The Pitt, Season 2

[Anonymous]

Anonymous wrote:

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.

My MIL had stroke while on home hospice (terminal cancer) and there was some talk about taking her in and we were warned that might be what happens. It wasn't what MIL wanted.

I think Roxie actually decided she wanted to die at the hospital to lessen the impact on her kids so they wouldn't associate home with her death.

[Anonymous]

Anonymous wrote:

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.

This 💯

[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."

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

Yeah, I actually thought this was very unlike Dana’s character. Why would she jeopardize her license/career over this? She is a leader and I don’t think she would really want to impress upon younger nurses that they should risk their livelihood trying to get drugs for others.

[Anonymous]

two comments on last night's show

I am so wary that the Becca's "BF" is a worker at her home and is taking advantage of her, and she doesn't understand the difference.

Roxie's situation feels a lot like assisted suicide. "We can keep giving you morphine, but you may stop breathing. You want more? OK, but you may stop breathing." I'm not saying it's right or wrong, but that's just how it's coming off to me. It is not legal in Pennsylvania (according to Google, at least). And I agree with the comments about too many staff members seem to be actively involved, given all the crises of the day. Has anyone even attempted to get her admitted to a hospice/palliative care bed? (Maybe so and I forgot.)

[Anonymous]

Anonymous wrote:two comments on last night's show

I am so wary that the Becca's "BF" is a worker at her home and is taking advantage of her, and she doesn't understand the difference.

Roxie's situation feels a lot like assisted suicide. "We can keep giving you morphine, but you may stop breathing. You want more? OK, but you may stop breathing." I'm not saying it's right or wrong, but that's just how it's coming off to me. It is not legal in Pennsylvania (according to Google, at least). And I agree with the comments about too many staff members seem to be actively involved, given all the crises of the day. Has anyone even attempted to get her admitted to a hospice/palliative care bed? (Maybe so and I forgot.)

Will gently disagree with both these takes.

While it's possible Becca's boyfriend is a worker at her daycare, I think it's much more likely that Becca and another patient at the daycare, likely with similar IDs, have developed a romance. This is a known issue at these kind of facilities and it's something staff, patients, and patient families have to figure out because of all the health and responsibility implications. These are adults with functioning reproductive systems -- they get sexual urges like anyone does and sometimes they act on them. There's this balance between respecting their autonomy as people and also recognizing the minefield of problems that can arise from this sort of thing. People IDs have relationships though. Some even get married and some even have kids of their own. It's very, very complicated for their caretakers, whether you are talking about a professional facility like Becca is in or the family caregivers like Mel. I think the show is just acknowledging this reality, which many people with an intellectually disabled adult family member need to deal with.

Roxy's situation is legally complex but there is a clear line: if you give a patient a high dose of morphine with the intent of ending their life, that's euthanasia and yes, it's illegal in PA. However, giving high doses of morphine or other pain meds as palliative care to relieve pain in terminal patients is totally legal, [I]as long as it is done with the intent only to relieve pain, not to end their life.[I] There is no question that McKay is not trying to kill Roxy. She is giving her morphine to ease her suffering. Roxy has been informed of the risks to her life of upping her dose, and her entire family is there and they are accepting it because they too want to ease her pain. No one wants her to die. But she's going to, one way or another. The very least her doctors can do for her at this point is provide medication to make that death less painful. This might seem like semantics to you, but it is legal semantics that make the difference between assisted suicide and palliative care. What Roxy is doing is legal.

[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."

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

Yeah, I actually thought this was very unlike Dana’s character. Why would she jeopardize her license/career over this? She is a leader and I don’t think she would really want to impress upon younger nurses that they should risk their livelihood trying to get drugs for others.

I disagree. Dana is super-practical and does what needs to be done to get through the shift. She seems like she's done this before and I assume that it's probably pretty common to ask the dr.'s for scripts

[Anonymous]

Anonymous wrote:

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."

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

Yeah, I actually thought this was very unlike Dana’s character. Why would she jeopardize her license/career over this? She is a leader and I don’t think she would really want to impress upon younger nurses that they should risk their livelihood trying to get drugs for others.

I disagree. Dana is super-practical and does what needs to be done to get through the shift. She seems like she's done this before and I assume that it's probably pretty common to ask the dr.'s for scripts

That's one for debate, definitely not a good practice, but for a good reason. Could be different answers in different ERs.

[Anonymous]

Anonymous wrote:

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."

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

Yeah, I actually thought this was very unlike Dana’s character. Why would she jeopardize her license/career over this? She is a leader and I don’t think she would really want to impress upon younger nurses that they should risk their livelihood trying to get drugs for others.

I disagree. Dana is super-practical and does what needs to be done to get through the shift. She seems like she's done this before and I assume that it's probably pretty common to ask the dr.'s for scripts

Agreed. This is not a big deal to me because she's getting a scrip for nicotine gum. This isn't a risky prescription, it's literally just a slightly higher dose than what is available OTC (which is why Dana requested it -- Monica has a serious smoking issue and the OTC stuff isn't going to cut it). Dana is a medical professional and knows the details of Monica's symptoms and history, and is not trying to get her access to a controlled substance or something that will harm her. The exchange is done to address a real medical condition Monica has (nicotine dependence) and no one is lying or cheating the symptom. It's definitely not "insurance fraud."

If they had wanted to be extra cautious, Mohan could have turned to Monica and asked her two questions about her smoking and given her a quick spiel about side effects, risk of dependence, and to keep the gum stored away from kids and pets. That's the standard practice with nicotine gum. But it would really just be a formality.

I get that people are weirded out by the idea of a nurse just telling a doctor "please sign this pre-filled scrip out for me" but Mohan rightly asked what it was and it was and Dana truthfully explained it and was ultimately okay signing it. If it had been for a drug that could actually harm Monica, she probably would not have (nor would Dana have asked).

[Anonymous]

Anonymous wrote:

Anonymous wrote:two comments on last night's show

I am so wary that the Becca's "BF" is a worker at her home and is taking advantage of her, and she doesn't understand the difference.

Roxie's situation feels a lot like assisted suicide. "We can keep giving you morphine, but you may stop breathing. You want more? OK, but you may stop breathing." I'm not saying it's right or wrong, but that's just how it's coming off to me. It is not legal in Pennsylvania (according to Google, at least). And I agree with the comments about too many staff members seem to be actively involved, given all the crises of the day. Has anyone even attempted to get her admitted to a hospice/palliative care bed? (Maybe so and I forgot.)

Will gently disagree with both these takes.

While it's possible Becca's boyfriend is a worker at her daycare, I think it's much more likely that Becca and another patient at the daycare, likely with similar IDs, have developed a romance. This is a known issue at these kind of facilities and it's something staff, patients, and patient families have to figure out because of all the health and responsibility implications. These are adults with functioning reproductive systems -- they get sexual urges like anyone does and sometimes they act on them. There's this balance between respecting their autonomy as people and also recognizing the minefield of problems that can arise from this sort of thing. People IDs have relationships though. Some even get married and some even have kids of their own. It's very, very complicated for their caretakers, whether you are talking about a professional facility like Becca is in or the family caregivers like Mel. I think the show is just acknowledging this reality, which many people with an intellectually disabled adult family member need to deal with.

Roxy's situation is legally complex but there is a clear line: if you give a patient a high dose of morphine with the intent of ending their life, that's euthanasia and yes, it's illegal in PA. However, giving high doses of morphine or other pain meds as palliative care to relieve pain in terminal patients is totally legal, [I]as long as it is done with the intent only to relieve pain, not to end their life.[I] There is no question that McKay is not trying to kill Roxy. She is giving her morphine to ease her suffering. Roxy has been informed of the risks to her life of upping her dose, and her entire family is there and they are accepting it because they too want to ease her pain. No one wants her to die. But she's going to, one way or another. The very least her doctors can do for her at this point is provide medication to make that death less painful. This might seem like semantics to you, but it is legal semantics that make the difference between assisted suicide and palliative care. What Roxy is doing is legal.

I just think about how long my grandma lingered in total agony when she was dying of cancer and the doctors refused to give her more morphine. I wish the doctors had helped her like they helped Roxie.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

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."

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

Yeah, I actually thought this was very unlike Dana’s character. Why would she jeopardize her license/career over this? She is a leader and I don’t think she would really want to impress upon younger nurses that they should risk their livelihood trying to get drugs for others.

I disagree. Dana is super-practical and does what needs to be done to get through the shift. She seems like she's done this before and I assume that it's probably pretty common to ask the dr.'s for scripts

Agreed. This is not a big deal to me because she's getting a scrip for nicotine gum. This isn't a risky prescription, it's literally just a slightly higher dose than what is available OTC (which is why Dana requested it -- Monica has a serious smoking issue and the OTC stuff isn't going to cut it). Dana is a medical professional and knows the details of Monica's symptoms and history, and is not trying to get her access to a controlled substance or something that will harm her. The exchange is done to address a real medical condition Monica has (nicotine dependence) and no one is lying or cheating the symptom. It's definitely not "insurance fraud."

If they had wanted to be extra cautious, Mohan could have turned to Monica and asked her two questions about her smoking and given her a quick spiel about side effects, risk of dependence, and to keep the gum stored away from kids and pets. That's the standard practice with nicotine gum. But it would really just be a formality.

I get that people are weirded out by the idea of a nurse just telling a doctor "please sign this pre-filled scrip out for me" but Mohan rightly asked what it was and it was and Dana truthfully explained it and was ultimately okay signing it. If it had been for a drug that could actually harm Monica, she probably would not have (nor would Dana have asked).

Yes, but later Dana does admit that the prescription was made out in her name because she has better insurance than Monica. That does make it insurance fraud. Maybe she is morally right, but legally . . . not so much.

[Anonymous]

Anonymous wrote:

Anonymous wrote:two comments on last night's show

I am so wary that the Becca's "BF" is a worker at her home and is taking advantage of her, and she doesn't understand the difference.

Roxie's situation feels a lot like assisted suicide. "We can keep giving you morphine, but you may stop breathing. You want more? OK, but you may stop breathing." I'm not saying it's right or wrong, but that's just how it's coming off to me. It is not legal in Pennsylvania (according to Google, at least). And I agree with the comments about too many staff members seem to be actively involved, given all the crises of the day. Has anyone even attempted to get her admitted to a hospice/palliative care bed? (Maybe so and I forgot.)

While it's possible Becca's boyfriend is a worker at her daycare, I think it's much more likely that Becca and another patient at the daycare, likely with similar IDs, have developed a romance. This is a known issue at these kind of facilities and it's something staff, patients, and patient families have to figure out because of all the health and responsibility implications. These are adults with functioning reproductive systems -- they get sexual urges like anyone does and sometimes they act on them. There's this balance between respecting their autonomy as people and also recognizing the minefield of problems that can arise from this sort of thing. People IDs have relationships though. Some even get married and some even have kids of their own. It's very, very complicated for their caretakers, whether you are talking about a professional facility like Becca is in or the family caregivers like Mel. I think the show is just acknowledging this reality, which many people with an intellectually disabled adult family member need to deal with.

I am hopeful that this opinion is where the show is going. But I am wary the writers are going for "drama" and that we will ultimately learn Becca is in a bad situation. Sorry I was not more clear. I would be happy for Becca (or quite honestly, anyone) to be in a good relationship. I'm fearful that Becca is not a good relationship because the writers want to make all sorts of sad drama/commentary. I hope I am wrong.

[Anonymous]

Anonymous wrote:

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.

It seems really unlikely that Langdon is the reason Santos hasn't integrated well. S1, she was a royal B to her colleagues, straight-up mocking Whitaker and Javadi. Her manner with patients might be okay, but her manner to co-workers is crap. Maybe some doctors blame her for Langdon, but I think she's totally capabale of having managed to alienate everyone on her own.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:two comments on last night's show

I am so wary that the Becca's "BF" is a worker at her home and is taking advantage of her, and she doesn't understand the difference.

Roxie's situation feels a lot like assisted suicide. "We can keep giving you morphine, but you may stop breathing. You want more? OK, but you may stop breathing." I'm not saying it's right or wrong, but that's just how it's coming off to me. It is not legal in Pennsylvania (according to Google, at least). And I agree with the comments about too many staff members seem to be actively involved, given all the crises of the day. Has anyone even attempted to get her admitted to a hospice/palliative care bed? (Maybe so and I forgot.)

While it's possible Becca's boyfriend is a worker at her daycare, I think it's much more likely that Becca and another patient at the daycare, likely with similar IDs, have developed a romance. This is a known issue at these kind of facilities and it's something staff, patients, and patient families have to figure out because of all the health and responsibility implications. These are adults with functioning reproductive systems -- they get sexual urges like anyone does and sometimes they act on them. There's this balance between respecting their autonomy as people and also recognizing the minefield of problems that can arise from this sort of thing. People IDs have relationships though. Some even get married and some even have kids of their own. It's very, very complicated for their caretakers, whether you are talking about a professional facility like Becca is in or the family caregivers like Mel. I think the show is just acknowledging this reality, which many people with an intellectually disabled adult family member need to deal with.

I am hopeful that this opinion is where the show is going. But I am wary the writers are going for "drama" and that we will ultimately learn Becca is in a bad situation. Sorry I was not more clear. I would be happy for Becca (or quite honestly, anyone) to be in a good relationship. I'm fearful that Becca is not a good relationship because the writers want to make all sorts of sad drama/commentary. I hope I am wrong.

No, this show has a pretty clear track record of trying to represent different groups and so I think they are just spot lighting this aspect of having an ID.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

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."

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

Yeah, I actually thought this was very unlike Dana’s character. Why would she jeopardize her license/career over this? She is a leader and I don’t think she would really want to impress upon younger nurses that they should risk their livelihood trying to get drugs for others.

I disagree. Dana is super-practical and does what needs to be done to get through the shift. She seems like she's done this before and I assume that it's probably pretty common to ask the dr.'s for scripts

Agreed. This is not a big deal to me because she's getting a scrip for nicotine gum. This isn't a risky prescription, it's literally just a slightly higher dose than what is available OTC (which is why Dana requested it -- Monica has a serious smoking issue and the OTC stuff isn't going to cut it). Dana is a medical professional and knows the details of Monica's symptoms and history, and is not trying to get her access to a controlled substance or something that will harm her. The exchange is done to address a real medical condition Monica has (nicotine dependence) and no one is lying or cheating the symptom. It's definitely not "insurance fraud."

If they had wanted to be extra cautious, Mohan could have turned to Monica and asked her two questions about her smoking and given her a quick spiel about side effects, risk of dependence, and to keep the gum stored away from kids and pets. That's the standard practice with nicotine gum. But it would really just be a formality.

I get that people are weirded out by the idea of a nurse just telling a doctor "please sign this pre-filled scrip out for me" but Mohan rightly asked what it was and it was and Dana truthfully explained it and was ultimately okay signing it. If it had been for a drug that could actually harm Monica, she probably would not have (nor would Dana have asked).

Yes, but later Dana does admit that the prescription was made out in her name because she has better insurance than Monica. That does make it insurance fraud. Maybe she is morally right, but legally . . . not so much.

This. And I think it is pretty dumb to risk your license over nicotine patches and I don’t think Dana would do it

[Anonymous]

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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.

It seems really unlikely that Langdon is the reason Santos hasn't integrated well. S1, she was a royal B to her colleagues, straight-up mocking Whitaker and Javadi. Her manner with patients might be okay, but her manner to co-workers is crap. Maybe some doctors blame her for Langdon, but I think she's totally capabale of having managed to alienate everyone on her own.

Agreed. But I also have empathy for her because it's clear she's not just a jerk. She does care about people, including both her colleagues and her patients, but she doesn't always know how to express it and she also *chooses* to be abrasive as a way to keep her distance from people, likely because she has major trust issues from past trauma. We know Santos was abused as a child, and we also know she has a history of cutting, and we also know that she is the sort of person who will offer Whitaker a place to stay (for free) or worry Whitaker is being taken advantage of by a patient's wife, or go to bat for underage patients when she suspects they are being mistreated, or seeing a beautiful lullaby to a baby to calm her down.

Like most people, she is a work in progress. I actually feel bad for her right now because I think she needs a friendly face and a shoulder to lean on, and the reason she doesn't have one is yes, partially her fault, but also a common outcome for abuse survivors (hi, I am one, I get it).

I actually think both Langdon or McKay could be that shoulder, as could maybe Whitaker, if Santos was willing to trust them and stop pushing them away. I am hoping by the end of this season, we will see that happen, probably with Langdon for narrative symmetry, because I think Santos deserves to have a friend a feel like a part of her community in her workplace. But she will need to meet them halfway.