Okay.
Taylor Dearden
Which for some of the crazy stuff is like, how did we do that?
Supriya Ganesh
Yeah, like the lung flip. But I'm still kind of like, what? Like, how did we do, like that the first episode where it's like clamshell. I don't know how we did that.
Alok Patel
Hylum flip.
Supriya Ganesh
Yes, hylum flip. Thank you. I was like, lung flip, lung. You know, the craziest thing was when we flipped it. I Remember I asked the doctor, I was like, so they just leave it like that in there? And she was like, no, no, that's why he's going to the or. So he can, like, straighten.
Taylor Dearden
Yeah, it's just to stop the bleeding for a bit.
Supriya Ganesh
And this is why I didn't do that. I would just been like, yeah, you're great. Just stitching.
Taylor Dearden
But like, hey, like, weird bar story. Oh, one of my lungs is upside down.
Alok Patel
What about you, Taylor? What was it like to see the procedure written in text and then do it live and real?
Taylor Dearden
They don't write the procedure in text. They say the procedure happens because when we actually go to set, everyone steps off and it's just us and a doctor, and we do the whole thing from start to finish there. So it's not even written in what actually happens. So we'll hear it. And we're like, I don't know what that means. I'm a little scared. And then sometimes it's like, oh, that's pretty easy. But most of the time, it's very much not.
Supriya Ganesh
Yeah. I think we didn't realize how crazy that was going to be until we saw, like, an image of what we were about to do to this prosthetic. And I was like, yeah. Oh, my God.
Taylor Dearden
Well, you see the prosthetic and you go, that's a lot more involved than.
Hunter Harris
I thought it was going to be. I have a question about costuming. How do you stay in costume, like, with this continuity when it's all kind of one day? Are you pulling from, like, different looks or it's the same to keep continuity? Oh, it's the same.
Taylor Dearden
Absolute same. I mean, like, you're only going to change if you're Whittaker and getting a bunch of fluids on you. Yeah, it's all the same. And, you know, our costume designer is great at, like, walk around. Don't commit to this yet. Walk around, sit in it, feel how it feels before you say yes. Because it's seven months of this.
Alok Patel
So.
Taylor Dearden
Yeah, but it's also interesting. It's, you know, we can't gain weight, we can't lose weight, we can't get in shape if we weren't at the beginning. We can't lose muscle if we, like, came in really jacked. And so just to keep everything the same as much as possible.
Alok Patel
So I have a question. From the transition from season one to season two for the viewer, they may not realize how big of a change that could be. When you're a resident and you're moving up from R1 to R2 to senior. What was it like for Dr. King, Dr. Mohan, to step into these new roles? What do you think it was? What was challenging? What was great about it?
Taylor Dearden
There are. I mean, there's still some times where I'll see something written and I'll, like, look it up and I'll ask the doctors and then consult with the writers and being like, I would know this by now as an R3. Like, my character would definitely know this by now. So it's great to just have so many people at your disposal to answer the questions for you. But, yeah, I mean, you'll see MIL teaching, which is a whole different thing.
Supriya Ganesh
Yeah. I think for Samira, I was trying to show that she feels more comfortable at the start of the season. I was trying to make choices in terms of, like, leaning on furniture and sitting more comfortably in things, as opposed to, like, the tenseness that I think she had at the beginning in season one just to show that she feels like she belongs more in this environment. I think whether that lasts all season is something to be learned. And she kind of has one of the worst days of her life.
Alok Patel
I don't know.
Taylor Dearden
I think they can compete.
Supriya Ganesh
Oh, God, yeah.
Alok Patel
Yeah.
Supriya Ganesh
I don't know. It's, like, up there. But, yeah.
Taylor Dearden
No one's having a good day.
Supriya Ganesh
No one's having a good day.
Taylor Dearden
The only competition is who's having the worst day.
Hunter Harris
Wow. Incredible. Well, thank you, guys.
Alok Patel
This is awesome.
Taylor Dearden
Thank you.
Alok Patel
What can we expect? Give us a little nod to what viewers can expect for the rest of the season.
Taylor Dearden
Oh, gross.
Supriya Ganesh
Gross. As always, I think you see Samira lose control. Yeah, I would say that.
Taylor Dearden
Yeah. And I also think, you know, Viagra sales are gonna plummet.
Supriya Ganesh
Yeah.
Taylor Dearden
All the ED medication is going to. There's gonna be an incredible lack of ED patients in the ED after episode two, for sure.
Alok Patel
Samir's going wild. And don't buy Viagra. All right.
Taylor Dearden
Every man is going to watch that episode and rethink everything.
Alok Patel
We're here for it.
Hunter Harris
Thank you both.
Supriya Ganesh
Thank you.
Hunter Harris
I loved that interview. I loved that day. I have to just, like, shout out Taylor Dearden, who was wearing slippers on the press day, and I'm like, period. You go, girl. Like, I need that.
Alok Patel
Like, those hotel, like, spa slippers.
Hunter Harris
No. Eloise in Paris. Elise at the Plaza. Yeah.
Alok Patel
She was Eloise at the press junket.
Hunter Harris
Yes.
Alok Patel
But, like, she's hilarious. Like, I didn't realize how incredibly fast and witty and funny she is. But as impressive as she was, the fact that Supriya ganesh who plays Dr. Mohan was an MCAT tutor during season one just tells you how incredibly brilliant the MCAT is. A rough exam. Anyone who's applying to medical school knows all about that. You have to score. You have to have a great score in order to be a tutor. Like, people are paying you to teach them how to take that test. I mean, I was like, wow, that's a hidden pearl.
Hunter Harris
Do you remember your score? Is that something like you recall?
Alok Patel
Of course I don't remember the percentile.
Hunter Harris
Okay. But like, I want to say 99th percentile.
Alok Patel
I definitely wasn't 99th percentile, but I was an MCAT tutor for one subject, MCAT biology.
Hunter Harris
I also love that thing about their costumes that, like, they really do stay in the costumes the entire season, which I'm kind of like in the show. They're only in the costumes for like 15 hours, but as they're taping, it's like, you know, hundreds and hundreds and hundreds of hours in the same outfit. That's a bit much for me for sure.
Alok Patel
And even since we're reflecting on was interesting, insightful. How much of Dr. Mohan's character has elements of Supriya and she mentioned Tamil being her mother tongue and that little nod to her actual heritage. I wonder how many more characters have small nods to their real individual.
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Rick Gladmaid
On his podcast Chasing Life, I'm Dr. Sanjay Gupta, CNN's Chief Medical Correspondent brings.
Hunter Harris
You the secrets of the happiest and.
Rick Gladmaid
Healthiest people on the planet so that.
Alok Patel
You can live your best life. Are some people just born happier than others? And what might they be doing that the rest of us aren't?
Rick Gladmaid
Follow chasing life with Dr. Sanjay Gupta.
Alok Patel
On Apple, Spotify, Iheart podcasts, Amazon Music, or wherever you get your podcasts. Hunter, it's so hard to watch this show and not have a deep appreciation for all the props. Or maybe I'm just a medical nerd, I don't know. But obviously there's other props too. There's maggots, which I know that you squeam when we talk about them. That was an impressive visual element. So I'm excited to go outside the pit and talk to people who work in props and help bring these visuals to life accurately. Because, let's be real, medical professional are very annoying. To watch medical dramas with because they pick apart every single inaccuracy. Except for this show because the props are accurate.
Hunter Harris
Totally. And today we have the man behind them, the pits, Property master Rick Gladmaid, to talk about everything that goes into making every single thing that we see on screen.
Alok Patel
Thanks for being here. I got to tell you, I don't think I've ever been more excited to talk about maggots.
Hunter Harris
Ever.
Alok Patel
Super cool. I have to ask you, when the writers, when the team first decided, like, we're going to have maggots in this scene, can you walk us through what it looked like from the first idea, the conception to it appearing on our TV screens?
Rick Gladmaid
Yeah, I think we. The first thing we did is obviously in the script. Script is really about this character named John Digby. He's an unhoused man, comes into the emergency department and he has this really gnarly cast on his arm that's just brown and disgusting. So they bring him in to the emergency department, they give him a shower, clean them all up, and then they go to cut the cast. Stop. We use a real cast saw to cut through the cast and we pry it apart. And when they pry it apart, they see this character has a 6 inch wound on his arm and there are about a hundred live maggots crawling over the arm. So in order to do that, we have to backtrack a little bit. We have to get, you know, we use animal wranglers. We have to contact the animal Humane Society as well, because we want to use maggots. Well, what we realized is maggots are a little dirty and they're really difficult to get and they're small. So we instead went with wax worms. Wax worms are bigger. They don't stink, they don't bite, and they're really active. So when you put them on a cast inside there, they move around like crazy. So. So the scene is really. They cut it open and, you know, they spread the cast apart. And what you see is, first of all, the effects department puts like this slimy yellow kind of web stuff in there. So when you pry apart the cast, it looks like there's like this infection pulling apart. And then you discover there's a bunch of maggots in there. So it's pretty gross. And then we have to use a spray called ethyl chloride, which freezes the maggots. And then we scrape them all off into like a 4x4 container. So in order to do that part, we need to have fake maggots as well. So we used the real wax worms, we put them in there, did the scene where you open it up, you establish it. Then we do a scene where we put all the fake maggots in there, which are basically silicone maggots that we've had made or we buy, like, at a fishing supply store, and we do that, and then they spray it and they take it off. So, you know, one of the interesting things about that is just like an actor, everything is real. We try to make it as real as possible, but everything has to be 100% safe. So the actor has to be safe because we're using a real castaw and we don't want to hurt him. But the maggots, we need to make sure they're safe as well. So if we put 100 maggots in this cast, we have to count every single maggot when we pull it off his cast so that no maggot or wax worm actually gets hurt in the process. So I guess if we're backtracking a little bit in the meetings, we were trying to figure out the best way to do that. And I think ultimately what I just explained was kind of the route that we went with was using wax worms, and it worked perfectly. And so my job is just to make sure that we keep the communication going as props. So I'm looking for the fake maggots or the fake wax worms, whatever works. And then at the end, it all comes together because we have an exceptional crew, the communication is great. And ultimately we want to do is be able to go from the concert meeting to the production meeting and say, we've got everything that we need to make this happen. We'll do tests on it. So we'll actually. For this main actor, for the character, John Digby, we actually had his arm molded so that we can actually build multiple casts. I think for the cast cutting scene, for instance, we built 12 casts, and they're exactly the same size as the first cast. So they all fit on. They can all slide on. We'll do a test. We'll do a test where we're cutting the cast to make sure we put enough padding so that nobody gets hurt. You know, we'll do a test with the maggots. We'll usually not do that with a character, but we'll do that with, like, a volunteer, like someone from the production office. We're like, yeah, I'll do it. And then we put the wax worms on there and everything, and then everybody comes to watch the tests. So the director will be there the producers will be there, the writers will be there, and anyone in the production office that wants to see these gross little wax worm mets. So that's usually how it works. I mean, it's a collaboration of, like, every single department coming together and approving the process. And then when we're ready to film it, it's usually pretty flawless.
Alok Patel
I have a newfound appreciation for that scene.
Hunter Harris
No, I mean, no waxworm left behind. That's great.
Rick Gladmaid
No wax worms left behind.
Hunter Harris
Can you tell us a little bit in general, what is the most difficult type of prop to make or produce and why?
Rick Gladmaid
Well, you know, we did this thing we have, you know, in our trauma rooms, we have these devices. They're called glidescopes, and they're basically video laryngoscopes. So what it allows, like our cast view, our doctors, is when you are intubating somebody, basically putting an airway down their throat. We use this video glidescope. So when we're shooting the scene, there's a giant monitor and you can see the action going all the way down the throat of a character. So the way we do that is we built this throat model, which is pretty cool. From the outside of it, it looks like something like out of an alien movie. I'm not kidding. But the inside of it is so incredibly detailed. It's maybe like about 18 inches long. And, you know, it's. The epiglottis is in there, the trachea. And so we film that separately. And then. And then we burn it into that screen so that it's seamless. So what you see is the actor starting to put the laryngoscope down and you see all around him because it's video. And then we cut it and then we put the rest of it on the screen so it looks like it's continuing all the way down. And then we start with a full length ET tube where they're starting to feed it into the actor. And then what we'll do is we'll cut it and put the shorter version in there and then use a holder. And it looks like when the process is done, it looks like we actually successfully intubated a patient. And it looks super real and super good.
Hunter Harris
Wow, that's fascinating.
Alok Patel
It looks so real.
Rick Gladmaid
And like, it does.
Alok Patel
The level of detail you put into it makes it so like the fiction is suspended. You're. You're in there. It's. That's. It's phenomenal.
Hunter Harris
Has anything about your process changed on the pit between season one and season two?
Rick Gladmaid
You know, I mean, I guess we are like, our biggest critics. So, I mean, my process is always to make everything look as real as possible. The first season, it was about trying to figure out, how do we get this beautiful hospital that Nina Russo, the production designer, made into a real, living, breathing hospital. You know, every little thing, there are literally thousands of props. So it's reaching out to, like, every manufacturer that I could possibly reach out to, at least the ones that would, you know, would let me. So I think this season is a little different because now I'm really aware of our biggest audience out there, like the medical community, doctors and real nurses, because they're the toughest audience out there. And I think that they notice everything, so they critique everything. They audit every little scene, and they'll be the first ones to call you out if you do something wrong. And so it's really important to us to try to get it right this year or this season. I spend a lot of time trying to make sure that every teeny little thing is, like, the best we can possibly produce, because the best compliment you can get, especially from the medical community, is them saying, the Pit is so real, you have to watch it. And that's what we want to see. And. And that's what we've been hearing from everybody, is that it is as real as it gets. You know, I mean, I've worked on a lot of shows, and I know most of the shows that I've worked on are, you know, they're going to be a little more melodramatic, but I think the Pit is a little different. It's about. It's about the grittiness. It's about. It's about the pressure of being in an emergency department, which is a lot different than anyone else is, you know, obviously doing. So, you know, my focus is on just to make it as real as it gets this season, which you.
Alok Patel
You nailed. You and the crew nailed, Rick, because I will tell you, as a medical professional, accuracy blows my mind also. This is how I convince my colleagues to watch the Pit. I'm like, it is so medically accurate. Like, you will disappear in the set, you know, and so I wanted to ask you, does it change at all when you're creating a prop and the actors are now going to be handling it, going to be throwing it around, doing multiple takes. Does that kind of change your prop design? Does it make it challenging?
Rick Gladmaid
No. I mean, the thing is, you know, before we design something, we're certainly going to make sure that it's going to work properly and function properly, you know, and, you know, on a Show like this, 99% of what we do are real medical props anyway. Right. So, I mean, the biggest challenges are trying to get these things, because you can't just go to, like, a store and buy, you know, a pericardiocentesis tray, or you can't go to the store and say, yeah, I want a triple lumen central line. You're just not going to be able.
Alok Patel
To go to Amazon and buy one.
Hunter Harris
You can't?
Rick Gladmaid
No, you can't get this stuff anywhere. So, like, my process is I get up super early, and I'm usually there before most of the crew members arrive. My team and I have a pretty big team, and I actually. I mean, we work with some companies like McKesson, where we get a lot of medical products and stuff, where most hospitals get a lot of products, but most of these procedure things you just can't find anywhere. So I'm actually on auction sites at 5 o' clock in the morning where they're having an auction in New York. And, like, maybe some of this stuff, these trays are, you know, it's a pigtail tray or something, and we're doing a pneumothorax or something. So, you know, I'm trying to, like, get these items that are expired so that the metal, you know, they can't really be used, but we can certainly use them on our show. And that's how I try to find things. It's manufacturing a few things, it's promoting things with all these different medical companies that love being on our show. And, you know, and then it's renting a few things, and then it's me trying to, you know, find the rest of the items that's needed to complete an episode any way that I possibly can.
Alok Patel
And I want to, like, be in the room during one of these auction battles.
Rick Gladmaid
You should.
Hunter Harris
No, I need you on my ebay, like, helping me acquire some stuff.
Alok Patel
That's good. That's a good thing.
Rick Gladmaid
I mean, we do a lot of that.
Hunter Harris
Awesome. I did not think that prop making was so much about relationship building. That's so cool.
Rick Gladmaid
I spend so much time on Zoom. We want the show to be real. It's not about superhero doctors. You know, it's just. It's like people doing their jobs as realistic as possible, and they're feeling the pressures, you know, of overcrowding, of, like, underfunding, of nurse shortages and stress. So the least we can do is surround them with everything that's real in their world so they can actually React to it all. That's what props is all about on the pit. And I always say, you know, drama never flatlines on the pit.
Alok Patel
Trauma never flatlines. Wax worms are never harmed on the pit.
Rick Gladmaid
Yeah, that's kind of corny. You might not want to use that, but.
Hunter Harris
No, it's good.
Alok Patel
I'm putting it on a T shirt. I want it. I also want the. I need Rick. I need you to write, like, a. A book about relationships and marketing, because I like. I feel like I've learned a lot about how to win friends and influence people. But the Rick edition, I've been doing.
Rick Gladmaid
That my entire life. And you know what? I really love it. I've built up so many relationships doing it. It's probably the funnest part about my job is reaching out to people and really trying to sell them on what we're doing. It's a whole challenge in itself.
Hunter Harris
And not counting wax worms, I'm imagining that feels like back part of the job.
Rick Gladmaid
But you know what's funny? I don't know if you watched last season. We did black widow spiders. We did cockroaches. I mean, I'm just curious to see what we're gonna do next season. We did rats.
Hunter Harris
Yeah. Rick, thank you so much for joining us. This was so fun.
Rick Gladmaid
You're so welcome.
Alok Patel
Yeah, Rick, this is a lot of fun and liking. I hope people, like, have a newfound appreciation for every little prop you see on the show. Rick, thank you.
Rick Gladmaid
You're welcome. I hope so. Thank you so much.
Hunter Harris
So that was maybe, like, the most fascinating conversation I think I've ever had about props. I'm. I cannot get around, like, counting the wax worms. That's crazy.
Alok Patel
I have so much appreciation for the dedication, and I love that Rick just mentioned how annoyingly difficult the medical audience is when it comes to winning over their approval, because it's true. People, like, look at every single detail doctors, nurses do, and they try to find something that's wrong. And, like, just hearing from Rick about the. The measures they go through for the medical accuracy and the props, like, I'm slow clapping right now.
Hunter Harris
Yeah. And also how a lot of this has evolved over the years, how well you can show something, how accurate it can be, and how they're even creating their own devices. That was super interesting, for sure.
Alok Patel
And after hearing about how Rick designed that throat to make sure that the intubation looked accurate on the video monitor, I very much want to get invited to his Halloween party now.
Hunter Harris
Oh, my gosh. You know, it's going to be Epic. Like, wow.
Alok Patel
It's just a medical zombie themed Halloween party. You know me, I like all the terms this show uses. What do you think of if I say Luxatio Erecta, it sounds like a Lady Gaga song.
Hunter Harris
I'm not gonna lie.
Alok Patel
I was gonna say it sounds like something sexual. Maybe it sounds like an adult movie, but is actually referring to an inferior shoulder dislocation, which is what that gentleman has. The guy, his hand is like upwards like this, which is kind of the classical presentation. And the way it usually happens is somebody feels. Falls upright. You can imagine that your hand gets pushed down so your. The. The top part of your arm comes out of the shoulder socket, but it goes downwards.
Hunter Harris
And that's what we see. We see the bone.
Alok Patel
Exactly. It's cool, right?
Hunter Harris
Nice.
Alok Patel
Yeah.
Taylor Dearden
Yeah.
Alok Patel
So if you ever, you know, like people who are tumbling off of motorcycles or possibly falling backwards in a chair or falling on the head or something, I. Please don't get in that situation. But if your arm is up and it gets pushed downward, you might be winding up in an ER stuck like this. Got it.
Hunter Harris
Good to know.
Alok Patel
And someone may yell Luxatio Erecta. That's it for today's episode of the Pitt Podcast. We will be back here every Thursday right after the new episode drops.
Hunter Harris
You can watch us on HBO Max or listen wherever you get your podcasts. And don't forget to comment. A question, a hypothesis, a theory, even in the comments. The Pitt Podcast is a production of HBO Max in collaboration with prx. The executive producer of PRX is Jocelyn Gonzalez. Our managing producer is Courtney Florentine. Our editor is Lucy Perkins. Our production managers are Edwin Ochoa and Tony Carlson. Our video producer and editor is Anthony Q. Artis with assistant editor Damon Durrell Hinson. This show is engineered by Tommy Bazarian. Special thanks to Joe Carlino.
Alok Patel
The executive producer of HBO Podcasts is Michael Gluckstadt. The senior producer is Al and Cohen Siroch. And the associate producer is Aaron Kelly. Technical director is Insang Hwang. I'm Alok Patel.
Hunter Harris
And I'm Hunter Harris. We'll see you next week in the pit.
Commercial Narrator
The Volvo XC90 is equipped with seven seat versatility, Google built in and advanced safety features for all your precious Cargo. The Volvo XC90 designed for life. Visit volvocars.com us to learn more. Google is a trademark of Google LLC.
This episode of The Pitt Podcast, hosted by Dr. Alok Patel and Hunter Harris, serves as the official companion to HBO Max’s medical drama The Pitt. The focus is on breaking down season 2, episode 2 of the series, examining key plotlines, the show's medical realism, its cultural and ethical nuances, and behind-the-scenes craftsmanship. Special guests include cast members Supriya Ganesh (Dr. Samira Mohan), Taylor Dearden (Melissa King), and property master Rick Gladmaid, who all provide unique perspectives on their roles and the show’s production.
[02:25–06:44]
Tensions and Developing Subplots:
Memorable Cases from the Episode:
[16:13–24:35]
Melissa King (Taylor Dearden)
Dr. Samira Mohan (Supriya Ganesh)
[27:40–41:00]
[07:24–13:32]
AI in ERs:
Resident Dynamics & Competition
[43:02–44:02]
This episode expertly blends gripping drama, behind-the-scenes technical mastery, and topical medical debates. Listeners get a window into the pressures of medical TV realism, the creative process of actors embodying actual clinicians, and the cultural resonance that The Pitt brings to its audience. The interplay between art and accuracy is clear—whether you’re interested in character arcs, the ethics of healthcare, or just how to safely wrangle a hundred wax worms for TV, this conversation offers a seat at the table.