Reply to The Pitt, new HBO Max show w Noah Wyle

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]It's going to be hard to top this 12 hours in the second season, they'll have to kill of half of Pittsburgh. That's a lot of casualties for a lone shooter.

I'm not really sure if I bought Robby trying so hard to save that girl who was clearly gone or his step son blaming him for her death. I hate the redemption arc for Santos. [/quote]
[b]Why would Santos need a redemption arc?[/b] She’s proven to be extremely competent and caught out a doctor stealing drugs and working high.[/quote]

Because she’s annoying? [/quote]

More than annoying, she takes risks she's not authorized to take, she gives her co-workers unkind nicknames, and she's quick to accuse people of serious offenses with little proof. But the show keeps having her get vindicated for her actions. [/quote]
She keeps succeeding, in other words.

For those who don't understand the importance of the scene with Collins and the black mother who was so relieved and thankful that someone finally listened and provided appropriate treatment, there is a ton of literature demonstrating that black patients are consistently treated dismissively in medical settings. The Pitt is trying to be a realistic show, and that is a realistic scene.[/quote]

There are a few great examples of the medical providers' lived experience coming through to benefit their patients, or at least try to help beyond regular protocol and procedure. What you said about Collins is bang on. Also, Dr. King's understanding of what would help the autistic patient feel understood, the two providers who did street outreach catching the possible STI/trafficking situation, etc.[/quote]

Also, Mohan immediately recognizing the signs of sickle cell in the patient who came in with the EMTs who thought she was faking or having a mental health break -- I don't know Mohan's ethnicity but she seemed to be aware of how racism played into misdiagnosis and how important it is for ER docs to understand the signs of sickle cell (which sounds insanely painful, wow.)

I also like how Collins was shown being particularly good and insightful on the obstetric cases, as she was dealing with her miscarriage. It would make perfect sense for a doctor trying to conceive to be very focused on the medical needs of pregnant and post party women. She is the one who caught the problem with the woman who'd given birth a week before that McKay missed (and pointed out to McKay that she might have overlooked this obvious explanation for her symptoms because the patient was obese). And then Collins was also really on top of the patient giving birth, reminding Robbie of technique in getting the baby's shoulder unstuck and doing an especially good job of focusing on both the needs if the mom and baby in a situation where people sometimes fixate in the baby and ignore the mom (spoken from experience).

In general I just like how the show portrays doctors using empathy and real world, nonmedical experience to not only support patients but to diagnose. I think this is something unique to emergency medicine. It's a specialty with very specific skills, but unlike a lot of other specialties, the doctors are generalists. They treat people with a very broad range issues, have to be able to diagnose quickly and choose a course of treatment fast. This makes it extra valuable to be empathetic and insightful about people. [b]They aren't getting patients referred to them with issues already identified and histories already taken. They have to start from scratch with most of their patients (save the repeat customers like Louie and Myrna) but they also have to be careful not to make assumptions or give in to stereotypes.[/b] It's a really hard job.

After never having been to the ER as a patient before, I wound up going twice in the last year. One wonderful experience (as wonderful as that can be, at least), and one real nightmare. So I've been watching this show with that baggage, and I gotta say, I'd go to the Pitt anytime I needed an ER. They are good doctors.[/quote]

Agree with you completely, but also want to point out that this is true for general pediatricians and family medicine providers as well, and urgent care. Most docs are actually in this position, albeit without the acuity. The acuity makes it murder.[/quote]

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