It is really to a certain extent, but in order to make it work on television the way it does it will always be largely constructed like this. I mean, when you consider that they have cameras all around them and medical staff waiting by all the time, it is a very 'staged' reality. The only thing that isn't controlled is what comes out of their mouth, but with editing they take everything that has happened and create themes. I also think that they get them to repeat stuff they said if it wasn't caught on camera, or not correctly. All 'reality' TV is like this. Its as real as any other show that is not 'reality' TV.