Reply to The Pitt, Season 2

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[quote=Anonymous][quote=Anonymous]EPISODE FIVE

So, yes, those who foreshadowed Louie's death appear to be on target.

Robby seems to be losing patience. With everything.

Did Langdon REALLY screw up with the sepsis patient? Was prescribing Keflex the right thing to do when she first presented hours before?

They're clearly foreshadowing that al-Hashimi's genAI is going to blow up in someone's face. Maybe Santos. [/quote]

I don't think Langdon screwed up, at least not in a way that most doctors wouldn't also "screw up" in that he was not maximally cautious in a triage situation where the patient has no other symptoms and is expressing an urgent need to leave. He treated appropriately given what he knew and knew the risk and gave her good instructions that brought her back to the ED when the rash spread. Would it have been better for her to be treated more aggressively the first time and kept for observation? Yes. Are EDs set up to accommodate that level of care for a patient who is requesting to leave and whose symptoms are not severe? Absolutely not. And Robby knows that.

This season, they seem to be really digging into the ways that medical care is heavily influenced by factors that are outside the doctors' control. Things like insurance, bed availability, strain on another part of the system that gets pushed along the pipeline (like the other ED going "code black" and shifting patients to the Pitt). Well this waitress with the infection is a good example as well. She does hourly shift work and is highly motivated to get back to to work. Langdon was seeking to be sensitive to that reality and offer her the best care possible. He was also in the clinic at the time, not the ED itself. The whole point of the clinic is to "treat and street" cases to reduce wait times and pressure on the ED. It is inevitable that this will sometimes lead to releasing a patient who winds up back in the ED later with a worsening issue. It happens a lot -- the system is designed for it.[/quote]

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