Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I missed the mid-credit scene, I'm glad they did that, I was annoyed that they teased karaoke but didn't show it. I'm not a Santos fan, but I root for Mel and I was glad to see them having fun.

I know that the show is focusing on the busiest, most stressful days, but the across the board burnout of the doctors both old and young doesn't match what I've seen in ERs. We're getting older and sandwich generation, with elderly parents and college kids, and unfortunately have made more than a few trips to the ER over the past couple years. We haven't seen wait times where people are dying in the waiting room. The doctors and nurses we see seem very happy to be doing their jobs. We were in there earlier this week and it seemed like a very busy but cheerful workplace. Fortunately our trip was not super high urgency, but they got us right in and didn't rush us out. There were other patients nearby who we pray the best for, and a number of stroke alerts, so they were certainly busy. My point being, that I hope that the doctors and nurses at Inova Fairfax, Alexandria, and Mt Vernon are all in better shape than the staff at the Pitt, we are 100% so thankful for the care our family has received.

Because like most of us you are living in a HCOL area filled with insured UMC+ people. That’s not the Pitt.

This. I've been to every ER in DC. Washington Hospital Center and Howard can absolutely look like the Pitt on a holiday. Howard has a lot of mean nurses and doctors who look burned out, and the waiting room looks brutal (I bypassed it for not good reasons). Sibley is pleasant (waits can sometimes be long). GW's staff seems very professional but hurried and tired.

Sure, on a holiday with lots of sun and alcohol issues, and during a mass shooting. Those are the most stressful days and it makes sense for the show to cover them. But the doctors are all dealing with long term issues unrelated to those particular days. Even cities have slower days. (And at Alexandria this week the other patients checking in weren't speaking English, no sign of ICE though.)

It's not "across the board" burn out. It's Robby and Dana. They are the only ones who seem truly burnt out. Santos is having a tough day and has a trauma history, but a lot of that is just being a new R2 and overwhelm. Common. Mel had a bad day, otherwise seems fine. Javadi seems fine (her mom SUCKS and Javadi should not be working in the same hospital as both parents, but it's not unrealistic for a family like hers and given her age). Princess seems better than fine. McKay seems good, just had a tough time with the cancer patient who died, but that would be normal. Whitaker seems great. Joy seems fine. Ogilvie had a bad day and probably emergency med is not for him (normal for a med student on rotation, happens in lots of specialties). Mohan doesn't seem burnt out, just dealing with a personal issue and not feeling supported at work (her having the panic attack was melodramatic, IMO, but I suppose it could happen under some circumstances). Langdon is at the start of recovery, I think he had an okay, not great, first day back -- he seems as good as can be expected.

Robby is in crisis. Dana clearly has PTSD from being attacked and may just have hit her limit in her job -- she is retirement age and lots of older nurses get to the point she is at now, I think the ongoing story with her is how she continues to do this job. But they are the only two behaving in ways that would indicate burn out to me, and mostly not in front of patients. You could go to that ER, have Robby as your attending and interact with Dana, and not think "whoa is this place falling apart?" You'd actually probably find them both professional and reassuring, because they are, even on this particular day.

This is consistent with most of my ER experiences. And I've definitely been in ER's where the waiting room is a total nightmare. Washington Hospital Center had a 10 hour wait for non-trauma cases the last time I was there (not a holiday), Howard's waiting room has a lot of unhoused people and people in dire life situations. GW gets a lot of serious trauma cases, especially on holidays, and can be a very stressful place. Sibley is the only ER in DC where I've had what I'd describe as literally a pleasant experience, but I was there in the middle of the day on a Tuesday and they were not busy. And I still had one nurse who was kind of an impatient jerk, though who knows maybe he was having a rough day like anyone can have!

The Pitt is pretty realistic in this respect, IMO.

Javadi was questioning whether she should even be a doctor because of everyone’s mental health issues. I don’t think she is fine.

She was questioning working in the ED because of the mental health stuff, not being a doctor. And she was being melodramatic because as outlined above, "everyone" does not have severe mental health issues. Some of Javadi's examples didn't even make sense. She mentioned McKay's ankle monitor which I do not believe had anything to do with her job. She mentioned Santos being angry but even Whitaker pushed back on this and said Santos has issues (unrelated to her being a doctor) but isn't actually angry. And then she mentions Mel like "then there's Mel" and doesn't say what the issue is but it sure sounds like she's actually just judging Mel for being neurodiverse, not for being burnt out.

Javadi is just a typical 20/21 year old. She's a little judgmental, doesn't really understand how the world works, in her first "real" job and learning what actual people who are not her family members are like. She's not burnt out. She making TikTok's and figuring out what her medical specialty will be and having crushes and making friends, maybe for the first time in her weird life with her overbearing mom and academic superstar status.

She is absolutely fine.

Anonymous wrote:Al Hashimi driving off on the top level of the parking garage with her two seizures that day made me think she was going to have another seizure and drive into the group of staff watching the fireworks on the top level of the garage.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I missed the mid-credit scene, I'm glad they did that, I was annoyed that they teased karaoke but didn't show it. I'm not a Santos fan, but I root for Mel and I was glad to see them having fun.

I know that the show is focusing on the busiest, most stressful days, but the across the board burnout of the doctors both old and young doesn't match what I've seen in ERs. We're getting older and sandwich generation, with elderly parents and college kids, and unfortunately have made more than a few trips to the ER over the past couple years. We haven't seen wait times where people are dying in the waiting room. The doctors and nurses we see seem very happy to be doing their jobs. We were in there earlier this week and it seemed like a very busy but cheerful workplace. Fortunately our trip was not super high urgency, but they got us right in and didn't rush us out. There were other patients nearby who we pray the best for, and a number of stroke alerts, so they were certainly busy. My point being, that I hope that the doctors and nurses at Inova Fairfax, Alexandria, and Mt Vernon are all in better shape than the staff at the Pitt, we are 100% so thankful for the care our family has received.

Because like most of us you are living in a HCOL area filled with insured UMC+ people. That’s not the Pitt.

This. I've been to every ER in DC. Washington Hospital Center and Howard can absolutely look like the Pitt on a holiday. Howard has a lot of mean nurses and doctors who look burned out, and the waiting room looks brutal (I bypassed it for not good reasons). Sibley is pleasant (waits can sometimes be long). GW's staff seems very professional but hurried and tired.

Sure, on a holiday with lots of sun and alcohol issues, and during a mass shooting. Those are the most stressful days and it makes sense for the show to cover them. But the doctors are all dealing with long term issues unrelated to those particular days. Even cities have slower days. (And at Alexandria this week the other patients checking in weren't speaking English, no sign of ICE though.)

It's not "across the board" burn out. It's Robby and Dana. They are the only ones who seem truly burnt out. Santos is having a tough day and has a trauma history, but a lot of that is just being a new R2 and overwhelm. Common. Mel had a bad day, otherwise seems fine. Javadi seems fine (her mom SUCKS and Javadi should not be working in the same hospital as both parents, but it's not unrealistic for a family like hers and given her age). Princess seems better than fine. McKay seems good, just had a tough time with the cancer patient who died, but that would be normal. Whitaker seems great. Joy seems fine. Ogilvie had a bad day and probably emergency med is not for him (normal for a med student on rotation, happens in lots of specialties). Mohan doesn't seem burnt out, just dealing with a personal issue and not feeling supported at work (her having the panic attack was melodramatic, IMO, but I suppose it could happen under some circumstances). Langdon is at the start of recovery, I think he had an okay, not great, first day back -- he seems as good as can be expected.

Robby is in crisis. Dana clearly has PTSD from being attacked and may just have hit her limit in her job -- she is retirement age and lots of older nurses get to the point she is at now, I think the ongoing story with her is how she continues to do this job. But they are the only two behaving in ways that would indicate burn out to me, and mostly not in front of patients. You could go to that ER, have Robby as your attending and interact with Dana, and not think "whoa is this place falling apart?" You'd actually probably find them both professional and reassuring, because they are, even on this particular day.

This is consistent with most of my ER experiences. And I've definitely been in ER's where the waiting room is a total nightmare. Washington Hospital Center had a 10 hour wait for non-trauma cases the last time I was there (not a holiday), Howard's waiting room has a lot of unhoused people and people in dire life situations. GW gets a lot of serious trauma cases, especially on holidays, and can be a very stressful place. Sibley is the only ER in DC where I've had what I'd describe as literally a pleasant experience, but I was there in the middle of the day on a Tuesday and they were not busy. And I still had one nurse who was kind of an impatient jerk, though who knows maybe he was having a rough day like anyone can have!

The Pitt is pretty realistic in this respect, IMO.

Javadi was questioning whether she should even be a doctor because of everyone’s mental health issues. I don’t think she is fine.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I missed the mid-credit scene, I'm glad they did that, I was annoyed that they teased karaoke but didn't show it. I'm not a Santos fan, but I root for Mel and I was glad to see them having fun.

I know that the show is focusing on the busiest, most stressful days, but the across the board burnout of the doctors both old and young doesn't match what I've seen in ERs. We're getting older and sandwich generation, with elderly parents and college kids, and unfortunately have made more than a few trips to the ER over the past couple years. We haven't seen wait times where people are dying in the waiting room. The doctors and nurses we see seem very happy to be doing their jobs. We were in there earlier this week and it seemed like a very busy but cheerful workplace. Fortunately our trip was not super high urgency, but they got us right in and didn't rush us out. There were other patients nearby who we pray the best for, and a number of stroke alerts, so they were certainly busy. My point being, that I hope that the doctors and nurses at Inova Fairfax, Alexandria, and Mt Vernon are all in better shape than the staff at the Pitt, we are 100% so thankful for the care our family has received.

Because like most of us you are living in a HCOL area filled with insured UMC+ people. That’s not the Pitt.

This. I've been to every ER in DC. Washington Hospital Center and Howard can absolutely look like the Pitt on a holiday. Howard has a lot of mean nurses and doctors who look burned out, and the waiting room looks brutal (I bypassed it for not good reasons). Sibley is pleasant (waits can sometimes be long). GW's staff seems very professional but hurried and tired.

Sure, on a holiday with lots of sun and alcohol issues, and during a mass shooting. Those are the most stressful days and it makes sense for the show to cover them. But the doctors are all dealing with long term issues unrelated to those particular days. Even cities have slower days. (And at Alexandria this week the other patients checking in weren't speaking English, no sign of ICE though.)

It's not "across the board" burn out. It's Robby and Dana. They are the only ones who seem truly burnt out. Santos is having a tough day and has a trauma history, but a lot of that is just being a new R2 and overwhelm. Common. Mel had a bad day, otherwise seems fine. Javadi seems fine (her mom SUCKS and Javadi should not be working in the same hospital as both parents, but it's not unrealistic for a family like hers and given her age). Princess seems better than fine. McKay seems good, just had a tough time with the cancer patient who died, but that would be normal. Whitaker seems great. Joy seems fine. Ogilvie had a bad day and probably emergency med is not for him (normal for a med student on rotation, happens in lots of specialties). Mohan doesn't seem burnt out, just dealing with a personal issue and not feeling supported at work (her having the panic attack was melodramatic, IMO, but I suppose it could happen under some circumstances). Langdon is at the start of recovery, I think he had an okay, not great, first day back -- he seems as good as can be expected.

Robby is in crisis. Dana clearly has PTSD from being attacked and may just have hit her limit in her job -- she is retirement age and lots of older nurses get to the point she is at now, I think the ongoing story with her is how she continues to do this job. But they are the only two behaving in ways that would indicate burn out to me, and mostly not in front of patients. You could go to that ER, have Robby as your attending and interact with Dana, and not think "whoa is this place falling apart?" You'd actually probably find them both professional and reassuring, because they are, even on this particular day.

This is consistent with most of my ER experiences. And I've definitely been in ER's where the waiting room is a total nightmare. Washington Hospital Center had a 10 hour wait for non-trauma cases the last time I was there (not a holiday), Howard's waiting room has a lot of unhoused people and people in dire life situations. GW gets a lot of serious trauma cases, especially on holidays, and can be a very stressful place. Sibley is the only ER in DC where I've had what I'd describe as literally a pleasant experience, but I was there in the middle of the day on a Tuesday and they were not busy. And I still had one nurse who was kind of an impatient jerk, though who knows maybe he was having a rough day like anyone can have!

The Pitt is pretty realistic in this respect, IMO.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I missed the mid-credit scene, I'm glad they did that, I was annoyed that they teased karaoke but didn't show it. I'm not a Santos fan, but I root for Mel and I was glad to see them having fun.

I know that the show is focusing on the busiest, most stressful days, but the across the board burnout of the doctors both old and young doesn't match what I've seen in ERs. We're getting older and sandwich generation, with elderly parents and college kids, and unfortunately have made more than a few trips to the ER over the past couple years. We haven't seen wait times where people are dying in the waiting room. The doctors and nurses we see seem very happy to be doing their jobs. We were in there earlier this week and it seemed like a very busy but cheerful workplace. Fortunately our trip was not super high urgency, but they got us right in and didn't rush us out. There were other patients nearby who we pray the best for, and a number of stroke alerts, so they were certainly busy. My point being, that I hope that the doctors and nurses at Inova Fairfax, Alexandria, and Mt Vernon are all in better shape than the staff at the Pitt, we are 100% so thankful for the care our family has received.

Because like most of us you are living in a HCOL area filled with insured UMC+ people. That’s not the Pitt.

This. I've been to every ER in DC. Washington Hospital Center and Howard can absolutely look like the Pitt on a holiday. Howard has a lot of mean nurses and doctors who look burned out, and the waiting room looks brutal (I bypassed it for not good reasons). Sibley is pleasant (waits can sometimes be long). GW's staff seems very professional but hurried and tired.

Sure, on a holiday with lots of sun and alcohol issues, and during a mass shooting. Those are the most stressful days and it makes sense for the show to cover them. But the doctors are all dealing with long term issues unrelated to those particular days. Even cities have slower days. (And at Alexandria this week the other patients checking in weren't speaking English, no sign of ICE though.)

It's not "across the board" burn out. It's Robby and Dana. They are the only ones who seem truly burnt out. Santos is having a tough day and has a trauma history, but a lot of that is just being a new R2 and overwhelm. Common. Mel had a bad day, otherwise seems fine. Javadi seems fine (her mom SUCKS and Javadi should not be working in the same hospital as both parents, but it's not unrealistic for a family like hers and given her age). Princess seems better than fine. McKay seems good, just had a tough time with the cancer patient who died, but that would be normal. Whitaker seems great. Joy seems fine. Ogilvie had a bad day and probably emergency med is not for him (normal for a med student on rotation, happens in lots of specialties). Mohan doesn't seem burnt out, just dealing with a personal issue and not feeling supported at work (her having the panic attack was melodramatic, IMO, but I suppose it could happen under some circumstances). Langdon is at the start of recovery, I think he had an okay, not great, first day back -- he seems as good as can be expected.

Robby is in crisis. Dana clearly has PTSD from being attacked and may just have hit her limit in her job -- she is retirement age and lots of older nurses get to the point she is at now, I think the ongoing story with her is how she continues to do this job. But they are the only two behaving in ways that would indicate burn out to me, and mostly not in front of patients. You could go to that ER, have Robby as your attending and interact with Dana, and not think "whoa is this place falling apart?" You'd actually probably find them both professional and reassuring, because they are, even on this particular day.

This is consistent with most of my ER experiences. And I've definitely been in ER's where the waiting room is a total nightmare. Washington Hospital Center had a 10 hour wait for non-trauma cases the last time I was there (not a holiday), Howard's waiting room has a lot of unhoused people and people in dire life situations. GW gets a lot of serious trauma cases, especially on holidays, and can be a very stressful place. Sibley is the only ER in DC where I've had what I'd describe as literally a pleasant experience, but I was there in the middle of the day on a Tuesday and they were not busy. And I still had one nurse who was kind of an impatient jerk, though who knows maybe he was having a rough day like anyone can have!

The Pitt is pretty realistic in this respect, IMO.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I missed the mid-credit scene, I'm glad they did that, I was annoyed that they teased karaoke but didn't show it. I'm not a Santos fan, but I root for Mel and I was glad to see them having fun.

I know that the show is focusing on the busiest, most stressful days, but the across the board burnout of the doctors both old and young doesn't match what I've seen in ERs. We're getting older and sandwich generation, with elderly parents and college kids, and unfortunately have made more than a few trips to the ER over the past couple years. We haven't seen wait times where people are dying in the waiting room. The doctors and nurses we see seem very happy to be doing their jobs. We were in there earlier this week and it seemed like a very busy but cheerful workplace. Fortunately our trip was not super high urgency, but they got us right in and didn't rush us out. There were other patients nearby who we pray the best for, and a number of stroke alerts, so they were certainly busy. My point being, that I hope that the doctors and nurses at Inova Fairfax, Alexandria, and Mt Vernon are all in better shape than the staff at the Pitt, we are 100% so thankful for the care our family has received.

Because like most of us you are living in a HCOL area filled with insured UMC+ people. That’s not the Pitt.

This. I've been to every ER in DC. Washington Hospital Center and Howard can absolutely look like the Pitt on a holiday. Howard has a lot of mean nurses and doctors who look burned out, and the waiting room looks brutal (I bypassed it for not good reasons). Sibley is pleasant (waits can sometimes be long). GW's staff seems very professional but hurried and tired.

Sure, on a holiday with lots of sun and alcohol issues, and during a mass shooting. Those are the most stressful days and it makes sense for the show to cover them. But the doctors are all dealing with long term issues unrelated to those particular days. Even cities have slower days. (And at Alexandria this week the other patients checking in weren't speaking English, no sign of ICE though.)

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:So what was up with Dr. Al-Hashimi’s private phone call? Was she doing that on behalf of the possibly schizophrenic patient to see if he had a brain tumor?

No. She said she was a patient of the neurologist and was making an appointment for herself. It's very clear in the conversation.

We've seen have Dr. Al-Hashimi have two, what appear to be dissociative episodes. One in that cliffhanger early in the season when she's looking down at Baby Jane Doe and Samira keeps saying her name and she can't hear it, and then another in this episode right before she makes the call to the neurologist.

We also learned in this episode that she has worked overseas with Doctors Without Borders (she uses the French name of the org), including at the hospital Dasht-E-Barchi hospital in Kabul. If you are unfamiliar with it, Dasht-E-Barchi was the site of a massacre by a military insurgency in 2020, where a maternity ward was targeted and many mothers and hospital workers were murdered.

It is likely that Dr. Al-Hashimi has PTSD from that experience, that was triggered by Baby Jane Doe's cries. She probably sees a neurologist to deal with neurological effects of her PTSD, including flashbacks and dissociative episodes. She is recognizing the signs of a triggering episode in herself and she's reaching out to her doctor in order to address them as quickly as possible.

This will be interesting to watch unfold because almost everyone in that ED is dealing with some level of PTSD, due to the mass shooting event and/or Covid, as well as other more discrete incidents (Dana's assault, Santos' childhood abuse, Langdon's addiction). We are also seeing the trauma experienced by both patients and their families this season. Ilana, the rape survivor, in the immediate aftermath of SA by a friend. We also see Jackson's (the law student patient who has been hearing voices) family discussing another family member who committed suicide, and also the choice to conceal that from Jackson's sister. And then there is Roxy, the cancer patient, whose entire family is experiencing the trauma of her physical decline and likely imminent death.

I think this season is about trauma, both in the acute sense of someone with a critical injury being rolled into a trauma room at the ER, and also in the broader sense of the events that mark us and follow us throughout our lives. How it manifests, how people deal. Everything from thrill seeking as a way to quiet traumatic episodes (Abbott, also Langdon), self-medicating (Langdon), seeking treatment (Al-Hashimi), denial and escapism (Rabi), humor and putting up defenses (Santos), self-harm (also Santos, also Langdon, also maybe Rabi), digging into your work (ALL OF THEM), and so on. What is healthy, what is not, what works anyway.

So I’m not sure this is correct now based on the info we have now about her epilepsy.

Anonymous wrote:

Anonymous wrote:What was your take on when Nurse Dana was holding the other nurse during fireworks – long day, state of the country, etc.? I don’t want my personal views to cloud the meaning and this, but maybe that’s the point.

I found this scenic, extremely emotional to watch. The entire season was really centered around all of the problems Our country is facing right now and this scene exemplified the sadness and exhaustion so many people are feeling. The juxtaposition of a woman in a hijab, who dedicates her life to caring for people in their worst moments with the fireworks and Star-Spangled Banner was really poignant. At times the show can feel a bit heavy-handed in their politics (which I 100% agree with) but I thought this was beautifully understated and hit home for me

Anonymous wrote:What was your take on when Nurse Dana was holding the other nurse during fireworks – long day, state of the country, etc.? I don’t want my personal views to cloud the meaning and this, but maybe that’s the point.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Due to a personal experience I would really like to skip the pre-eclampsia/emergency c section storyline. Is this going to be possible?

It takes up about 10 minutes of the show and very realistic and heart wrenching.

Okay, so they don't cut into it suddenly/without warning? That was my big concern. If it's mostly in one go, that's workable.

The woman arrives in an ambulance while Robby is out talking to someone. She presents with swollen ankles, headache, etc. Announces she's never had prenatal care, no midwife, because she wants a "wild birth." It's basically a straight shot from there. It does escalate very quickly. And it's graphic.

They do cut quickly in and out with other scenes from the ER, as Robby walks in and out of the room. The dialog is interesting. It's worth listening to the audio as you look away. The scene is one of the most graphically disturbing scenes in the show, but I look away at some point during nearly every episode, that's the show.

Yeah, my dirty lens is that my mom almost died of eclampsia having me (she had regular care, it just came on fast for her) and I'm currently in my third trimester (due to mom they watch me like a hawk) so I'd just rather not watch that right now.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Due to a personal experience I would really like to skip the pre-eclampsia/emergency c section storyline. Is this going to be possible?

It takes up about 10 minutes of the show and very realistic and heart wrenching.

Okay, so they don't cut into it suddenly/without warning? That was my big concern. If it's mostly in one go, that's workable.

The woman arrives in an ambulance while Robby is out talking to someone. She presents with swollen ankles, headache, etc. Announces she's never had prenatal care, no midwife, because she wants a "wild birth." It's basically a straight shot from there. It does escalate very quickly. And it's graphic.

They do cut quickly in and out with other scenes from the ER, as Robby walks in and out of the room. The dialog is interesting. It's worth listening to the audio as you look away. The scene is one of the most graphically disturbing scenes in the show, but I look away at some point during nearly every episode, that's the show.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Adopting a baby would be such a healthier way to spend a sabbatical. Robby redeemed his s-tty behavior all season with that last scene.

I also love the idea of Mel and Santos being friends. I have an autistic young adult daughter and I see her in Mel, complete with the joy she had being invited out and included.

Robby talking to the baby meant that he is going to adopt the baby? I didn't pick that up. Sounds like a horrible idea. He's old. He's single. He's suicidal. He's an ahole to everyone around him. He works crazy hours. Sure, he has money to throw at nannies and au-pairs, but that's not a family life. I just thought that it meant that he was no longer suicidal and was going to seek help (it was also a little confusing because there was so much attention on the baby he saved earlier in the episode).

+1 I don’t think he’s adopting her at all.

Anonymous wrote:

Anonymous wrote:What was your take on when Nurse Dana was holding the other nurse during fireworks – long day, state of the country, etc.? I don’t want my personal views to cloud the meaning and this, but maybe that’s the point.

Just that she's a mother hen. That's all I got from it. She's fiercely protective of her nurses, as well she should be.