The Pitt, Season 2

[Anonymous]

I wish the show was more favorable to nurses. They are such a minor role in the show, yet in reality a nurse would most likely be spending that much time with the dying woman, not an MD with McKay’s status. They also know far more than the med students and even R1-2s. The ones on the show are just twits, like “Princess”, who’s always at the nurse’s station. Jesse at least gets to speak now, and there’s an NP. Likely would be a PA, but okay. Sure there is plenty of diversity in the real world, but more professionalism would be appreciated.

[Anonymous]

Anyone else get a vibe when Langdon was crushing Becca’s pills? And being so adamant about HIPA? Maybe a reach, but possibly a foreshadowing of a relapse?

I mean, crushing pills for a patient and (of course) adhering to HIPA are in and of themselves not problematic. But in this context, the handling of pills and the secrecy…

[Anonymous]

Anonymous wrote:Anyone else get a vibe when Langdon was crushing Becca’s pills? And being so adamant about HIPA? Maybe a reach, but possibly a foreshadowing of a relapse?

I mean, crushing pills for a patient and (of course) adhering to HIPA are in and of themselves not problematic. But in this context, the handling of pills and the secrecy…

Say more. How is respecting a patient's autonomy and privacy foreshadowing of a relapse?

And it's HIPAA.

[Anonymous]

Anonymous wrote:I wish the show was more favorable to nurses. They are such a minor role in the show, yet in reality a nurse would most likely be spending that much time with the dying woman, not an MD with McKay’s status. They also know far more than the med students and even R1-2s. The ones on the show are just twits, like “Princess”, who’s always at the nurse’s station. Jesse at least gets to speak now, and there’s an NP. Likely would be a PA, but okay. Sure there is plenty of diversity in the real world, but more professionalism would be appreciated.

Do you not watch the show?

Literally there have been lines on the show this season where doctors have told med students "listen to the nurses, they are more knowledgeable than you." A major storyline this season has been the charge nurse, Dana, walking the new nurse, Emma, through the ED and talking through aspects of the job and showing what a tough and important job the nurses have. Princess (that is her actual name, it doesn't belong in quotation marks for some reason) has been shown caring for Roxy (the dying woman) and there was even a critical scene where Princess was taking care of Roxy and explaining how she is able to do her job well because she gets separation from work when she goes home at the end of her shift, and that helped empower Roxy to decide not to go home with her husband because she realized she wanted to be cared for by professionals at the hospitals (or in hospice) and not by her husband and children who don't know how and get no break from it. Perlah has also been featured this season, especially in the episode where Louie died, where it was clear she was extra affected by his death precisely because, as a nurse, she'd spent more time with him over the years than most doctors do. Yes, Jesse has gotten lines and been featured a bit more (I think largely because he's a bit of a fan favorite -- I think the reason he wasn't featured more previously is because he's not the strongest actor on the show and was largely cast because he has real nursing experience and helps to give the show authenticity). As has Donnie, the NP who we also get a lot of backstory on (he has a new baby at home and his exhausting and new status as a dad has featured in several storylines).

Nurse representation is strong on this show, it's one of the things I like about it, as the daughter of a nurse who has a lot of RNs and NPs in my family.

Agree with you that PAs are oddly missing from the show, though I kind of get why because they would likely be largely dealing with clinic patients in an ED setting, and the show tends to only dip into the clinic occasionally for cases that will get escalated to the ED. So you can imagine there is a PA or two basically running the clinic and processing the patients with lower level and easily diagnosable issues but we just don't see them because those cases are less interesting. If this were another hospital department, PAs would play a much more significant role. IME, EDs tend to use PAs for triage and clinic but they don't get pulled in on trauma because their PA skills aren't a good fit for those sorts of cases.

[Anonymous]

Anonymous wrote:I wish the show was more favorable to nurses. They are such a minor role in the show, yet in reality a nurse would most likely be spending that much time with the dying woman, not an MD with McKay’s status. They also know far more than the med students and even R1-2s. The ones on the show are just twits, like “Princess”, who’s always at the nurse’s station. Jesse at least gets to speak now, and there’s an NP. Likely would be a PA, but okay. Sure there is plenty of diversity in the real world, but more professionalism would be appreciated.

Uh what? The nurses are running that ER!

[Anonymous]

Anonymous wrote:I wish the show was more favorable to nurses. They are such a minor role in the show, yet in reality a nurse would most likely be spending that much time with the dying woman, not an MD with McKay’s status. They also know far more than the med students and even R1-2s. The ones on the show are just twits, like “Princess”, who’s always at the nurse’s station. Jesse at least gets to speak now, and there’s an NP. Likely would be a PA, but okay. Sure there is plenty of diversity in the real world, but more professionalism would be appreciated.

Did you miss the entire sexual assault episode??

[Anonymous]

Anonymous wrote:Anyone else get a vibe when Langdon was crushing Becca’s pills? And being so adamant about HIPA? Maybe a reach, but possibly a foreshadowing of a relapse?

I mean, crushing pills for a patient and (of course) adhering to HIPA are in and of themselves not problematic. But in this context, the handling of pills and the secrecy…

I didn’t get that vibe. I got a vibe that he’s trying to do everything by the book because he realizes how close he came to losing his license.

[Anonymous]

Anonymous wrote:Anyone else get a vibe when Langdon was crushing Becca’s pills? And being so adamant about HIPA? Maybe a reach, but possibly a foreshadowing of a relapse?

I mean, crushing pills for a patient and (of course) adhering to HIPA are in and of themselves not problematic. But in this context, the handling of pills and the secrecy…

My read on him crushing the pills is that he was being kind to a patient and using empathy to help her take her prescribed meds. It wasn't secret -- the meds would be on her chart and prescribed by the pharmacy. Crushing them into the oj does not make them more secret.

My read on him being a stickler about HIPAA was that he realized there was a good likelihood that Becca's UTI was caused by sexual activity and he knew it could be sensitive for both Becca and Mel and felt it was best that they discuss it in private without his intervention. I think if it had been a diagnosis with potentially sensitive implication, he would have just told Mel (I would suspect that Mel is a designated healthcare proxy or may even have guardianship, though I guess if that was true Mel would have just said that when Langdon brought up HIPAA?).

[Anonymous]

Anonymous wrote:

Anonymous wrote:Is McKay wearing an Aviator Nation sweatshirt?

Yes!

And is Javedi wearing a Comfrt one?? Or something else?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Is McKay wearing an Aviator Nation sweatshirt?

Yes!

And is Javedi wearing a Comfrt one?? Or something else?

Reddit thinks it's this one: https://www.gap.com/browse/product.do?pid=887723012&vid=1#pdp-page-content

I feel like the show puts her in this outfit specifically to age her down, but I actually hate it. She looks juvenile and I feel like it would make patients feel like they were being treated by a kid (which they kind of are, but Javadi is competent and should look it).

I don't have an issue with the hoodies, that's what a lot of hospital doctors wear because it's freezing there. But I feel like wearing something so trendy works against her.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Anyone else get a vibe when Langdon was crushing Becca’s pills? And being so adamant about HIPA? Maybe a reach, but possibly a foreshadowing of a relapse?

I mean, crushing pills for a patient and (of course) adhering to HIPA are in and of themselves not problematic. But in this context, the handling of pills and the secrecy…

My read on him crushing the pills is that he was being kind to a patient and using empathy to help her take her prescribed meds. It wasn't secret -- the meds would be on her chart and prescribed by the pharmacy. Crushing them into the oj does not make them more secret.

My read on him being a stickler about HIPAA was that he realized there was a good likelihood that Becca's UTI was caused by sexual activity and he knew it could be sensitive for both Becca and Mel and felt it was best that they discuss it in private without his intervention. I think if it had been a diagnosis with potentially sensitive implication, he would have just told Mel (I would suspect that Mel is a designated healthcare proxy or may even have guardianship, though I guess if that was true Mel would have just said that when Langdon brought up HIPAA?).

My read was also Langdon taking Mel's example for handling autistic patients from last season. He's trying to treat Becca the same as they'd treat another adult patient.

[Anonymous]

So Langdon flows HIPAA but whomever told nepo baby’s mom about her missing the sigmoid volvulus was okay? And the autistic dr couldn’t have just looked in her sister’s chart to ensure she got all the info? Langdon suspected the uti may be sexually related and doesn’t discuss that with the patient?

[Anonymous]

Anonymous wrote:So Langdon flows HIPAA but whomever told nepo baby’s mom about her missing the sigmoid volvulus was okay? And the autistic dr couldn’t have just looked in her sister’s chart to ensure she got all the info? Langdon suspected the uti may be sexually related and doesn’t discuss that with the patient?

I mean, those are totally different situations. Javadi's screw up isn't her personal health info, HIPAA doesn't apply. She and her mom are work colleagues and her mom heard about something Javadi did at work. Doesn't make it okay that she yelled at Javadi in front of everyone, but it was not unethical for her to have heard about it.

While Becca does get HIPAA protection because her chart and her diagnosis are considered private medical info, and cannot be disclosed to someone not on her care team without her permission. Mel isn't on her care team, and in that situation is "just" the patient's sister. Were Mel not a doctor at the hospital, I think Langdon would have handled it similarly. The point is that Becca is an adult with rights, which include health privacy.

Also I don't think we saw all of Langdon's discussions with Becca about the UTI. The show wanted to wait to reveal Becca's sexual activity until Mel was hearing it. Becca tells Mell that Langdon had told her about the possible causes for a UTI, but we don't see that, so it's possible he had a more extensive conversation with her about sexual activity (all the more reason why it would be inappropriate for him to discuss the case with Mel because the is private info disclosed in confidence to a doctor).

[Anonymous]

Anonymous wrote:

Anonymous wrote:So Langdon flows HIPAA but whomever told nepo baby’s mom about her missing the sigmoid volvulus was okay? And the autistic dr couldn’t have just looked in her sister’s chart to ensure she got all the info? Langdon suspected the uti may be sexually related and doesn’t discuss that with the patient?

I mean, those are totally different situations. Javadi's screw up isn't her personal health info, HIPAA doesn't apply. She and her mom are work colleagues and her mom heard about something Javadi did at work. Doesn't make it okay that she yelled at Javadi in front of everyone, but it was not unethical for her to have heard about it.

While Becca does get HIPAA protection because her chart and her diagnosis are considered private medical info, and cannot be disclosed to someone not on her care team without her permission. Mel isn't on her care team, and in that situation is "just" the patient's sister. Were Mel not a doctor at the hospital, I think Langdon would have handled it similarly. The point is that Becca is an adult with rights, which include health privacy.

Also I don't think we saw all of Langdon's discussions with Becca about the UTI. The show wanted to wait to reveal Becca's sexual activity until Mel was hearing it. Becca tells Mell that Langdon had told her about the possible causes for a UTI, but we don't see that, so it's possible he had a more extensive conversation with her about sexual activity (all the more reason why it would be inappropriate for him to discuss the case with Mel because the is private info disclosed in confidence to a doctor).

Before the deposition called her sway, who was Becca’s doctor?

[Anonymous]

Regarding Mel and Becca, I was just thinking about the full burden of being Becca's caretaker and how unequal it makes their relationship.

Mel has probably never really dated as an adult. She's likely 28 or 29, but she's been in med school and caring for her sister her entire adult life. That doesn't leave a lot of time for much else. She has a serious job and an adult dependent. It's a really heavy life.

Becca must be around the same age, but because of her ID, she doesn't work. Her life is mostly leisure, whether at the daycare or with Mel. And now she's in a relationship and has a sex life.

I'm not suggesting Mel is jealous of Becca, I don't think that's the right word. And Mel clearly loves Becca and I don't think would allow herself to feel resentful towards her. But I just really feel for Mel. There is so little left for her. That's no way to live. I just want a lot more for her. I want her to have a boyfriend and a sexually-induced UTI! Not spending a national holiday in a deposition for the stupid measel mom case and having to worry that her dependent sister might get pregnant or contract an STD at her daycare facility. Free Mel!