How 24 Hours in A&E killed the medical drama ...0

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“Did you watch a lot of Grey’s Anatomy growing up?” the serious, beautiful, talented doctor asks a bright-eyed, inexperienced young rookie as she navigates the chaos. “Try to unlearn that”. If only Pulse, Netflix’s shamelessly derivative new medical drama, followed its own advice.  

I have watched all 15 seasons of ER at least four times. It has had a demonstrably negative impact on my own health but in terms of groundbreaking stories, grit, human drama and high stakes I can think of no other medical show that matches it. Not the aforementioned Grey’s Anatomy, a glossy rip-off that has for 20 years flatlined into an anaesthetising millennial binge watch. And certainly not Pulse, from a streamer whose USP is anaesthetising millennial binge watches, and whose first episodes are so laughably predictable I could have written them myself.  

The cast of ER in 1999: Noah Wyle, Sherry Stringfield, Anthony Edwards, Julianna Margulies, George Clooney, Gloria Reuben and Eriq La Salle (Photo: Hulton Archive/Getty)

But formulaic TV can be magnificent: in fact, it is this that has rendered the medical drama obsolete. For all the twists and trysts and medical miracles, few scripted dramas can really capture the feeling of uncertainty and the perspective on life that illness or emergency force. 

24 Hours in A&E is more intense and more human than any drama (Photo: Channel 4)

Here, on full display, are the doctors’ towering authority and their human fallibility; here are the real patients who, astoundingly, allow themselves to be filmed at their most vulnerable and most scared – having a stroke, after an accident, weighing up the risks about whether to undergo surgery when the decision must be made, immediately. Here are the families, watching, fearing, grieving, healing, each of them with their own traumas, each of them with their own past pains and losses that returning to a hospital reminds them of all over again.  

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Medical dramas once triumphed because they paint their doctors as heroes. They get it wrong sometimes – and it takes a toll, usually on their personal lives – but everything they do is intended to be a reflection or contrast to their perception as perfect and omnipotent.  

It is not glamorous, but it is more powerful, because each of us watching knows what it is like to be one. 

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