The Pitt, Season 2

[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!

[Anonymous]

Anonymous wrote:

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?

She hadn't been assigned to a doctor yet. Robby made a big deal of making sure Mel wasn't assigned to Becca's case, though did let her choose the doctor who would be. It's obvious Mel was going to try to treat Becca, but the ED correctly didn't allow that to happen.

Btw Mel was kind of rude to Santos (honestly, deserved) when she was picking a doctor for Becca and was like "no, not you" right to Santos' face. But I bet Santos feels like she dodged a bullet now! Mel is going to be a PITA on this case now.

[Anonymous]

Anonymous wrote:

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.

I kind of agree, but also - I don't know how old you are, but when I was 44/45 my kid ended up in the ER with a huge gash on her forehead that clearly needed stitches. I am sure the kid staffing the Lorton ER was qualified but I took one look at him and was like, sorry, but I am taking her to the main hospital and asking for a plastic surgery consult. The Dr. at the ER was professionally dressed, but nothing was going to change the fact that he looked 25 or younger.

[Anonymous]

I have read a few things briefly in a few places.

One thing about comments on FB that say the staff at The Pitt is “too diverse” (somehow that’s a problem ??)

And also something about how the writers were encouraged not to get too political about the deportation story line.

Along the same lines, my 30s daughter is a hospital RN, and while they have definitely addressed the hysteria among some kinds of patients and their families about vaccines, what my daughter has said is that it’s less than realistic in that they don’t have older nurses going on about immigrants inflating “their numbers with foreigners” and younger ones with flaky views on holistic medicine and believing the internet tells anyone what they need to know.

The nurses who also try to sell their MLM stuff at work.

[Anonymous]

I have a daughter in early 20s both on the spectrum and with a lower IQ. (Consistently tested between 70 and 90 depending on the area)

A lot of the discussion about the Mel - Becca storyline seems to come from some perspectives where they think Mel is envious because she doesn’t have a dating life and her sister does.

I don’t think that’s it. I was extremely concerned when I found out my daughter was having sex. But she’d already been able to get birth control on her own even prior to 18. As soon as she could drive, she drove herself to her doctor. And I was very worried about people taking advantage of her to the point where it was a realistic thought in my head nearly every day for several years that she was about to march into the house, throw down her backpack and announce, “I’m pregnant !!”

Which follows back to the old ER long term story line where the one doctor had a problematic sister who did indeed leave her with raising a baby she didn’t expect to ever have.

I could see that one in Mel’s face as well. If the birth control fails, who’s got that baby? No details about the father or if that father is even somewhat predatory or just another member of Becca’s daycare (group residence? Idk)

There’s a lot that would be going through Mel’s head

[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?

You are not allowed to access the chart of someone you are not treating. Of course, their EMR system was down but if it was that would get flagged by the system itself.
Are you saying that Langon should have probed whether Becca was having sex?

I'd have to rewatch to know for sure, but I think Jahadi's mom is a GI surgeon so if that patient went to surgery she would have found out. And either way someone telling a physician that someone else missed a diagnosis is NOT the same as passing on patient information--which can happen anyway for the purpose of providing care (curbside consults being an example) and is not prohibited.

[Anonymous]

Anonymous wrote:I have a daughter in early 20s both on the spectrum and with a lower IQ. (Consistently tested between 70 and 90 depending on the area)

A lot of the discussion about the Mel - Becca storyline seems to come from some perspectives where they think Mel is envious because she doesn’t have a dating life and her sister does.

I don’t think that’s it. I was extremely concerned when I found out my daughter was having sex. But she’d already been able to get birth control on her own even prior to 18. As soon as she could drive, she drove herself to her doctor. And I was very worried about people taking advantage of her to the point where it was a realistic thought in my head nearly every day for several years that she was about to march into the house, throw down her backpack and announce, “I’m pregnant !!”

Which follows back to the old ER long term story line where the one doctor had a problematic sister who did indeed leave her with raising a baby she didn’t expect to ever have.

I could see that one in Mel’s face as well. If the birth control fails, who’s got that baby? No details about the father or if that father is even somewhat predatory or just another member of Becca’s daycare (group residence? Idk)

There’s a lot that would be going through Mel’s head

I don't think she would have even got that far in her head. The focus of her response would have been Becca and her relationship with Becca and being scared about who this bf might be.
In a way, this is weird though. People with developmental disabilities NEED to be taught about sex--they are especially vulnerable to being arrested for sex offenses simply because they have not gotten the education and support needed to understand what is and is not ok. Mel was focused enough on her sister's life and smart enough as a physician to understand the nuances of sexuality in her sister's life. Maybe intellectually she did but was just unprepared for the reality.

[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?

You are not allowed to access the chart of someone you are not treating. Of course, their EMR system was down but if it was that would get flagged by the system itself.
Are you saying that Langon should have probed whether Becca was having sex?

I'd have to rewatch to know for sure, but I think Jahadi's mom is a GI surgeon so if that patient went to surgery she would have found out. And either way someone telling a physician that someone else missed a diagnosis is NOT the same as passing on patient information--which can happen anyway for the purpose of providing care (curbside consults being an example) and is not prohibited.

Yes, it was implied that Javadi’s mom saw the patient upstairs and would have been provided the necessary context, including that the ER had initially missed it.

[Anonymous]

Anonymous wrote:

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?

You are not allowed to access the chart of someone you are not treating. Of course, their EMR system was down but if it was that would get flagged by the system itself.
Are you saying that Langon should have probed whether Becca was having sex?

I'd have to rewatch to know for sure, but I think Jahadi's mom is a GI surgeon so if that patient went to surgery she would have found out. And either way someone telling a physician that someone else missed a diagnosis is NOT the same as passing on patient information--which can happen anyway for the purpose of providing care (curbside consults being an example) and is not prohibited.

Yes, it was implied that Javadi’s mom saw the patient upstairs and would have been provided the necessary context, including that the ER had initially missed it.

How was this implied?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

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?

You are not allowed to access the chart of someone you are not treating. Of course, their EMR system was down but if it was that would get flagged by the system itself.
Are you saying that Langon should have probed whether Becca was having sex?

I'd have to rewatch to know for sure, but I think Jahadi's mom is a GI surgeon so if that patient went to surgery she would have found out. And either way someone telling a physician that someone else missed a diagnosis is NOT the same as passing on patient information--which can happen anyway for the purpose of providing care (curbside consults being an example) and is not prohibited.

Yes, it was implied that Javadi’s mom saw the patient upstairs and would have been provided the necessary context, including that the ER had initially missed it.

How was this implied?

She is a surgeon in the building and has previously come down to consult on abdominal issues

[Anonymous]

Anonymous wrote:Who’s watching the baby???

Dead Louie.