The Pitt, Season 2

[Anonymous]

Anonymous wrote:

Anonymous wrote:Apologies if this has been brought up already but I am bothered by them having the dying woman in the ER. Wouldn’t they have moved her to hospice? Who would want to die peacefully in an ER? And isn’t the bed needed?

It is unrealistic that she would be in the ER, she is already on hospice and there would be a better plan for hospital admit. But, it is done to include the plot line.

Having been through home hospice with a relative it's not terribly unrealistic. If you go into the hospital for any reason it can be hard to get someone sent back home.

[Anonymous]

Is McKay wearing an Aviator Nation sweatshirt?

[Anonymous]

Anonymous wrote:Apologies if this has been brought up already but I am bothered by them having the dying woman in the ER. Wouldn’t they have moved her to hospice? Who would want to die peacefully in an ER? And isn’t the bed needed?

+1

Completely unrealistic when they need the beds, its a holiday and they are taking patients from another shut down hospital. This is not an emergency.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Apologies if this has been brought up already but I am bothered by them having the dying woman in the ER. Wouldn’t they have moved her to hospice? Who would want to die peacefully in an ER? And isn’t the bed needed?

+1

Completely unrealistic when they need the beds, its a holiday and they are taking patients from another shut down hospital. This is not an emergency.

I don't know, that is basically how my FIL died. In an ER room, on a morphine drip, waiting for a bed "upstairs". Like Roxy, he'd been at home being cared for by family but they were on the brink of putting him in hospice (the issue in his case was the reverse of Roxy's -- he didn't want to go but MIL knew she could not care for him anymore) when he fell getting out of bed and was taken to the ER. Like Roxy, that's where he died hours later. And yes, it is incredibly hard on the family to be going through that in an ER, and no it is not an ideal place for someone to die. End of life care in the US is deeply imperfect and it's challenging for families to navigate the financial, emotional, and practical logistics of someone's last days of life. My husband is still pretty traumatize by watching is dad die in that setting. My heart is breaking for Roxy's sons, having to process what is happening while in the middle of a busy ED.

The most unrealistic thing for me is that McKay and Javadi are essentially dedicated to Roxy at this point, administering all her care and McKay even having time to talk to Roxy's older son. Our experience was that we felt essentially forgotten by most of the ER staff except for one nurse, and it was a specialist from oncology who was actually putting in orders and explaining what was happening, but that person also kept disappearing and was not actually present when he died.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Who's the biggest ahole tonight? Robby, Santos, or the surgeons?

Langdon
He was aggressively sh!tty to Santos last season because she was catching on to his addiction and eventually reported him. She should have been his first apology. He was an arrogant addict and he’s arrogant in recovery, expecting her to accept his authority with no remorse on his part.

He was also on her because she was doing reckless stuff without approval that endangered patients and not following procedure. There was no saint in that dynamic.

And yes, she has to accept his authority regardless of anyone's personal feelings because that how the hierarchy in an ED works.

Santos was right about Langdon's drug use, but that doesn’t make her right about everything.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Who's the biggest ahole tonight? Robby, Santos, or the surgeons?

Langdon
He was aggressively sh!tty to Santos last season because she was catching on to his addiction and eventually reported him. She should have been his first apology. He was an arrogant addict and he’s arrogant in recovery, expecting her to accept his authority with no remorse on his part.

He was also on her because she was doing reckless stuff without approval that endangered patients and not following procedure. There was no saint in that dynamic.

And yes, she has to accept his authority regardless of anyone's personal feelings because that how the hierarchy in an ED works.

Santos was right about Langdon's drug use, but that doesn’t make her right about everything.

Yes Santos is pushing unnecessary procedures on patients and Langdon is restraining her. Al-Hashimi was right there and agreed with Langdon. It's not being nice to let Santos push more invasive procedures on patients when it's not medically required and it's appropriate for Langdon to teach her restraint. Otherwise she'll put people through unnecessary pain and recovery.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Who's the biggest ahole tonight? Robby, Santos, or the surgeons?

Robby.

Santos is a childish, insolent, arrogant piece of shit and her lover surgeon girlfriend person or whatever rightly put her in her place. Her seething as Langdon instructed was really something. Obviously, she's a head case and probably has serious mental health issues, as we saw hinted at with the cutting.

The orthopedic surgeon was just being a surgeon. Every surgeon I've ever known has been like that. God complexes. The man has the ability to reattach a limb, so he's somewhat entitled.

Robby just got nasty. It's obvious he's on his last nerve. But he seems to be losing his compassion and empathy for his staff as the day goes on. He generally retains it for his patients (see how he treated Howard), but he really has it in for his colleagues and especially his subordinates in this episode. Al-Hashimi was right to call him out on it.

I did like the Becca-Mel scene, watching Mel process that her sister was getting laid. Even Mel, who's clearly more highly functioning with the autism, sort of had some narrative in her head that people with intellectual disabilities wouldn't boink. Ironic, eh?

I did find it ironic that Dana, who runs a tight ship, would so casually commit insurance fraud on the nicotine patch, implicating Dr. Mohan in the process.

What do we think Mohan's mother wants? In fact, we have a couple of storylines going now about troubled relationships with parents. Javarti being counseled to give her a mother a chance, she might surprise you, really was heartbreaking when she got dressed down, eh? "More talented people upstairs."

I'm not sure that Mel was thinking that people with ID don't boink. I think she was dealing with realizing that her *sister* was having sex. Because of her caregiving role, she thinks of her sister more like a child, and realizing that she's sexually active would throw her a bit. Like when a parent realizes their child is now a sexually active adult.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Who's the biggest ahole tonight? Robby, Santos, or the surgeons?

Robby.

Santos is a childish, insolent, arrogant piece of shit and her lover surgeon girlfriend person or whatever rightly put her in her place. Her seething as Langdon instructed was really something. Obviously, she's a head case and probably has serious mental health issues, as we saw hinted at with the cutting.

The orthopedic surgeon was just being a surgeon. Every surgeon I've ever known has been like that. God complexes. The man has the ability to reattach a limb, so he's somewhat entitled.

Robby just got nasty. It's obvious he's on his last nerve. But he seems to be losing his compassion and empathy for his staff as the day goes on. He generally retains it for his patients (see how he treated Howard), but he really has it in for his colleagues and especially his subordinates in this episode. Al-Hashimi was right to call him out on it.

I did like the Becca-Mel scene, watching Mel process that her sister was getting laid. Even Mel, who's clearly more highly functioning with the autism, sort of had some narrative in her head that people with intellectual disabilities wouldn't boink. Ironic, eh?

I did find it ironic that Dana, who runs a tight ship, would so casually commit insurance fraud on the nicotine patch, implicating Dr. Mohan in the process.

What do we think Mohan's mother wants? In fact, we have a couple of storylines going now about troubled relationships with parents. Javarti being counseled to give her a mother a chance, she might surprise you, really was heartbreaking when she got dressed down, eh? "More talented people upstairs."

I'm not sure that Mel was thinking that people with ID don't boink. I think she was dealing with realizing that her *sister* was having sex. Because of her caregiving role, she thinks of her sister more like a child, and realizing that she's sexually active would throw her a bit. Like when a parent realizes their child is now a sexually active adult.

It is important that she get her sister on birth control and similar so the situation doesn't get worse.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Who's the biggest ahole tonight? Robby, Santos, or the surgeons?

Robby.

Santos is a childish, insolent, arrogant piece of shit and her lover surgeon girlfriend person or whatever rightly put her in her place. Her seething as Langdon instructed was really something. Obviously, she's a head case and probably has serious mental health issues, as we saw hinted at with the cutting.

The orthopedic surgeon was just being a surgeon. Every surgeon I've ever known has been like that. God complexes. The man has the ability to reattach a limb, so he's somewhat entitled.

Robby just got nasty. It's obvious he's on his last nerve. But he seems to be losing his compassion and empathy for his staff as the day goes on. He generally retains it for his patients (see how he treated Howard), but he really has it in for his colleagues and especially his subordinates in this episode. Al-Hashimi was right to call him out on it.

I did like the Becca-Mel scene, watching Mel process that her sister was getting laid. Even Mel, who's clearly more highly functioning with the autism, sort of had some narrative in her head that people with intellectual disabilities wouldn't boink. Ironic, eh?

I did find it ironic that Dana, who runs a tight ship, would so casually commit insurance fraud on the nicotine patch, implicating Dr. Mohan in the process.

What do we think Mohan's mother wants? In fact, we have a couple of storylines going now about troubled relationships with parents. Javarti being counseled to give her a mother a chance, she might surprise you, really was heartbreaking when she got dressed down, eh? "More talented people upstairs."

I'm not sure that Mel was thinking that people with ID don't boink. I think she was dealing with realizing that her *sister* was having sex. Because of her caregiving role, she thinks of her sister more like a child, and realizing that she's sexually active would throw her a bit. Like when a parent realizes their child is now a sexually active adult.

It is important that she get her sister on birth control and similar so the situation doesn't get worse.

Agree, and also she needs to be getting regular gynecological check ups to check for STDs and other issues. People with IDs of course are entitled to sex lives like anyone else, but it is complicated by the fact that Becca may not fully understand the consequences of having sex and it puts Mel in a challenging situation. There is also always the concern of Becca being exploited by someone *because* of the IDs, and even though this sounds like a totally consensual situation between two out-patients at her daycare facility, realizing that Becca has this whole part of her life that had been hidden from Mel is likely triggering all kinds of anxieties about her obligations to Becca which are a lot more similar to a parent's obligations to a child than a normal adult-sister relationship.

A theme of this season seems to be the many ways that stress from outside the job gets brought into the ED with these doctors and nurses, and how it can impact their work. Mel's private and professional lives are really crashing together in this shift, between the deposition and Becca coming in, yet she is still going to be expected to do her job and she can't just take a mental health day because they're already struggling to cover patients with the staff they have. She has to get through the last few hours of her shift. But like Robby, Mohan, and Santos, that is easier said than done. There are a lot of people at the end of their ropes right now.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Who's the biggest ahole tonight? Robby, Santos, or the surgeons?

Langdon
He was aggressively sh!tty to Santos last season because she was catching on to his addiction and eventually reported him. She should have been his first apology. He was an arrogant addict and he’s arrogant in recovery, expecting her to accept his authority with no remorse on his part.

He was also on her because she was doing reckless stuff without approval that endangered patients and not following procedure. There was no saint in that dynamic.

And yes, she has to accept his authority regardless of anyone's personal feelings because that how the hierarchy in an ED works.

Santos was right about Langdon's drug use, but that doesn’t make her right about everything.

Yes Santos is pushing unnecessary procedures on patients and Langdon is restraining her. Al-Hashimi was right there and agreed with Langdon. It's not being nice to let Santos push more invasive procedures on patients when it's not medically required and it's appropriate for Langdon to teach her restraint. Otherwise she'll put people through unnecessary pain and recovery.

I also read Santos' pushing for more invasive procedures as a form of hyper vigilance that is common in people who grew up in abusive or neglectful situations. She views Langdon as an unsafe person (fairly -- she barely knows him, their relationship started with him lying and gaslighting her, and she almost certainly fears retribution for her reporting him to Robby) and it's making her brain work too hard to try and keep everyone safe. Herself AND the patient.

I think this situation is on Santos AND Langdon. He really should have spoken to Santos, or maybe written her a letter or requested a meeting, prior to working a shift together. What I expect Langdon will say when he gets the chance is that Santos was right to call him out, that in the end she did him a huge favor by forcing him to deal with his addiction, and that he does not hold it against her and will never try to punish her for it. I think that's where Langdon is mentally and that he's genuinely doing the work, but Santos has not heard that yet and doesn't trust it. They need to repair via clear communication. Langdon is clearly ready for that, Santos is being avoidant, it needs to happen.

[Anonymous]

Anonymous wrote:Apologies if this has been brought up already but I am bothered by them having the dying woman in the ER. Wouldn’t they have moved her to hospice? Who would want to die peacefully in an ER? And isn’t the bed needed?

This is bothering me, as well . . . mostly due to recent experience with my mom. I had to advocate HARD in a non-busy ER not to discharge her because they didn't appear to be managing her escalating pain (which ended up being shingles, on top of end-stage cancer). They did not want her there and made it clear, and I am still resentful about how much stress they added to an already difficult situation. Fortunately, I won the battle . . . because once admitted, it took four days for them to control her pain well enough to discharge her to a hospice facility.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Apologies if this has been brought up already but I am bothered by them having the dying woman in the ER. Wouldn’t they have moved her to hospice? Who would want to die peacefully in an ER? And isn’t the bed needed?

+1

Completely unrealistic when they need the beds, its a holiday and they are taking patients from another shut down hospital. This is not an emergency.

I don't know, that is basically how my FIL died. In an ER room, on a morphine drip, waiting for a bed "upstairs". Like Roxy, he'd been at home being cared for by family but they were on the brink of putting him in hospice (the issue in his case was the reverse of Roxy's -- he didn't want to go but MIL knew she could not care for him anymore) when he fell getting out of bed and was taken to the ER. Like Roxy, that's where he died hours later. And yes, it is incredibly hard on the family to be going through that in an ER, and no it is not an ideal place for someone to die. End of life care in the US is deeply imperfect and it's challenging for families to navigate the financial, emotional, and practical logistics of someone's last days of life. My husband is still pretty traumatize by watching is dad die in that setting. My heart is breaking for Roxy's sons, having to process what is happening while in the middle of a busy ED.

The most unrealistic thing for me is that McKay and Javadi are essentially dedicated to Roxy at this point, administering all her care and McKay even having time to talk to Roxy's older son. Our experience was that we felt essentially forgotten by most of the ER staff except for one nurse, and it was a specialist from oncology who was actually putting in orders and explaining what was happening, but that person also kept disappearing and was not actually present when he died.

Very similar scenario here with DH’s father.

[Anonymous]

Great comments so far. I love everyone in this show ... even the very flawed characters.

I think with Roxie, she refused to go home, and I think there might have been a couple of throwaway lines about finding a room for her. But I think McKay has been advocating to just let her be, where she is relatively comfortable. That final scene took my breath away.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Who's the biggest ahole tonight? Robby, Santos, or the surgeons?

Langdon
He was aggressively sh!tty to Santos last season because she was catching on to his addiction and eventually reported him. She should have been his first apology. He was an arrogant addict and he’s arrogant in recovery, expecting her to accept his authority with no remorse on his part.

He was also on her because she was doing reckless stuff without approval that endangered patients and not following procedure. There was no saint in that dynamic.

And yes, she has to accept his authority regardless of anyone's personal feelings because that how the hierarchy in an ED works.

Santos was right about Langdon's drug use, but that doesn’t make her right about everything.

Yes Santos is pushing unnecessary procedures on patients and Langdon is restraining her. Al-Hashimi was right there and agreed with Langdon. It's not being nice to let Santos push more invasive procedures on patients when it's not medically required and it's appropriate for Langdon to teach her restraint. Otherwise she'll put people through unnecessary pain and recovery.

I also read Santos' pushing for more invasive procedures as a form of hyper vigilance that is common in people who grew up in abusive or neglectful situations. She views Langdon as an unsafe person (fairly -- she barely knows him, their relationship started with him lying and gaslighting her, and she almost certainly fears retribution for her reporting him to Robby) and it's making her brain work too hard to try and keep everyone safe. Herself AND the patient.

I think this situation is on Santos AND Langdon. He really should have spoken to Santos, or maybe written her a letter or requested a meeting, prior to working a shift together. What I expect Langdon will say when he gets the chance is that Santos was right to call him out, that in the end she did him a huge favor by forcing him to deal with his addiction, and that he does not hold it against her and will never try to punish her for it. I think that's where Langdon is mentally and that he's genuinely doing the work, but Santos has not heard that yet and doesn't trust it. They need to repair via clear communication. Langdon is clearly ready for that, Santos is being avoidant, it needs to happen.

It's also clear from Santos's conversation with Garcia that she blames Langdon for her not integrating well into the hospital, but Garcia thinks she alienated people. And if Langdon has been gone at rehab, it's really not on him at all.

Santos has also been obsessive about her own charting when literally every other doctor has to deal with it too. She's not coming across well this season, except when she's comforting the kids.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Who's the biggest ahole tonight? Robby, Santos, or the surgeons?

Robby.

Santos is a childish, insolent, arrogant piece of shit and her lover surgeon girlfriend person or whatever rightly put her in her place. Her seething as Langdon instructed was really something. Obviously, she's a head case and probably has serious mental health issues, as we saw hinted at with the cutting.

The orthopedic surgeon was just being a surgeon. Every surgeon I've ever known has been like that. God complexes. The man has the ability to reattach a limb, so he's somewhat entitled.

Robby just got nasty. It's obvious he's on his last nerve. But he seems to be losing his compassion and empathy for his staff as the day goes on. He generally retains it for his patients (see how he treated Howard), but he really has it in for his colleagues and especially his subordinates in this episode. Al-Hashimi was right to call him out on it.

I did like the Becca-Mel scene, watching Mel process that her sister was getting laid. Even Mel, who's clearly more highly functioning with the autism, sort of had some narrative in her head that people with intellectual disabilities wouldn't boink. Ironic, eh?

I did find it ironic that Dana, who runs a tight ship, would so casually commit insurance fraud on the nicotine patch, implicating Dr. Mohan in the process.

What do we think Mohan's mother wants? In fact, we have a couple of storylines going now about troubled relationships with parents. Javarti being counseled to give her a mother a chance, she might surprise you, really was heartbreaking when she got dressed down, eh? "More talented people upstairs."

Yes. I didn’t like this. Javadi was 100% to question it. Dana broke the law.