Fresh Air - Neil Diamond Noah Wyle On The Pitt

Episode Date: January 11, 2026

The new film ‘Song Sung Blue’ is about a Neil Diamond tribute band and stars Hugh Jackman and Kate Hudson. Before Diamond began recording his own hits like “Solitary Man,” “Cherry, Cherry,�...� “America,” and “Sweet Caroline,” he wrote songs for other musicians, including The Monkees. Diamond spoke with Terry Gross in 2005. Also, the hit HBO medical drama ‘The Pitt’ is back for season two. Noah Wyle plays the veteran attending physician in a Pittsburgh emergency room. The actor/producer spoke with Dave Davies about his tenure on ‘ER’ and putting scrubs back on for ‘The Pitt.’ Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy

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Starting point is 00:00:00 This message comes from Data Bricks, the data in AI company. Are your AI agents working? Most aren't reliable for business. You need AI that's accurate. Agent Bricks, AI agents grounded in your data and built for your goals. This is Fresh Air. I'm Dave Davies. In the new film Song Sung Blue, Hugh Jackman and Kate Hudson play a couple who form a Neil Diamond tribute band.
Starting point is 00:00:26 You know, Neil is special, and I just want everyone. I'm gonna get that feeling I get when I listen to America and Forever Blue Jeans. Oh, sweet Caroline. Sweet Caroline, yeah, but I'm never gonna be the real McCoy. I mean, I don't really look like Neil. I don't even really sound like Neil. I gotta be Neil, but I've just gotta be me, too. Yeah, you don't wanna be a Neil Diamond impersonator.
Starting point is 00:00:50 You wanna be a Neil Diamond interpreter. I was looking for the right way to say it, and you just came right out and said, a Neil Diamond interpreter. Today we're going to listen to our interview with Neil Diamond. In the 1960s, he started out writing songs for a music publishing company, hoping someone would record them. He wrote The Monkey's hit I'm a Believer.
Starting point is 00:01:13 But it was Diamond himself who made most of his own songs famous. Here's a sampling. The time that I found her, holding Jim, loving him. Then Sue came along, love me strong, that's what I thought. Me and Sue, I bet I'd do. Then I saw her face, touching hair. As a lot of Neil Diamond's contemporaries fell off the charts, he moved from teen pop to adult pop. He recorded a duet with Barbara Streisand, had hits from his remake of the jazz singer,
Starting point is 00:03:47 and dressed in spangles for his sold-out concerts. In 2022, his life in music became the subject of the hit Broadway musical A Beautiful Noise. Neil Diamond is now 84 years old. Let's listen to Terry's interview with him, recorded in 2005. I think it's fair to say your first big break, correct me if I'm wrong, was when you had recorded a demo, and the songwriters, Ellie Greenwich and Jeff Barry heard the demo, liked you. And some of their songs are
Starting point is 00:04:19 De Du Run Run, Chapel of Love. Be My Baby. Be My Baby, yeah. So how did they hear you? I was making a demo. Usually when you sold a song to a publisher, they would allow you to go in and make
Starting point is 00:04:37 your own demo, which was invaluable experience to me. But I went and made the demo and hired Ellie as a back-up singer, which she did, the fact that she was having huge hits. She liked to sing in the studios with the other girls. And so I hired her for this session,
Starting point is 00:04:57 and she liked something about what I was doing, my writing or my singing. And she brought me to her husband, Jeff, and he liked something about what I was doing. I don't know if he liked the writing or the singing, but one liked one, and the other one liked the other. So we started a working relationship. We were both working for the same music publisher, and I kind of got let go by that music publisher, and I asked Jeff and Ellie if they were interested in producing me.
Starting point is 00:05:28 In the first session that you did with them, you recorded Solitary Man. Did you like the idea of horns on this? I like the idea of anything on those records. I was just thrilled to be there. Well, let's hear Solitary Man, which I have to say, I think it's really a terrific. recording. Thank you. Yeah. So, okay, let's hear it. This is your first hit, yes?
Starting point is 00:05:54 Yes, if you can call it a hit. Yeah, okay. Yeah. Okay, so this is Neil Diamond, solitary man. The Linda was mine till the time that I found her. Holding Jim, loving him. Then Sue came along, love me strong, that's what I thought. me and the shoe
Starting point is 00:06:27 but I die to and finally I've added to hear me. Now did you write this song for yourself or for somebody else? No, I wrote this for myself. I had a contract with Jeff and Ellie
Starting point is 00:07:08 and I started to focus in on just what I wanted to do and so Solitaire Man was written for me and for the first sessions that I was to do with Jeff and Ellie. There's this, like, urgency in the song and in the way you sing it. And I think of you in a way as kind of specializing in some of your work in that urgency. Is that something you've been conscious of that you think really, like, works especially well for you as a songwriter and as a singer? Well, I can tell you that I wasn't conscious of it until you just mentioned it. I've never thought of my songs having that sense of urgency.
Starting point is 00:07:46 but I'll listen again and maybe as an objective observer you can pick up on that stuff. But I never felt that there was an urgency, a sense of drama, sense of yearning, lots of things, but not urgency. But you may be very right about this. I'm going to listen again now. So how did solitary man change your idea of what you wanted from your musical life? Once I had a chart record of my own, I was no longer a kid knocking around on the streets. I was now, well, we didn't call them artists at that time. We called them vocalist, but I was a vocalist. And it was a whole different thing. I was writing for myself.
Starting point is 00:08:41 so I had to really dig in and write as well as I possibly could. And I have to say before that time, I don't know if I was doing that. I was just writing and writing and writing, maybe just to get an advance from a publisher. But there was not a lot of me in those songs, and Solitary Man was the first of a long line of me songs, my experience songs.
Starting point is 00:09:09 When you were working as a songwriter, for publishers writing for other people. Were you writing for specific people? Were you writing with specific singers in mind? Well, that's usually how it went back then, although I was never a good enough writer to kind of write for some other singer to understand what they did best. The keys, the kind of song.
Starting point is 00:09:34 Usually you were told that so-and-so is coming up for a session in three weeks, and they need a song of this type, and it was usually as close as possible to the song that they had previously, which was a hit, if it was a hit. And you had to write kind of like a copy of that in a way, because that's the way it worked in those days.
Starting point is 00:09:59 You have a hit record, and your next record sounds, should sound as much like the hit record as you can make it. But I wasn't very good at it. That's probably why I spent eight years down there in Tim Pan Alley and had very little success. Nothing more really than selling a song and taking a small advance for it to get me through the week. Now, the monkeys did a couple of your songs. I'm a believer in a little bit, me, a little bit you.
Starting point is 00:10:31 Did you write those with them in mind or for yourself? I'm trying to think of what the chronology was. Like you start recording in, what, like 67? 66. 66. Okay, and what year are the monkeys? Like, is that after that? I think 67, something like that.
Starting point is 00:10:48 I recorded a couple of songs, including Solitary Man and Cherry Cherry, which was a big hit. And because of that hit, the people who were producing the monkeys called and said, we like Cherry Cherry, do you have any other songs?
Starting point is 00:11:04 I said, well, I don't have anything like Cherry Cherry, but I have an album coming out soon, and I'll send it over and take your pick. You know, it's funny, the common wisdom goes when telling the story of, like, songwriters from the Brill Building and the Beatles, is that the Beatles changed everything. After the Beatles' band started writing their own songs, it drove out the professional songwriters. But, of course, the monkeys are a band that's, you know, a kind of fabricated band copying the Beatles. And you have this tremendous success writing for them.
Starting point is 00:11:36 and in that sense, like the Beatles success inadvertently really helped you as a songwriter. Oh, yeah, no question about it. But it was not only in the sense of the monkeys doing a couple of songs. It was in the sense that the doors began to open for songwriters who were able to sing. And I just happened to be one of them who'd been knocking around the streets for years. And now suddenly was getting a new and fresh listening to my work. So the Beatles made an enormous change. As did Bob Dylan.
Starting point is 00:12:11 They brought the songwriter up to the front of the line and said, you know, you guys do it. And it had a devastating effect on the music publishing business in Tin Pan Alley. But it opened up many doors for people like me. My guest is Neil Diamond. Here's his version of I'm a believer. I want to ask you about another of your songs,
Starting point is 00:13:25 and this is also an earlier song. It's Girl, You'll Be a Woman soon, and the urge-overkill version of this was used by Quentin Tarantino in Pulp Fiction. Can you tell us the story behind the song? Behind the song was pretty basic. I was playing mostly to teenagers, teenage girls, when I first started. and so going through that period, I just wrote a song for the audience to do,
Starting point is 00:13:55 for me to do in the show, and for the audience, which was, as I say, teenage girls. And girl, you'd be a woman soon, was something I wrote for them and recorded it myself. How did you find out that Quentin Tarantino was going to use a version of this song, for Pulp Fiction? Well, first they have to request
Starting point is 00:14:20 the right to use it. But I got a request and a part of a script to be used in this movie called Pulp Fiction. And I've always held to a very tenuous line as to what I wanted my songs
Starting point is 00:14:41 to be used as. And I wouldn't let them be used in cigarette commercials or alcohol commercials and this the script that I read was way out there it was you know beyond what I would turn down normally and I did turn it down I heard almost immediately from my publisher who said you know you shouldn't turn this down this this guy's a tremendous director and you should just do it and let them do it which I did and And of course, I've never regretted it because it was an entirely different way of seeing that song.
Starting point is 00:15:23 But that's basically how it happened. So what did you think of the movie? Oh, I loved the movie. I was amazed by the movie. I've seen it. How come you love the movie but didn't love the script? What was different actually seeing it? Well, I didn't get the whole script.
Starting point is 00:15:40 I only got a few pages of the script in which the song would be used. I don't know if you remember the scene, but she was, Umma Thurman, was very heavily into a Coke binge. And she went unconscious and unconscious and had to be taken for some quote unquote special treatment. And, you know, it just seemed too strong for my own taste. and I turned it down on that basis. Well, here's a song you wrote to please your teenage fans, and now it's going to be used in an overdose scene, in a drug overdose scene.
Starting point is 00:16:23 Not what you had in mind. Not at all, but I would have reacted the same to any of the other songs I had written. But it was very effective in the film. It was very effective, and it was a lesson that I learned, you know. See who else is working on it. See how serious they are. Don't take it at face value,
Starting point is 00:16:43 and don't take your prejudices into this kind of discussion. Why don't we hear your version of the song? Here it is. Great. You'll be your woman soon. And all the ways I die for you, girl, and all they can say is, is not your kind,
Starting point is 00:17:10 and I come around, but I'm going to find her. Don't let them make up your mind. Don't you know I'm taking my hand I want to ask you about another song that you wrote and recorded A big hit for you, Sweet Caroline, which is now played at Red Sox Games
Starting point is 00:18:16 At Fenway Park And maybe you know the story of why Of why that is But let's start with the song itself Is there a story behind the writing of the song? Yeah, I think so I was heading down to Memphis for my first recording session down there
Starting point is 00:18:31 There were some producers I wanted to work with, and I only had two songs written, and in those days, a session was three hours, and you usually had three songs that you recorded. So the night before the session, at some motel in Memphis, I knocked out this song, Sweet Caroline. It was one of the fastest songs I've ever written,
Starting point is 00:18:55 and we recorded it the next day, and it became one of my biggest songs, if not the biggest song. But songs usually don't come like that. There's usually had a lot of work and teeth gnashing and agony and torment over any of these songs. But that one just popped out and there it was and here it is now.
Starting point is 00:19:19 Still, people can sing it. It's also sung a lot in bars. Well, the fact is that it's fun and easy to sing with. And I think that that's the bottom line as far as that song is concerned. It's easy to sing. It's fun. People like to sing it.
Starting point is 00:19:37 And that's why it's popular in bars because anybody can sing it, no matter how many drinks you've had. Well, Neil Diamond, thank you very much for talking with us. My pleasure, Terry. Where it began, I can't begin to knowing,
Starting point is 00:19:57 but then I know it's growing strong. Wasn't the spring And spring became the summer Who'd have believed you'd come along Touching hand Reaching out Touching me One of Neil Diamond's biggest hits
Starting point is 00:20:50 Cherry Grove spoke with Neil Diamond in 2005 The new film's song sung Blue Stars Hugh Jackman and Kate Hudson as performers in a diamond tribute band. Coming up, Noah Wiley, on his HBO Mac series, The Pit. I'm Dave Davies, and this is Fresh Air. This message comes from Wise, the app for international people using money around the globe.
Starting point is 00:21:13 You can send, spend, and receive in up to 40 currencies with only a few simple taps. Be smart, get Wise. Download the Wise app today, or visit Wise.com. Tees and Cs apply. This message comes from Databricks. the data and AI company. AI agents work best when they have the right context.
Starting point is 00:21:33 Your unique data, your rules, your workflows. Agent Bricks helps companies build agents that are accurate, continuously learning, and automate everyday tasks. It's AI built for how your business actually runs. Agent Bricks by Data Bricks. AI agents grounded in your data and built for your goals. If you're a super fan of Fresh Air with Terry Gross, We have exciting news.
Starting point is 00:21:59 W.HYY has launched a Fresh Air Society, a leadership group dedicated to ensuring Fresh Air's legacy. For over 50 years, this program has brought you fascinating interviews with favorite authors, artists, actors, and more. As a member of the Fresh Air Society, you'll receive special benefits and recognition. Learn more at WHY.Y.org slash Fresh Air Society. Our next guest, Noah Wiley,
Starting point is 00:22:24 is an executive producer, writer, star, and director. director of the HBO Mac series The Pit, which gives viewers an inside look at the chaos and drama of a big city hospital emergency room. Season two premiered last night. The pit earned critical praise for its engaging storylines, intelligent dialogue, and well-drawn characters, and its gain to following of real-life emergency room doctors, who praised the accuracy of the show's depiction of medical conditions and treatments. Noah Wiley 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,
Starting point is 00:23:08 where he earned nominations for 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. We're going to listen to some of my interview with him, recorded last April when season one of the pit was airing. Noah Wiley, welcome to fresh air. Thank you so much for having me. You know, I mentioned in the introduction that your character, maybe I didn't, he's the senior
Starting point is 00:23:39 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 experience pro, there are all these others who are less experienced, residents and training and medical students, on their first day, I believe, in their 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 play Dr. Michael Rabinovich, who is several decades into his medical career and probably should have retired a couple of years ago. But like many practitioners,
Starting point is 00:24:17 post-COVID, felt pressed into service and out of the increasing need. And because he's really good 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. 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. 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. The casting process was laborious.
Starting point is 00:24:58 We were looking for people with theater backgrounds, people who were really adept at memorizing lots and lots of dialogue, very good with props, who could do all sorts of things while doing a procedure and walking backwards. And we had to cast the show internationally. We found actors in Australia. We found them in England.
Starting point is 00:25:17 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. 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.
Starting point is 00:25:43 And then you hear this one, two, three, 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. 23-year-old Ben Kemper, no helmet got doored riding an e-scooter. Neck versus handlebar, then face planted to the pavement, obvious facial fractures,
Starting point is 00:26:02 but alert and oriented with good vitals. Here we go. One, two, three. How we doing, Ben? Come on. Back in my throat. That's probably from the nose bleed. Short, rapid rhino, please.
Starting point is 00:26:22 Tacky at 120, pull-sox borderline at 90. We'll buy it, 15 liters for now. Neck plet fusion, larynx. Larynx shifted to the right, no prepidence. War of morphine. I'm going to stick something in your nose to stop the bleeding.
Starting point is 00:26:36 No hemo-timpanum. Inflate the balloon. How about now, Ben? What's up? Good vitals. A&O. Let's have a look. And that's a scene from the pit where our guests know Wiley is a star.
Starting point is 00:26:53 Offly intense. Tough to get the impact of that clip on radio, but that was a Lafort three 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. Right.
Starting point is 00:27:11 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 stuff before you got it to the series? 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.
Starting point is 00:27:33 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 position. He was a technical advisor and a writer on ER, and he is with us again. And he is meticulous in 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. 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.
Starting point is 00:28:22 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? 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
Starting point is 00:28:45 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 our, cadence, 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
Starting point is 00:29:05 the emotional equivalent of a score. And it's really less important the audience understands, and more important that the audience sees that the doctors know what they're talking about. It's competency porn. 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 commands, 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-miked. I imagine this took some pretty meticulous rehearsal. The rehearses are extensive, especially for the medical scenes. We often rehearse those 24 hours in advance of shooting
Starting point is 00:29:46 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 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. The effect is impressive. You know, the origins of this show are interesting.
Starting point is 00:30:14 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? 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. Carter was the character you played on ER, right? It was, yeah.
Starting point is 00:30:40 And a lot of them were sort of thanking me for inspiring 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 mail to John Wells, who executive produced ER, and said, outside of the birth of my kids, this is probably the best thing I ever do 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 of years later, you know, after we saw how this broke down over socioeconomic lines and racial lines and geographic lines,
Starting point is 00:31:32 there was a show to be told here. What was it like for you to put on scrubs in a lab coat and get back in a hospital setting again after all those years? 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 to come back and was excited about it and slipped that stethoscope around my neck and just felt right at home. But now you have a beard. I mean, you were a callow young kid when you started that show
Starting point is 00:32:02 and then you were eventually an attending physician. Now you're a guy with a lot of miles on you. Yes, yes. Ironically, I'm 20 years older than Anthony Edwards was playing the attending 30 years ago. So that makes me sound ancient. 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.
Starting point is 00:32:32 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. Very much so. Different city, different character. You know, 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.
Starting point is 00:33:07 I stand by we have. You're the lead attending in this emergency room. And in real life, you're also an executive producer and a writer. and 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 the craft? In a way, you know, it's interesting. We started with two weeks of medical boot camp for everybody, myself included,
Starting point is 00:33:32 to kick some rust off and to re-familiarize myself with how much has changed in health care, 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 threes ate together. That's fourth year residence. Second year residence. Second year residence. Fourth year residents, and the med students all ate together by themselves.
Starting point is 00:34:06 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 to 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
Starting point is 00:34:31 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. Noah Wiley recorded last year talking about the HBO Mac series The Pit, its second season premiered last night. We'll hear more after this short break. This is fresh air.
Starting point is 00:34:57 This week on the NPR Politics Podcast, barely more than a week into the new year, there's plenty to break down and try to understand. In Venezuela and beyond, questions about the changing role of America on the world stage. and in Minnesota, a deadly ice shooting. Follow us each day for facts, perspective, and analysis on the NPR Politics Podcast. Listen on the NPR app or wherever you get podcasts. Genomics pioneer Robert Green says many parents want their healthy newborn's DNA screened for diseases that may or may not show up later in life. There is an argument that knowledge is power and many families would like to know everything,
Starting point is 00:35:36 whether it's treatable or not. The debate over revealing the secrets in babies' DNA. Listen to the TED Radio Hour on the NPR app or wherever you get your podcasts. 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,
Starting point is 00:36:07 sister, played here by Rebecca Tilney and McKenzie Aston, are at the hospital with their elderly father who has pneumonia. The father has, you know, left instruction he does not want to be intubated, and they're talking to you as Dr. Robbie about it. Dr. Robbie speaks first. Let's listen. 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 consequences. So let's just hope to bypass. 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
Starting point is 00:36:47 wishes in writing do not intubate what 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. But he might get better.
Starting point is 00:37:14 Or he might get worse. 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. But he's not your father.
Starting point is 00:37:29 And he can't recover from us. 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. And that is our guest, Noah Wiley, 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 of two parents who just can't accept the fact that their son who came in with a fentanyl overdose is brain dead.
Starting point is 00:38:04 You want to just say a little bit about preparing for these scenes? 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,
Starting point is 00:38:36 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 at 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.
Starting point is 00:39:13 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. The other thing that's happening in this story with your character is, you know, I mentioned before that this series kind of the germ of it began during COVID
Starting point is 00:39:29 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 learn 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. This is the five-year anniversary of him taking his mentor off life support, which during the of COVID, you know, he had to be put on. And then ultimately in our backstory, he had to be taken
Starting point is 00:40:10 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.
Starting point is 00:40:49 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, no, 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.
Starting point is 00:41:11 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 two units of blood. And she's just listing these names. And she's, you know, getting teary-eyed. And she finishes.
Starting point is 00:41:28 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?
Starting point is 00:41:42 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, 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. And she's carried that painful memory for all these years.
Starting point is 00:42:05 That's 35 years that's been in there. Came out last Sunday. Noah Wiley recorded last year talking about the HBO Mac series The Pit. Its second season premiered last night. We'll hear more after this short break. This is fresh air. On NPR's Wildcard podcast, heavyweight host Jonathan Goldstein talks about his early years as a writer. I was writing and no one was buying what I was selling.
Starting point is 00:42:32 I just couldn't get anywhere. And I just kept doing it because I felt compelled to do it like a spider spinning a web. Listen to that wildcard conversation on the NPR app or wherever you get your podcasts. The Catholic Church in terms of storytelling aesthetics, they got everyone beat. I'm Jesse Thorne on Bullseye Ryan Johnson, director of the Knives Out films, talks about why the latest one is set in a Catholic cathedral, not a SoCal Megachurch. The churches I grew up in, you know, most of them, look like pottery barns.
Starting point is 00:43:03 That's Bullseye. Find us in the NPR app, maximum fun.org, or wherever you get your podcasts. Right, 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,
Starting point is 00:43:18 I think after jumping into a swimming pool to try and save her sister who survived, right? Yes. 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.
Starting point is 00:43:32 That's as hard as it gets. We do these debriefs to try to give a sense of closure or 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 going to get in trouble, right up until he coded and died.
Starting point is 00:44:10 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 and 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.
Starting point is 00:44:27 I just need a safe place where I can put these feelings. You got patience throwing punches and chairs. Okay, everybody. Let's get back to it. Just remember the employee assistance program is available as are a key R and myself if anybody needs to talk. What an interruption. You wrote this scene, didn't you? This was your episode, right?
Starting point is 00:44:45 Yeah, that was one of the two episodes I wrote. 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 coughing 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.
Starting point is 00:45:16 I mean, people listen to their doctors. They didn't, you know, resist vaccines and masks 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
Starting point is 00:45:39 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 all the distrust that's been seated 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 were so, that 20% of the NIH was just laid off. We're going to be seeing the tale of that decision-making for years and years and years to come.
Starting point is 00:46:27 Yeah. And you'd have an episode later about a measles outbreak. Well, that was what was so funny as we wrote these episodes almost a year ago. And so when we did a storyline about neurosistic circosis, we had no idea
Starting point is 00:46:38 that RFK Jr. was going to be diagnosed with neuroscystic 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
Starting point is 00:46:52 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 plate. 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.
Starting point is 00:47:10 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, Promonti 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?
Starting point is 00:47:28 where do you think you are? This ain't Philly. It's a hospital. I really appreciated that. Oh, I'm glad. I've gotten some mail from Philly that didn't appreciate it. I know. I meant it is sort of a compliment because when I grew up, I grew up from L.A.
Starting point is 00:47:41 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. Yes. So I just thought that's almost an homage to Philly to say it's the tougher of the two. Well, Noah Wiley, thank you so much for speaking with it. It's been fun. Oh, this has been a pleasure. Thank you. Noah Wiley recorded last year. He's an executive producer, writer, director, and star of the HBO Mac series The Pit. Season 2 premiered last night. On Monday show, we'll speak with best-selling author Liz Moore. The settings of her novels range from a troubled Philadelphia neighborhood to the apartment of a 450-pound shut-in to a remote show.
Starting point is 00:48:25 children's camp where a child disappears. She'll talk about creating her characters and seeing where they take the story she's writing. I hope you can join us. To keep up with what's on the show and get highlights of our interviews, follow us on Instagram at NPR Fresh Air. You can subscribe to our YouTube channel at YouTube.com slash this is fresh air. We're rolling out new videos with in-studio guests, behind-the-scenes shorts, and iconic interviews from our archive. Freshair's executive producers are Danny Miller and Sam Brigger. Our senior producer today is Roberta Chorak. Our technical director and engineer is Audrey Bentham,
Starting point is 00:49:06 with additional engineering support from Joyce Lieberman, Julian Hertzfeld, and Deanna Martinez. Our interviews and reviews and reviews are produced and edited by Phyllis Myers, Anne-Marie Baldinato, Lauren Crenzel, Teresa Madden, Monique Nazareth, Thaya Challoner, Susan Yakundi, Anna Bauman, and Nico Gonzalez-Wisler. Our digital media producer is Molly C.V. Nesper. For Terry Gross and Tanya Mosley, I'm Dave Davies. NPR's podcast, Trump's Terms, is your source for same-day updates on big news about the Trump administration.
Starting point is 00:49:40 Short, focused episodes, one topic at a time, about five minutes or so. We carry out reporting from across all of NPR's coverage, so you are always getting the biggest, most urgent stories. Listen to Trump's Terms on the NPR app or wherever you get your podcasts.

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