Just when I thought that HBO was beyond help, they finally get one right by largely leaving things alone. Having watched and thoroughly enjoyed many episodes of the British original with the wonderful Jo Brand ( one of the series creators and executive producers )in the lead role, I was very impressed by how much HBO has captured the spirit and quirkiness of this series. I think HBO has wisely kept the starkness of what the patient experience is, and perhaps given the show more room to fly by making it a teeny bit more gritty in terms of language and mature content. At first I was a little baffled by the American casting, but at only four episodes in they've done a great job of setting the stage without yet exhausting the overwhelming idiotic bureaucracy the staff alternately endure and wield like a weapon. So I'll give the show time to grow and capture the flip side - the patient interaction and the audience's need to connect with and root for the one mostly sane staffer.