The best case scenario for Kala Ghoda Real TV is that you can snipe away the sentry or code gate breaker1 or another vital card. That threat forces the runner to draw multiple cards in one turn since you can only see and trash the top card. Then again, a runner who's waiting for a specific card will generally draw multiple in a turn so realistically you have a chance at sniping the card. But if you do manage to snipe a breaker you could conceivably lock a runner out of several servers for a several turns. That's a big tempo win.
The trash ability becomes much more potent when you're playing Skorpios. You can trash the top card during either the runner's turn or yours, depending on where you already want to use Skorpios' ability. At the very least this combination lets you kick an extra runner card out of the game adding to the Skorpios game plan of screwing up the runner's game plan. Unlike with most other Skorpios methods however this doesn't even let the runner use the card once. Since the influence cost is • and the rez cost is 0 the required investment is pretty low.
1The fracter is probably Paperclip so you'd actually help the runner if you were to trash it.