As a physician, it irks me that when a critical patient rolls into the E.R. on TV or movies, there are 5 people pulling the stretcher into a trauma bay, someone randomly calling out "We need a CBC, CMP, EKG, chest x-ray and neck films, put a Foley catheter in, set me up for a chest tube, STAT!" and it just automatically happens that all of this bloodwork. x-rays, and procedures get instantly done and results available immediately . The most egregious is when the E.R. doc grabs the stretcher and says, "Call the Operating Room, tell them we're coming now!"
I've worked in an O.R. for over 20 years. You can't just wheel a patient to the entrance and say "do surgery, now!"
Yeah. More often IRL it's like, "He'll need to go to the OR. Who's on staff tonight? Never mind, it's 0300. We can probably schedule him in at 1200. In the meanwhile he's stable enough for a non-telemetry bed." Then later it's, "What? The hospitalist hasn't come down yet for the admission? OK. Just give him a hit of Ativan and send him up anyway. We need the bed."
As a rule Hollywood NEVER gets it right when it comes to medicine.
How about when, in the ED, only 2-3 people seem to be working on the patient while everyone else is standing around doing nothing?
Or that when EMS comes through the ED doors pushing the gurney at 30 mph nonstop straight to the open bay unobstructed? (How often do we get that close up shot of the gurney caster wobbling rapidly?)
Or the ED staff, who were all hanging around the nurse’s station apparently doing nothing but leap to their feet when the patient arrives?
How about the patient with the ET tube which isn’t attached to the vent?
Or the telemetry of a dying patient going from sinus rhythm to sinus tach straight to flatline?
One that shouldn't bother me but is hard not to notice is bad quality of chest compressions. Naturally they shouldn't be crunching ribs on a fellow actor but those compression are so "gentle" it provokes my instinct to shout for them to do it right or get someone else to do them.
Or the young ICU patient who looks like they got a dusting of makeup instead of being bruised up and morbidly bloated from all the IV fluids?
Or when the actors stumble through saying technical terms - or they mispronounce them altogether. If I were an actor preparing for technical piece of dialogue I would try to find someone who uses the term in real life to hear how it's applied.
IMO Matt Damon in "Good Will Hunting" was one of the few convincing portrayals of a "smart" person I've seen on the screen (maybe even the only convincing portrayal IMO). The only break was when he mispronounced the word, "syncope."
But the worst Holywood conventions are the ones that affect public perceptions of the course of illness. Hollywood is a propaganda tool which teaches that even people who are technically brain dead on a vent can be the one “miracle” that will pull through if they believed hard enough. I don’t have a problem with hope, but when that belief has the poor patient suffering in ICU for an extra week or month because the family refuses to consider hospice it’s not only cruel but costly (in the realm of tens of thousands of dollars) and deprives another patient of those critical resources. (starting to get gloomy ... I'll stop here.)
”Heat” was a top-notch action film - one of my favorite of all time - but the sequence I want to forget is when Al Pacino crashes into the ED with a kid Natalie Portman bleeding in his arms half the ED staff surrounds him as he orders them to get a "trauma surgeon" and a "vascular surgeon" ... and they run off to carry out his orders! *facepalm*
I was conferencing once with family members about considering palliative care on their critically ill loved one. As I explained the goals of palliative care (i.e. relief of suffering) one person interrupted and, with a dramatic pause to take a breath said accusingly, "You're talking about MERCY killing!" Of course I explained the difference and they finally understood but cinematically histrionic moments like that are clearly inspired by Hollywood.
Finally there's the person who watches too much "House" or does too much "Google" and insist they have some rare disorder despite having all the hallmarks of something more common. Unfortunately I see this all the time.