Anonymous wrote:Anyone else get a vibe when Langdon was crushing Becca’s pills? And being so adamant about HIPA? Maybe a reach, but possibly a foreshadowing of a relapse?

I mean, crushing pills for a patient and (of course) adhering to HIPA are in and of themselves not problematic. But in this context, the handling of pills and the secrecy…

My read on him crushing the pills is that he was being kind to a patient and using empathy to help her take her prescribed meds. It wasn't secret -- the meds would be on her chart and prescribed by the pharmacy. Crushing them into the oj does not make them more secret.

My read on him being a stickler about HIPAA was that he realized there was a good likelihood that Becca's UTI was caused by sexual activity and he knew it could be sensitive for both Becca and Mel and felt it was best that they discuss it in private without his intervention. I think if it had been a diagnosis with potentially sensitive implication, he would have just told Mel (I would suspect that Mel is a designated healthcare proxy or may even have guardianship, though I guess if that was true Mel would have just said that when Langdon brought up HIPAA?).

Anonymous wrote:Anyone else get a vibe when Langdon was crushing Becca’s pills? And being so adamant about HIPA? Maybe a reach, but possibly a foreshadowing of a relapse?

I mean, crushing pills for a patient and (of course) adhering to HIPA are in and of themselves not problematic. But in this context, the handling of pills and the secrecy…

I didn’t get that vibe. I got a vibe that he’s trying to do everything by the book because he realizes how close he came to losing his license.

Anonymous wrote:I wish the show was more favorable to nurses. They are such a minor role in the show, yet in reality a nurse would most likely be spending that much time with the dying woman, not an MD with McKay’s status. They also know far more than the med students and even R1-2s. The ones on the show are just twits, like “Princess”, who’s always at the nurse’s station. Jesse at least gets to speak now, and there’s an NP. Likely would be a PA, but okay. Sure there is plenty of diversity in the real world, but more professionalism would be appreciated.

Did you miss the entire sexual assault episode??

Anonymous wrote:I wish the show was more favorable to nurses. They are such a minor role in the show, yet in reality a nurse would most likely be spending that much time with the dying woman, not an MD with McKay’s status. They also know far more than the med students and even R1-2s. The ones on the show are just twits, like “Princess”, who’s always at the nurse’s station. Jesse at least gets to speak now, and there’s an NP. Likely would be a PA, but okay. Sure there is plenty of diversity in the real world, but more professionalism would be appreciated.

Uh what? The nurses are running that ER!

Anonymous wrote:I wish the show was more favorable to nurses. They are such a minor role in the show, yet in reality a nurse would most likely be spending that much time with the dying woman, not an MD with McKay’s status. They also know far more than the med students and even R1-2s. The ones on the show are just twits, like “Princess”, who’s always at the nurse’s station. Jesse at least gets to speak now, and there’s an NP. Likely would be a PA, but okay. Sure there is plenty of diversity in the real world, but more professionalism would be appreciated.

Do you not watch the show?

Literally there have been lines on the show this season where doctors have told med students "listen to the nurses, they are more knowledgeable than you." A major storyline this season has been the charge nurse, Dana, walking the new nurse, Emma, through the ED and talking through aspects of the job and showing what a tough and important job the nurses have. Princess (that is her actual name, it doesn't belong in quotation marks for some reason) has been shown caring for Roxy (the dying woman) and there was even a critical scene where Princess was taking care of Roxy and explaining how she is able to do her job well because she gets separation from work when she goes home at the end of her shift, and that helped empower Roxy to decide not to go home with her husband because she realized she wanted to be cared for by professionals at the hospitals (or in hospice) and not by her husband and children who don't know how and get no break from it. Perlah has also been featured this season, especially in the episode where Louie died, where it was clear she was extra affected by his death precisely because, as a nurse, she'd spent more time with him over the years than most doctors do. Yes, Jesse has gotten lines and been featured a bit more (I think largely because he's a bit of a fan favorite -- I think the reason he wasn't featured more previously is because he's not the strongest actor on the show and was largely cast because he has real nursing experience and helps to give the show authenticity). As has Donnie, the NP who we also get a lot of backstory on (he has a new baby at home and his exhausting and new status as a dad has featured in several storylines).

Nurse representation is strong on this show, it's one of the things I like about it, as the daughter of a nurse who has a lot of RNs and NPs in my family.

Agree with you that PAs are oddly missing from the show, though I kind of get why because they would likely be largely dealing with clinic patients in an ED setting, and the show tends to only dip into the clinic occasionally for cases that will get escalated to the ED. So you can imagine there is a PA or two basically running the clinic and processing the patients with lower level and easily diagnosable issues but we just don't see them because those cases are less interesting. If this were another hospital department, PAs would play a much more significant role. IME, EDs tend to use PAs for triage and clinic but they don't get pulled in on trauma because their PA skills aren't a good fit for those sorts of cases.

Anonymous wrote:Anyone else get a vibe when Langdon was crushing Becca’s pills? And being so adamant about HIPA? Maybe a reach, but possibly a foreshadowing of a relapse?

I mean, crushing pills for a patient and (of course) adhering to HIPA are in and of themselves not problematic. But in this context, the handling of pills and the secrecy…

Say more. How is respecting a patient's autonomy and privacy foreshadowing of a relapse?

And it's HIPAA.

Anyone else get a vibe when Langdon was crushing Becca’s pills? And being so adamant about HIPA? Maybe a reach, but possibly a foreshadowing of a relapse?

I mean, crushing pills for a patient and (of course) adhering to HIPA are in and of themselves not problematic. But in this context, the handling of pills and the secrecy…

I wish the show was more favorable to nurses. They are such a minor role in the show, yet in reality a nurse would most likely be spending that much time with the dying woman, not an MD with McKay’s status. They also know far more than the med students and even R1-2s. The ones on the show are just twits, like “Princess”, who’s always at the nurse’s station. Jesse at least gets to speak now, and there’s an NP. Likely would be a PA, but okay. Sure there is plenty of diversity in the real world, but more professionalism would be appreciated.

Anonymous wrote:Does McKay still have the ankle monitor? I love her character.

Good question. It has not been mentioned so maybe not.

I thought it was interesting that when McKay told Langdon she was 9 years sober, he seemed surprised to hear it. McKay seems like the sort of person who let's it all hang out, and others in the ED seem to know a lot about her life (her kid, her ex, obviously the ankle monitor, etc.). So it seemed strange that Langdon wouldn't know she was in recovery after working together for several years.

Also we saw McKay tell a patient about her sobriety last season (which is kind of sketch if you ask me) so it's obviously not something she avoids discussing.

Does McKay still have the ankle monitor? I love her character.

Anonymous wrote:Is McKay wearing an Aviator Nation sweatshirt?

Yes!

Anonymous wrote:What the bell does Garcia see in Santos and vice versa? They both seem like b@tches!

They’re both attractive. And tough. Isn’t that enough? It’s not romance.

Santos and Langdon need to sit down and talk.

Dana did commit insurance fraud, but honestly I understand why.

Finally, I have a brother who has what is basically an ID (its complicated). He could not live on his own, but could not live with my parents any more (again lots of complications.) He was placed in what was called an Adult Care Residence which was basically a nursing home with a section for younger adults. My brother was in his 20s. He was evidently having sXx with one (or more) of the other younger adults. Enough that staff became aware and suggested we make sure he got STD/HIV tested. To this day my other sibling and i wonder if we have a niece or nephew out there somewhere. Point is this is not an unknown issue.