After a 15-hour shift on ‘The Pitt,’ Noah Wyle reviews Dr. Robby’s day

This article contains spoilers for the Season 1 finale of “The Pitt.”

It seems as if Noah Wyle’s fictional medical career was meant to be, given the casual way he references something from his past.

“Our butter knife was a brain retractor,” he says with a playful smile. Excuse me, what?

He doesn’t joke around when he talks about his mother, who was an operating room nurse for ten years. He gets excited as he recounts the various surgeries she performed, including total hip replacements and a variety of orthopedic procedures. Whenever she came home from work, she would sometimes bring along medical equipment like surgical tubing, basins, gauze, and other items that she let her children play with. There was even an occasional butter knife substituted for one of her tools. However, it’s the fact that she was a nurse that left the deepest impression on him.

He remarks, “Reflecting on moments with my mother, I’d say she’s incredibly tough.” He explains, “You can’t massage her shoulders too vigorously or she might bruise. If you joke around with her, it upsets her. However, she once carried a man’s leg to the pathology department without a second thought. The strength and resilience my mother demonstrates every day truly earns my admiration.

Review

‘The Pitt’ offers hyperrealism, whereas ‘Doc’ leans into melodrama

In contrast, “The Pitt” on Max and “Doc” on Fox present unique perspectives within the genre of medical dramas, with distinct storylines respectively featuring Noah Wyle and Molly Parker in lead roles.

We find ourselves in the drab family waiting area within the film set of “The Pitt,” Max’s gripping medical drama that has kept critics and viewers captivated since its January debut, thanks in part to its unique format. Each episode follows an hour from the 15-hour shift of the hospital’s morning staff. This brings actor Wyle back into a hospital setting 15 years after his breakout role in “ER,” the long-running medical drama where he portrayed Dr. John Carter. Here, he steps into the shoes of Dr. Michael “Robby” Rabinovich, the emotionally complex yet resilient head of the emergency room at Pittsburgh Trauma Medical Hospital. His face bears the weight of his job’s stress, but beneath the navy hoodie, he manages to rally his team with motivational words – even when a new patient rushes in, interrupting him.

The show brings back Wyle, who’s also a co-producer, with “ER” creators John Wells and R. Scott Gemmill once more. (The series generated buzz in 2024 when the Michael Crichton estate, creator of “ER,” sued Warner Bros., the producer of “The Pitt,” claiming it’s an unauthorized remake of a new version of the medical drama. The lawsuit is still ongoing.) Currently, Wyle is taking some time off from the writers’ room on the Warner Bros. lot while they prepare for the second season.

He’s using a metaphor, saying they’re trying different ideas to see which one works, similar to throwing spaghetti at a wall and seeing what adheres. He began working on this around eight days after the season ended in February. He then spent four days in New York, as his wife sent him away for three days because he was emotionally drained following the end of the season. Upon returning from the press tour after the wrap party, he was still feeling unwell.

He points out the deliberate arrangement of posters in the waiting room that served as a makeshift break room for the cast; he excitedly demonstrates a dried bloodstain on the floor, picking it up and putting it back down again; he gestures towards the pediatric room, the one with the cartoon fox, which holds significant scenes from the show; and he inquires if I’d like to keep a box of medical gloves. (I almost did.)

In a recent interview, The Times discussed the exciting first season of Wyle’s show, which wrapped up on Thursday. Below, you will find some highlights from our chat with him.

We’re currently living in a time when dramatic, suspenseful conclusions are popular. However, it was delightfully different to see a more subtle ending for this intense, 15-hour journey. The story concludes with some of the early shift workers relaxing at a park after a tiring day, contemplating the elegance and turmoil of their work and what keeps them returning. Finally, Robby heads home, marking an end on a thoughtful note. What a refreshing way to wrap things up!

We found it intriguing to film that particular scene since our entire series was filmed in chronological order, except for two scenes: one on the rooftop involving Dr. Abbott and me, and another in the park. These were shot separately in September when we visited Pittsburgh to capture the right weather conditions. We first filmed my character entering the hospital, then the sequences on the helicopter landing, and finally the ending of the series. At that point, those scripts hadn’t been written yet, so there were placeholders for those scenes. They were vague enough to seem fitting – the rooftop scene featured Abbott, I mentioned having given a speech (which was still to be determined), and when watching these scenes, I am mainly impressed by the technical skill with which they seamlessly integrated them into the overall flow of the show.

Regarding the topic at hand, the show was designed to focus on the experiences of practitioners from the start. The concluding scene, set in a park where they’re casually discussing, underscores their determination to return and emphasizes the significance of their roles and the necessity of being in these positions. It appears that many of them view themselves as ready for any challenge – much like Kobe Bryant or Michael Jordan in the final quarter with the game on the line; they’re eager to take on the responsibility. Their professionalism is deeply rooted in a strong sense of pride. The implication is that Robby, having finished one beer and carrying another, is now embarking on a healing process – a new chapter in his life.

According to Noah Wyle, “The Pitt” emphasizes the importance of understanding that the robustness of our healthcare system depends on the mental well-being of its practitioners and the quality of support we offer them. In essence, their health is our health – we will ultimately reap what we sow in terms of their care and nurturing. (Larsen & Talbert / For The Times)

Before we reach that point, Robby has a bit of a breakdown in the peds room —

Initially, when that room was constructed, it hadn’t been adorned with paint; instead, it featured bare walls. Standing within its confines, I found myself engrossed for about an hour, contemplating: “This is the space where everything will transpire.” As the room took shape over time, my presence within it became increasingly frequent. It’s steeped in emotion.

It’s quite appropriate that Robby’s breakdown occurred at that location. Can you recall your feelings when filming that scene, and the sense of vulnerability you needed to express during that moment?

It’s likely that anyone who watched this show with me would agree that I was open and exposed from the start, and it was more a matter of controlling those feelings. When I got to film that particular scene, it felt like being let loose in a candy store. Actors can be quite peculiar – we thrive on tough days like that one. They provide us with a powerful release for both character and actor, and we get excited. The scene you see in the show might have been Take 1 or Take 2.

A pivotal encounter with Patrick Ball (Langdon) resurfaces in my mind, and I find myself recalling how I justified my own shortcomings by implying that Robby was equally unreliable, much like myself.

As a devoted viewer, I must say that the depth of emotions in Episode 15, particularly toward the end, has left me pondering. It’s almost as if we’ve been journeying alongside the characters in real time, discovering their secrets and struggles together. If they were to return home after such an ordeal, I suspect they’d have a restless night, whether it be one filled with sleeplessness or introspection.

In crafting Season 2, we’re mindful of the profound connection our audience has formed with these characters, and we’re asking ourselves: where would they be now? How would they feel, considering all they’ve been through? If we stay true to their responses, we believe we’ll be on the right path.

As for the character’s state at the end, it was a whirlwind of panic and an attempt to maintain a facade that was crumbling rapidly. Each piece falling away revealed a raw emotion that he could no longer hide or ignore. It was a struggle to suppress everything he was feeling, but the mask had slipped, leaving him exposed. He knew he needed to go home and confront the reality that something wasn’t right.

In simpler terms, we discover that this person is having a tough day due to losing his mentor. He feels guilty about it and ends up spending the day with his quasi-son Jake (Taj Speights), who’s upset over the loss of his girlfriend Leah. Throughout the 15 hours of the day, we observe how these emotions surface and shape his journey. To elaborate on how this journey is paced, we follow the character as he navigates through various events and interactions, gradually revealing the depth and complexity of his feelings and reactions to the losses he’s experienced.

Signposts are scattered throughout the journey. As each of his supporting structures and ties are taken down, you reach a critical point where Jake is injured, loses Leah, blames you for her death, and you must inform her parents about it. This tragic sequence pushes him to the rooftop, making the situation more intense. When an episode contains a powerful speech, actors often feel compelled to deliver it forcefully. You’ll experience highs and lows that are planned and precise. Just ride the wave as it carries you; when it’s about to crash, it will. This advice was particularly relevant for Robby, as he struggled to keep his mask from slipping off almost entirely.

In a more casual and straightforward manner, could you explain if your approach was different when handling that situation compared to how your character dealt with things on “ER,” particularly since your role there involved being a first responder?

As a passionate movie enthusiast, I’ve found myself carrying an overwhelming burden since 2020, one that has grown heavier over time. This project was conceived as a dual mission: to shine a light on the tireless work of first responders and, more importantly, to provide a creative outlet for me to grapple with the emotional weight I’ve been carrying. It’s my hope that this endeavor will serve as a cathartic release, allowing me to purge these feelings and find some semblance of peace.

Tell me more about that.

The most troubling issues I encountered were:
1. A growing distrust among people towards doctors, questioning medical facts and protocols during uncertain times, which led to politicization.
2. A trend of defying science as a badge of honor, disregarding logic and reason in pursuit of objective truth.
3. The overwhelming number of sick patients streaming in, creating a war-like environment for healthcare providers, risking their health and safety, especially since they’re treating family members at home.
4. The previously noble medical profession now resembling a battlefield, with no respite from the relentless influx of patients, strained resources, and longer wait times for treatment.
5. The system is unsustainable, as its strength depends on the mental well-being of practitioners and the quality of support they receive. In other words, their health reflects our own. We must be mindful that what we sow, we shall reap.

Television

Following a two-hour adrenaline rush from NBC’s fresh medical drama “ER,” you might feel in need of a calming agent like Xanax.

In a more casual and straightforward manner: “My mom works at a hospital, and she often mentions conversations among the doctors, nurses, and other medical staff about this show. I’m curious about your observations on how medical professionals react to the portrayal you’ve created.

There are two main aspects to accurately portraying the lives of medical professionals in media. The first is technical accuracy – ensuring procedures are correct, dialogue is appropriate, and the overall presentation feels realistic or even immersive. However, it’s equally important to depict the emotional challenges these individuals face, such as stress, the need to juggle tasks, code switching, and compartmentalization. It seems that this emotional depth is what resonates with viewers, who say “That’s how it feels for me.”

Another aspect often overlooked is the personal toll on practitioners themselves. Despite the high rates of alcoholism, drug addiction, divorce, and even suicide among medical professionals, these issues are not always addressed in media. This needs to change as it’s crucial for audiences to understand the human side of healthcare.

Have you ever pondered about the person Robby was prior to the impact of COVID, or who he is in his personal life beyond his professional role?

I was hesitant to portray him as such a specific character that he became unlike any ordinary man. During our discussions about the show’s opening, it felt like we were debating whether to depict him waking up, surrounded by a dog, a blonde, or alone. Should there still be a TV on? An empty beer bottle nearby? These decisions would create a portrait of someone I either connect with or not. However, presenting the audience with an unfamiliar setting and allowing them to get to know the character through small glimpses into his personal life, or through interactions with people he’s close to, offers a unique approach to character development. This method gradually reveals details about the character, making each piece of information more valuable and intriguing to the audience.

What was the nugget you clung onto?

In my perspective, it significantly related to his religious beliefs. This matter holds significance since it’s a part of me that I haven’t delved into deeply, yet I’ve been increasingly curious and drawn to it. It seems challenging for many individuals in the medical field to reconcile with this aspect.

Noah Wyle as Dr. John Carter, far left, in a 1994 scene from “ER.” (Chris Haston / NBC )

Noah Wyle as Dr. Robby in “The Pitt.” (Warrick Page / Max)

The Ho’oponopono moment — “I love you, thank you, I forgive you, please forgive me” — broke me.

Experiencing such a positive moment carries immense significance, especially considering the reactions I’ve witnessed from those who have recently lost a loved one, are caring for an elderly relative, or are estranged from their family and searching for a sense of closure in their absence. It has truly been a moving experience.

Can you tell me everything about medical boot camp?

The fundamental principle of medical training… [chuckles] I’m proficient in just about two areas: fatherhood and feigning a physician. If you’re not part of a medical series, one of these skills is rather superfluous.

This spot feels like my personal sanctuary, and I eagerly looked forward to returning to the realm of medicine. It offers a unique blend – a performance that encompasses physicality, intellect, emotion, professionalism, and even touches upon our shared humanity and real-life experiences. The sheer variety of challenges and resources it provides are what truly captivates me. I revel in manipulating the equipment. I am enthralled by the risks involved. When we first arrived at boot camp, John [Wells] had to swiftly establish bonds, hierarchies, and roles due to our limited time – only two weeks. During meals, I shared tables with the senior residents; Langdon [Ball] and Collins [Tracy Ifeachor] were my dining companions, while the second and third years dined together. As we navigated through our training, students underwent their own training, while the residents and senior residents had theirs; I spent most of my time circulating to ensure everyone was adhering to their assigned tasks.

If you needed to intubate me right now, you could do it?

Sure.

Can you do stitches? Sorry, this fascinates me.

In a casual manner, here’s how I could rephrase that: “I can sew stitches, and during boot camp, John boasted about my sewing skills to everyone. He even asked me to show off my abilities. When the time came, I reached for my suture kit, but as I was setting it up, I felt a moment of panic – I suddenly realized that I couldn’t see clearly without my glasses! This is a new development in my life, as 25 years ago, I didn’t need glasses.

In a more casual tone, here’s how I might rephrase your question: “In your writing, you’ve created two episodes that delve into current issues, like the debate over mask usage and the unfortunate violence against healthcare workers. What aspects of your creative side do you find particularly enjoyable when dealing with these topics?

Expressing it differently: Writing has turned out to be an incredible blessing, as I can do it from home or my office while still being with my loved ones. The solitude of writing is appealing since acting and filmmaking are so collaborative. In contrast, writing is usually a solo endeavor; however, in the writing room, it’s more of a one-person experience again. Initially, writing for “The Pitt” was nerve-wracking. As part of a series, you’re expected to write in the showrunner’s style. When Scott penned those first three scripts, it felt like a challenge had been set – almost as if he said, “These are really good!

The series has been addressing current issues. What ideas do you and the writing team have for the kinds of narratives you’d like to delve into during a potential second season?

In our work, we collaborate with an organization called Hollywood, Health & Society. We’ve spoken to individuals from various fields within healthcare, ranging from doctors to nurses, administrators, and more. Our discussions have covered a wide range of topics related to potential stories or characters that we might develop. For instance, regarding the character Langdon who needs to go through an alcohol and drug recovery program, we’re curious about what such a program entails, how many people would be familiar with it, and so on.

Regarding cybersecurity, we’d like to speak with experts in that field to gain insights into issues such as the frequency of ransomware attacks on hospitals, the amount they typically have to pay for these attacks, and other relevant details. The information gathered from these experts helps shape the narrative in our stories.

Interestingly enough, at times, you exhibit a prophetic knack. For instance, we once crafted a storyline on neurocysticercosis – brain worms – and months later, RFK Jr. announced his diagnosis with this condition. Given the swift pace of change we’re witnessing, it was our responsibility to consult our experts about what could be potentially cut in programs like Medicaid and Medicare. In essence, we were asking them to gaze into their crystal balls and predict: if these cuts were to occur, who would be most affected? However, I must admit that we can make some unfortunate educated guesses regarding certain matters. The experts we’re engaging are discussing current healthcare issues, and we’re trying to catch a glimpse of what might lie ahead.

In a more relaxed and conversational tone, “When working on ‘The Pitt’, what was the toughest case or procedure you had to confront?

In simpler terms, performing a lateral canthotomy was a bit uncomfortable for me due to my personal sensitivity towards eye surgeries. However, creating an incredibly realistic prosthetic head for it was quite gruesome in person. Yet, I appreciate the gory aspects of our work, including blood, guts, and prosthetics. These artists are truly magical, and their work deserves wider recognition within the industry. The innovative work we did this year, especially during the delivery scene in Episode 11, was exceptionally groundbreaking, as I believe nothing similar has ever been showcased on TV before.

Have you ever thought about the idea of performing “The Pitt” for 15 seasons like “ER” did, given that you watched most of ER’s run?

In a playful manner, I’d say I’m jokingly 30 years older than Anthony Edwards was when he first appeared as an attending on “ER” 30 years back. That humorously puts me at the age of 130!

In a collaborative setting with Scott Gemmill, John Wells, and fellow writers, we found ourselves sharing laughter and insights, cherishing the camaraderie that comes from our shared passion for the stage. The joy of performing is such a fulfilling experience, and if audiences continue to engage with our work, we’d be more than happy to keep crafting this show until it loses its spark or our stories lose their allure.

In “The Pitt,” Robby began and concluded each day with Robert Bradley’s “Baby” playing in his earphones. What tune do you have in your earphones to kick off or wind down your day?

For the past year, that particular tune has been my daily soundtrack on my commute to work. My workspace is located over there, so each day I’d follow the same footsteps as Robby. I’d pause at Adamson’s portrait and enter just like he did. Every day, I listened to the song, mirroring his habit. Currently, the song that has me hooked is the one you heard in the final moments of Episode 13. Typically, our end credits feature instrumental music, but only after Episode 13 did we play the lyrics. They were penned by our music supervisor who felt they fittingly reflected Robby’s mental state. We initially planned to play it at the end of Episode 15, but I suggested otherwise as we wanted Robert Bradley’s song for that finale. Eventually, we decided that Episode 13 would be the perfect fit.

He retrieves his phone to play a tune that starts with a gentle hum of “I’m slightly off, I’m slightly off in my thoughts…”

Or simply:
He takes out his phone to play the song starting with a soft “I’m a bit mixed up, a bit confused in my mind…

What’s the key message we hope the audience will grasp after watching such a show, regarding the emotions of healthcare professionals it portrays?

As a film enthusiast, I implore you to put trust in your healthcare providers. Show them kindness and understanding when you visit the hospital. Prioritize preventive care in your daily lives. Internet research is useful; it’s something I enjoy doing too. However, remember that Googling doesn’t make you a doctor. It’s just a tool, not medical school. The professionals who do this for a living possess knowledge and intelligence beyond my comprehension, and their expertise deserves utmost respect.

I may not have the same educational background, but I admire their intellect immensely. Unfortunately, it can be disheartening when they are repeatedly asked to clarify their roles, such as when female practitioners have to explain that they are doctors, not nurses. It’s unfortunate that they often find themselves in the position of public health advocates, discussing topics like vaccines, masks, and hand hygiene. This reduction of their professional standing is quite absurd.

So, I must admit, I have a bit of a bone to pick about this issue. While I don’t wish for people to feel guilty or ashamed, I do hope they gain a newfound appreciation for the hard work and dedication of our healthcare providers. After all, they are more than just public service announcements; they are skilled professionals who have dedicated their lives to keeping us healthy.

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2025-04-11 04:32

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