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Anonymous wrote:I’m still confused as to why McKay has the ankle bracelet and how it’s the ex’s new girlfriend’s fault.

The writers haven't told us -- we're not supposed to know.

It’s sort of a dumb storyline IMO.

I think it was because the new girlfriend has a restraining order against McKay- Like maybe she threatened McKay of assaulting her/ she was convicted of assaulting her? I think I could see McKay and the guy together- [b]she seems like she is up for a good time, which before parenting she may have been more of a partier and then maybe had a baby with the guy. Then she grew up, and he didn't.

Doubtful. She would have been in med school already. No time to “party.” Typically they aren’t the parting type anyway.

[/b]She's 6 years into her medical training, but her kid is like 10. [b]And she's in her 40s -- she took a big gap between college and med school. She also tells a patient that she made a lot of mistakes when she was younger before getting her life together for her kid. She might have been exaggerating in order to make the patient feel a connection, but it rang true.

So I think the PP's probably pretty spot on. McKay married that guy who is clearly really immature and kind of stupid. If they got married when they were in their 20s, maybe both young and dumb, and then McKay had a baby in her early 30s and not only grew up but realized she wanted to really buckle down and pursue a serious career as a doctor, her current situation makes sense. McKay grew up and got her life together (very together, to get through med school while having a young kid at home), but her ex stayed in the same place maturity wise, and now she has the baggage of co-parenting with him which makes it especially difficult for her to juggle parenthood and her job (which would be difficult no matter what -- it's a hard job for parents).

How do we know she’s 6 years in? Is she a 2nd year resident? I’ve forgotten.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I wonder when the timing of the new season will pick up. I mean, I don’t think it will be the next day — I think some amount of time will have passed so that fallout from this 15 hours will have happened. A week? Maybe a month or two? I don’t think a year. Although that would age the actors appropriately lol.

I hope that some time has passed, and I hope that season 2 is a less crazy day. I love this show, but it's making me a nervous wreck!

I definitely think they'll need to jump forward in time. The next season is supposed to come out next January and will be another 16 episode season, which is awesome (usually we have to wait longer for streaming shows and the seasons are much shorter), so I'm guessing they will jump forward a year, give or take, to keep it fairly contemporary. Maybe 8 or 10 months so it's not again the anniversary of Adamson's death. Or maybe 14 or 15 months so they can set it during the winter, which would change the kind of stuff that comes in and could impact the staff as well. Would open up new plot lines and make the second season feel different.

I do think there will be some kind of major event each season, so they can push the season to a crescendo around that 11th/12th episode, which I think worked really well this season. But obviously not another mass shooter. Could be another mass casualty event, like a car pile up on one of the bridges (especially if it's a cold weather season, that would be very dramatic because they'd need to be rescuing people from hypothermia conditions). Or they could go smaller and perhaps it's just one patient, or set of patients, and something extremely dramatic unfolds in the ER with them. But I do think they will continue to seek out big, dramatic events and not just do a "normal" day in the ER.

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Anonymous wrote: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.

Why would Santos need a redemption arc? She’s proven to be extremely competent and caught out a doctor stealing drugs and working high.

Because she’s annoying?

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.

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.

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.

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. 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. 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.

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.

Yeah, I thought about that, but then thought about my own experience and how the urgency of emergency medicine changes things completely. Because when I see my GP, or even go to urgent care, or take my kid to the pediatrician, what do they do if there is an issue that isn't easy to diagnose and treat? They refer me. In fact our pediatrician makes us call ahead for anything other than a well child visit and unless it's something that is basically diagnosable over the phone with a nurse, they will tell us to go to a pediatric urgent care or the emergency room. Partly because they don't want sick kids in the office if they can prevent it, and partly because anything actually urgent, they don't have the tools to treat in the office.

I have also made the mistake of going to urgent care for a problem that wasn't exceedingly simple -- they just send you to the ER. They don't have a lot of diagnostic tools at urgent care (they don't even have ultrasounds, and definitely no MRIs). Often urgent cares are staffed by nurse practitioners and there may be no physicians on site. Urgent care is basically for when you can almost diagnose yourself and the solution is a prescription or maybe very simple medical procedure. Once I went to urgent care when I couldn't stop throwing up and they gave me anti-nausea meds and an IV to rehydrate me. Even then, I probably should have gone to the ER because urgent care was not able to diagnose what was causing the vomiting.

So emergency care is really unique in this situation because it's the only situation where the docs have to quickly take a patient history, make an assessment, and make an immediate judgment. They can call for a consult from a specialist in the hospital but they need to know quickly whether something is surgical or not, and any other consult can take a long time to get, so they have to be able to treat in the meantime and know what to look for in case things head south.

And they also have to do all this without the benefit of history with the patient most of the time. Which GPs often have. So it's really unique and their ability to read a situation, communicate really well, listen to what patients are saying but also use both their medical experience and real world knowledge to know when to read between the lines or ask the question the patient might not realize is critical, is a much bigger deal.

No disrespect to GPs, they are really important to preventative care and overall health. But ER doctors are doing something really unique, IMO.

Anonymous wrote:

Anonymous wrote:I wonder when the timing of the new season will pick up. I mean, I don’t think it will be the next day — I think some amount of time will have passed so that fallout from this 15 hours will have happened. A week? Maybe a month or two? I don’t think a year. Although that would age the actors appropriately lol.

I hope that some time has passed, and I hope that season 2 is a less crazy day. I love this show, but it's making me a nervous wreck!

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Anonymous wrote:I’m still confused as to why McKay has the ankle bracelet and how it’s the ex’s new girlfriend’s fault.

The writers haven't told us -- we're not supposed to know.

It’s sort of a dumb storyline IMO.

I think it was because the new girlfriend has a restraining order against McKay- Like maybe she threatened McKay of assaulting her/ she was convicted of assaulting her? I think I could see McKay and the guy together- [b]she seems like she is up for a good time, which before parenting she may have been more of a partier and then maybe had a baby with the guy. Then she grew up, and he didn't.

Doubtful. She would have been in med school already. No time to “party.” Typically they aren’t the parting type anyway.

[/b]She's 6 years into her medical training, but her kid is like 10. [b]And she's in her 40s -- she took a big gap between college and med school. She also tells a patient that she made a lot of mistakes when she was younger before getting her life together for her kid. She might have been exaggerating in order to make the patient feel a connection, but it rang true.

So I think the PP's probably pretty spot on. McKay married that guy who is clearly really immature and kind of stupid. If they got married when they were in their 20s, maybe both young and dumb, and then McKay had a baby in her early 30s and not only grew up but realized she wanted to really buckle down and pursue a serious career as a doctor, her current situation makes sense. McKay grew up and got her life together (very together, to get through med school while having a young kid at home), but her ex stayed in the same place maturity wise, and now she has the baggage of co-parenting with him which makes it especially difficult for her to juggle parenthood and her job (which would be difficult no matter what -- it's a hard job for parents).

How do we know she’s 6 years in? Is she a 2nd year resident? I’ve forgotten.

Anonymous wrote:

Anonymous wrote:I think the actress who plays Dana should be nominated for an Emmy.

She's so so good! I think the show is really well cast in general, but she's a gem. I also think Whitaker and King are excellent.

Anonymous wrote:I wonder when the timing of the new season will pick up. I mean, I don’t think it will be the next day — I think some amount of time will have passed so that fallout from this 15 hours will have happened. A week? Maybe a month or two? I don’t think a year. Although that would age the actors appropriately lol.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I’m still confused as to why McKay has the ankle bracelet and how it’s the ex’s new girlfriend’s fault.

The writers haven't told us -- we're not supposed to know.

It’s sort of a dumb storyline IMO.

I think it was because the new girlfriend has a restraining order against McKay- Like maybe she threatened McKay of assaulting her/ she was convicted of assaulting her? I think I could see McKay and the guy together- [b]she seems like she is up for a good time, which before parenting she may have been more of a partier and then maybe had a baby with the guy. Then she grew up, and he didn't.

Doubtful. She would have been in med school already. No time to “party.” Typically they aren’t the parting type anyway.

[/b]She's 6 years into her medical training, but her kid is like 10. [b]And she's in her 40s -- she took a big gap between college and med school. She also tells a patient that she made a lot of mistakes when she was younger before getting her life together for her kid. She might have been exaggerating in order to make the patient feel a connection, but it rang true.

So I think the PP's probably pretty spot on. McKay married that guy who is clearly really immature and kind of stupid. If they got married when they were in their 20s, maybe both young and dumb, and then McKay had a baby in her early 30s and not only grew up but realized she wanted to really buckle down and pursue a serious career as a doctor, her current situation makes sense. McKay grew up and got her life together (very together, to get through med school while having a young kid at home), but her ex stayed in the same place maturity wise, and now she has the baggage of co-parenting with him which makes it especially difficult for her to juggle parenthood and her job (which would be difficult no matter what -- it's a hard job for parents).

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:McKay and her ex don’t seem like a match at all.

Agreed. Also, I wanted to smack ex's new gf, who is the definition of meddling trash.

So does McKay, and I'm guessing she did smack her, thus the restraining order and ankle monitor.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I’m still confused as to why McKay has the ankle bracelet and how it’s the ex’s new girlfriend’s fault.

The writers haven't told us -- we're not supposed to know.

It’s sort of a dumb storyline IMO.

I think it was because the new girlfriend has a restraining order against McKay- Like maybe she threatened McKay of assaulting her/ she was convicted of assaulting her? I think I could see McKay and the guy together- she seems like she is up for a good time, which before parenting she may have been more of a partier and then maybe had a baby with the guy. Then she grew up, and he didn't.

Doubtful. She would have been in med school already. No time to “party.” Typically they aren’t the parting type anyway.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I’m still confused as to why McKay has the ankle bracelet and how it’s the ex’s new girlfriend’s fault.

The writers haven't told us -- we're not supposed to know.

It’s sort of a dumb storyline IMO.

I think it was because the new girlfriend has a restraining order against McKay- Like maybe she threatened McKay of assaulting her/ she was convicted of assaulting her? I think I could see McKay and the guy together- she seems like she is up for a good time, which before parenting she may have been more of a partier and then maybe had a baby with the guy. Then she grew up, and he didn't.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote: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.

Why would Santos need a redemption arc? She’s proven to be extremely competent and caught out a doctor stealing drugs and working high.

Because she’s annoying?

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.

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.

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.

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. 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. 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.

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.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Wow. Just watched the episode. Intense. Robby’s breakdown at the end - heartbreaking. He worked so hard to save Leah and it was obvious it was a lost cause but he kept going. Dana as always was an amazing support. She even called Abbott over with her facial expeession bc Robby was in trouble emotionally.

I’m really starting to like Samira - she is becoming quick and self assured. Javadi is growing on me. Whitaker was so good with the woman with the upper thigh gunshot wound who was losing a lot of blood. So caring.

Santos - still dangerous and wildly unchecked. Going well for her now but I have a feeling her luck will run out one day and I’m here for it.

Langdon - great to see him back in action but puzzling because he was sent home due to drugs. The hospital could be liable if anything happens under his watch. Robby could be in trouble.

Dr. Collins - absent again and still didn’t miss her.

If there's anything I don't like about the show, it's that practicing dangerously and without experience/while high works out fine.

You do realize how realistic that is, right? Addiction rates in medical professionals are higher than average

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I’m still confused as to why McKay has the ankle bracelet and how it’s the ex’s new girlfriend’s fault.

The writers haven't told us -- we're not supposed to know.

It’s sort of a dumb storyline IMO.