Reply to The Pitt, Season 2

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Does anyone know what the medical story line is with the obese patient? I understand the fat phobia and discrimination overweight (esp obese) patients experience in medical care is the story line but I couldn’t figure out what his medical issue was that brought him into the ER in the first place. Can someone explain? [/quote]

His symptoms were vague and he doesn't have a diagnosis yet because they couldn't take all the tests they needed (that's why he's being transferred). His main symptom was abdominal pain. That's a super common thing that brings people to the ER and there are tons of possible explanations. It's very standard to take scans for abdominal pain because there are so many organs that could be impacted. They are looking at appendix, kidneys, bowels, gallbladder, just to name a few. That's why his story ultimately revolves around how to get him a CT scan because his size means they cannot use a standard machine.

The reason they intubate him is because he tells them he cannot lie flat on his back without shortness of breath. You have to be able to lie flat for a CT. So they put in a breathing tube to enable them to do the CT.[/quote]

If he has to go somewhere else for the CT scan, why not wait until he gets there to intubate him?[/quote]

Being able to lie him flat will make it easier to transfer him.

Also the Pitt is a trauma center with staff trained to handle a tricky intubation or any complications that could arise from it. It's unlikely the facility he's being moved to is a trauma 1 center, especially since a major plot point this season is that several of the trauma centers in the city are shit down.[/quote]

I thought they had to have him flat to be weighed in addition to prepping for lying flat in the CT. Otherwise waiting to tube would have made sense.

Also, they’re playing fast and loose with the names of the other Pittsburgh area hospitals. The initial hospital to experience a cyber attack is made up (and so made up that I can’t even remember it without scrollling back, which I’m too lazy to do). The hospital to which they are sending the patient in need of a larger scanner (“Presby”or UPMC Presbyterian) is very much real and the “other” Level 1, complete bells and whistles trauma center in Pittsburgh. Last season they referenced several other real hospitals such as West Penn.[/quote]

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