The mind and the body are inextricably entwined, and rarely are their inseparability clearer than when we're under some kind of mental pressure. The moment we start trying to learn a new skill, make a decision or otherwise think on our feet, our nervous system reacts - with accelerated pulse rate, increased respiration, even sweating.
If you look at American medical fiction written by doctors, like 'The House of God' by Samuel Shem and 'The Blood of Strangers' by Frank Huyler, both have themes of cynicism and dysfunction running through them that you won't find in 'ER.' You find it in 'Scrubs,' but because that's a comedy, it gets away with it.
Part of what motivated my writing was anger. I was angry that the daily misery of doctors, nurses, and patients was being trivialised into soap opera. We were made to feel bad because we were not perfect like our television counterparts. We were resentful that our patients did not get better as quickly as they did on telly - or at all.