Trauma, the San Francisco ER, Already Being Panned By Critics

trauma-cast.jpg San Francisco -- being like that pretty girl who sits by herself in the lunchroom and doesn't get a ton of attention outside her AP classes -- gets excited when she's given a chance to shine in the prime time limelight. But NBC's Trauma which premieres in two weeks and which we've all watched in the making here in SF all summer long, may not be long for this world. SF Citizen points us to this blurb by a NY Daily News critic who's had a sneak peak at the show and writes it off saying "we've all seen this before." There's also this poll on HubDub in which people have placed Trauma second only to Accidentally on Purpose as being one of the first new shows likely to get canceled this season. (SF Citizen also points to the irony of our city being one of the only ones without a hospital helipad or medical helicopter trauma unit largely due to the efforts of these rich NIMBYs.)

We at SFist feel no one should underestimate the American public's appetite for vapid procedural dramas involving explosions and blood, but maybe that's cynical of us. We at least want the show to survive long enough to air the nightclub trampling episode involving multiple local drag queens which was shot last week at Great American Music Hall.

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If the Italian chick and the blonde have enough of their racks popping out, I'm sure the Nielsen ratings should be just fine.

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Trauma is definitely for the boys.

NBC has another ER retread called Mercy - that one is "for the girls"

Some critic is giving only 10% odds that Trauma will make it past the first season. I think they have a better chance than that. But the chances for any new NBC series are low from the get-go. Believe 100% of their new series from last year have already been cancelled. Oh well.

And when will they recycle Nightingales?

http://www.levyinnovation.com/persuade_ch1.html
"What’s the most famous high concept ever pitched? According to “Perfect Pitch,” a TV documentary, it was delivered by Aaron Spelling, in order to sell his proposed series, Nightingales. Spelling pitched the series as “nurses in wet t-shirts.” The studio bought it immediately."

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This has never been a strong show, despite some of the pedigrees it has from other, better shows. NBC specializes in retreads, low budget crapola, and no originality. They killed Mrs. Newsom's show, "life" which was awesome, for this and that other crappy doctor show.

You'd think by now we have enough cop, lawyer and doctor shows. Oh but hey the blonde chick is totally hot. So I'll watch it for her and for SF location spotting.

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It's hilarious to make a TV show in a city where nobody owns an actual television.

I guess I'm one of the "rich NIMBYs" (who's not rich) along with all of them:

http://stophelipad.com/endorsements.shtml

I can appreciate different points of view on the helipad, but please read up on the issues before making or repeating any snap judgements:

http://stophelipad.com/hospital.shtml

Thank you.

Are the people in favor of keeping SF General the only Level One trauma center in the Western Hemisphere bereft of a helipad or easy access to a heliport generally rich?

Hell yes.

Are the people in favor of keeping SF General the only Level One trauma center in the Western Hemisphere bereft of a helipad or easy access to a heliport generally NIMBYs?

Hell yes.

Hence the term rich NIMBYs.

If you'd like a term or two customised for yourself, how about selfish and heartless?

Do the doctors at SFGH generally want the helipad?

Hell yes.

And you know better than the doctors?

Hell no.

Hi JimH,

Thanks for your reply; I want more detail if you have it available.

1) How do you define "rich?"
2) Do you have any data to back up these claims about the population of people that oppose the helipad (I'm happy to read it, but you give no supporting information)
3) How do you know what the doctors support -- I'm interested (genuinely) to see this in more detail.

I am generally known as a rather kind and not "selfless" or "heartless" person so I'm happy to hear the facts.

Thanks.

Well, get income statements from the homeowners of Potrero Hill and calculate the median household income, somewhere in the six figures I'm sure. They are rich, as a group.

Or take the leadership elements of the NIMBY groups in the Potrero Hill area, I think there are two or three. Figure out their net worth and average income. That's what I'd call rich.

Do you want to put this helipad issue to a citywide vote? I don't think you would.

All the endorsers on your website are just other NIMBYhood groups that are scattered about the city, with the possible exception of the Democrat(ic)? Club, which I think was started for the District 1 Supe race just recently.

How many people are dead right now because of the lack of a helipad. Any idea? How many people die each year? Do you know? Do you care?

What doctors oppose the helipad? Anybody? Why would a doctor oppose a helipad?

On it goes:

"In a November 2001 Report on the SFGH Trauma Center, the American College of Surgeons stated:
'The lack of a helipad and helicopter service is a major deficiency in providing optimal trauma care for San Francisco General Hospital and San Francisco. It is difficult to understand why a city the size of San Francisco does not have any medical air transport. The congested roads and bridges with the surrounding water make helicopter service an essential medical support service.'"

"The World Trade Center and Pentagon terrorist attacks of September 11, 2001, the Rhode Island nightclub fire of 2003, the Madrid commuter train bombings of March 2004 and the London Underground and bus bombings demonstrate the need for a coordinated multi-casualty incident plan which uses regional trauma resources in a timely and efficient manner. The national disaster of Hurricane Katrina and the intense hurricanes seasons of 2004 and 2005 demonstrated once again the need for and value of coordinated medevac services in times of natural disasters."

"As a Level 1 Trauma Center, SFGH is required by both the American College of Surgeons and the State of California Level 1 Trauma Center regulations to reach out to other community hospitals and lower level trauma centers as a resource and referral center. That means that the expertise in injury care that has been SFGH’s reputation since 1972 must be extended to the greater Bay Area community."


"The primary reason for having a helipad at SFGH is that the 2001 Trauma System Plan for the City & County of San Francisco (adopted by the Health Commission and approved by the State of California) has identified the lack of air medical transport into and out of San Francisco as a major vulnerability in our system of patient care."

"Currently, there is no air medical access in our entire city. During the March 2004 survey of the SFGH Trauma Center, the American College of Surgeons Committee on Trauma also cited the lack of a helipad as a facility “weakness”."

The American College of Surgeons, in their formal site survey report, strongly recommended the development of air medical access in order to allow tertiary care to critically injured patients. This type of access is inherent in the mission of a Level I Trauma Center.

"Of note, SFGH is the only Level I Trauma Center in the State, and possibly the nation, that does not have a helipad. SFGH does not have the capability to rapidly transfer critical patients out should the Medical Center be at capacity (for example during a disaster) or to transport very young children to the closest pediatric trauma center at Oakland Children’s Hospital. It is important to note, that critical trauma patients who are injured in the recreational areas within the current SFGH catchment area are being air transported to other trauma centers in other jurisdictions. The people who live, work and travel to San Francisco deserve the opportunity to benefit from the Level I trauma care that is available in their own city."

I appreciate the quotes, thank you for the data. Even better would be the sources for those quotes, but one can't be too picky in blog comment discussions, I suppose. On the topic of "rich" I suppose it's all relative.

Uh, oh, my boss is about to come by -- I better keep working so I can earn those "six figures" that make me such a heartless selfish rich NIMBY! Sounds like a good t-shirt slogan to me.

Unless you're an anti-helipad activist opposing all the helipads in the state, you, sir, are a NIMBY. If you don't consider yourself rich, that's fine. Most rich people wouldn't call themselves rich either.

If you don't want to hazard a guess as to how many people die each year due to the lack of a helipad at SFGH, that's your choice as well.

Sleep well tonight, "poor" NIMBY.

You just really hate me, don't you. I'm trying to work with you on this, I really am. I have an open mind. Are you like this in person?

You, your campaign, and your website are pretty horrible, that's true, Tony.

You have an open mind about the helipad, but you run the anti-helipad site?

Have you killed more people than Crazy Rob Anderson? Maybe. You two should hang out.

- SFGH has not shown a reason for spending millions of dollars on this helipad instead of other urgent programs.

- The hospital has not presented any data that indicates that any lives would be saved. It may seem intuitive to think that 'helicopters save lives', but there is simply no data to show that this would be true in a densly populated city like San Francisco where medical helicopters are not even able to land.

- On the other hand there is tons of data that shows that medical helicopters are incredibly dangerous: http://stophelipad.com/safety.shtml. We do not oppose the use of medical helicopters in appropriate settings, like rural areas. But having such a dangerous service for one of the most densely populated cities in the US is outrageous.

- The issue is not noise, it's access to health services for San Franciscans. After all, our taxes pay for the hospital. The hospital already turns away emergency patients at alarming rates because they are overcrowded.

- There is no need for an additional helipad in the Bay Area. There are already plenty: http://stophelipad.com/11-minute_flight_area.shtml. Patients from outside of San Francisco can be easily airlifted to hospitals where they live. Why should our taxes pay for them if they already have the services in place?

- @jimH: You seem to have left out the Mission in your calculation of income. Are your really trying to tell everyone that the Lower 24th Street Merchants and Neighbors Association is a rich nimby organization? Get your facts straight. What are all the Mission residence without health insurance going to do when they are sick - wait in the emergency room for even more hours because some rich person from Marin was flown in because they broke their leg mountain biking?

- I'd love to put the helipad to a citywide vote. It affects everyone, particularly people who are underserved and underinsured.

- @jimH: I'm guessing you have never had to use the services at SFGH and that you don't care about all those poor people who will be displaced by this needless program. Selfish.

- Doctors do oppose the helipad as unnecessary. They fear for their jobs though in speaking out because of the pressure from the HEMS lobby. The funds could be better spend on programs that will actually save lives.

- Of course the American College of Surgeons supports having a helipad. They want their new toys. Virtually all of the flights into SFGH will be with rich stable patients who could have come in by ambulance but have insurance and want to fly in.

- @jimH: HOW DARE YOU INVOKE 9/11 AND KATRINA - you should be ashamed of yourself. This discussion has absolutely nothing to do with this issue. You are a fear monger. There are already 29 emergency landing sites in place throughout San Francisco in case of a disaster.

- Level 1 Trauma status has nothing to do with having a helipad. There are several Trauma 1 centers throughout the US that do not have helipads and yet have Trauma 1 status. You either have that status or you don't. SFGH has that status and does not have a helipad.

Read the facts: http://stophelipad.com/hospital.shtml

As somebody who knows nothing about this helipad issue, I have to admit that the website makes the neighbors seem petty and heartless. All the rhetoric about 'the pad will be used by non-SF residents' makes it seem like you don't care about the health and safety of people who happen to live outside of the city limits.

Might want to re-frame things if you want folk to think y'all aren't complete jerks.

I lived next to an emergency medical helipad for years. The noise isn't too bad - especially if you remember that the flights are all about saving lives. And if you or a loved one ever needs airlifting you'll be damn glad that NIMBYs don't always get their way...

Here's what the NIMBYs think - they think that they're website is persuasive.

They are obsessed with home values, that's the primary issue.

I wouldn't mind a pad on my roof, if it would help. Bring it.

The only argument that is even remotely reasonable that I've yet heard (and this includes checking out the website) is that a new helipad would need to be built after seismic upgrades are completed. It certainly makes sense not to spend a lot of money to construct a helipad if we'll just have to tear it down in a few years and build a new one.

The other arguments, though, almost all break down into "it'll be too noisy!" and "they just want to treat wealthy people from... SOMEWHERE ELSE!". Plus, c'mon, under people being affected it manages to rope in all the stereotypes: the poor, children, schools when the last two are listed only under the complaint of that scary, scary noise.

You live in a city, if you can't handle the noise... move.

It's the impossible trade-off of TV: do you make a formulaic clone of an existing show that most idiots will like, or something really interesting that critics and a cult following will absolutely love but will be lucky to get through pilot, season 1 or season 2 at best.

I've started tracking which shows I actually watch with a view to switching to iTunes & the like. I'd like to cut my $100-a-month cable bill and give the dollars directly to the likes of Arrested Development, House & many of the BBC America shows instead of helping to pay for the huge pile of dung taking up most of the schedules.

Sorry, but there's no way you can claim to still be a fan of House and call anything else formulaic. I finally had to quit it after two or three seasons simply because it was nothing but formula.

I have, however, been expecting Trauma to fail since around the first time I heard about it. Everything else that comes out about it seems to support this view.

yeah, i like House too, but it's a law and order type procedural - totally derivative, but still i like it- so I agree don't go throwing stones when you live in a glass, blah, blah, blah...

And as for Trauma - if ER can make it eleventy billion seasons and 2 1/2 men is top rated - who knows? certainly not the Hollywood suits that greenlighted the project...

I won't watch it, but I will be sure to read Brock's snarky post when it gets canceled (with links to sf appeal natch).

Already getting panned? Geez ... maybe NBC needs to send more prostitutes to the critics' homes ... that seems to be the way lobbyists get their legislation through Sacramento, so maybe it has legs for TV critics too ?

I hope the show does great... we need the $$$$.

Most of the people who have worked on this production have made absolute rock-bottom minimum wage.

To me, it's a case-by-case call whether bending the tax laws for film production (or sports arena financing) makes sense.

S.F. will make money from Trauma and NBC/GE will lose money. On it goes...

When this show fails, though, you guys at least have reruns of Full House to look back on.

maybe if they turn it into a reality show w/ a bunch of whiny med students instead of something w/ a script it would have some longevity.

Speaking of NBC and show cancelation's....
What happened to 'My Own Worst Enemy'?
I thought it was a great show,
also liked 'Chuck'.... though for a different reason.
With 'My Own Worst Enemy', dang I can relate and Christian Slater got to reprise his roll as a 'Bad Arse' if ya' pissed him off.
With 'Chuck' it was that hot 'hot dog' , 'Frozen Yogurt' Blonde chick.
Dang I wish I looked that good in Drag, plus she kicked arse.
Oh well, guess that is why I don't have cable and 'download'.

They film on treasure island. I have seen a helicopter land a couple of times for the show. It kinda fun to watch, I keep hoping I get asked to be the guy jogging extra.

The Neighbors of San Francisco General Hospital are holding the Fall Funraiser auction on November 14th.

It’s going to be great fun. We will have live music, food, drinks (wine and beer), and you can meet your neighbors. You might walk away with a great item at a great price while supporting a cause you believe in.

We are pleased to announce that this fundraiser will also include an online auction. Check out it out now: http://neighborsofsfgh.dojiggy.com/

And here are the details for the live event:

Date: Saturday November 14, 2009
Time: 4:00 - 7:00 PM
Location: Potrero Hill Neighborhood House
953 De Haro Street @ Southern Heights Avenue

Tickets: $100 per person (in advance or at the door)

Tickets advance for purchase online (Secured by PayPal—you will be directed to PayPal’s site).

http://stophelipad.com

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