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Robby and the baby?? Al-Hashimi crying in her car?? Whitaker and the farm girl?? Abbot?? His talk with Robby?? The night crawlers?? What’s gonna happen with Javadi’s emergency psychiatry?? What will happen with Mohan?? Langdon?? I’m gonna cry.
Robby, you really gotta figure out therapy or find a therapist and give yourself some grace😭then so many apologies to everyone around you! And yourself!! Teach them mental health matters omg they know you aren’t okay.
Thankfully not a big as a jump to season 3, but damn I need it right now to know everyone’s okay😭
Your partner since you were young goes on a mission to save your dying planet and doesn’t return as expected. He is assumed lost in space, and everyday things get more dire on the surface. You miss him terribly. And then one day, an ALIEN SPACECRAFT shows up with not only the solution to your dying planet but also your partner.
And you’re probably thrilled but also thrown for a loop because what do you mean 1. Aliens are real 2. They breathe highly flammable gas and 3. Your partner made friends with it. And said alien looks like nothing you’ve ever heard, and has a sense you don’t have at all and is also apparently dying of nutritional loss? And your partner is like codependent as hell with it, and suddenly your entire life changes overnight. Also your partner is himself but also completely different in ways you don’t understand, in ways that are sometimes scary because all that time in space changes a person.
I don’t know how anyone would react to that, cus damn that’s overwhelming, but I think that’s an interesting dynamic to have with an alien. Your partner’s closet companion besides you is an alien. It feels like the alien knows your partner better than you do some days. The alien also helped save your entire planet.
Anyway the dynamic between Grace and Adrian has to be BUCKWILD.
robby is obviously being very difficult to like this season but I love the implications of his style of leadership that we see with mohan calling him a dick to his face and javadi dragging him for being old and rude about her tiktoks. also earlier in the season with santos being like yeah little orphan annie was an orphan you dumbass. btw do you have any good gossip about your replacement. like this man is 50+ years old in charge of one of the nation's best emergency departments meanwhile he has women in their 20s dragging his ass left and right and doesn't even bother to defend himself. I have never spoken to any boss the way the pittlings talk to robby sometimes and it really makes me laugh trying to imagine about how he managed to establish such a workplace culture
I keep hearing “grace wears science pun shirts to break the ice with his students” “aww grace wears those shirts to make science more interesting to kids”. Bullshit dude, in all of the classroom scenes he’s wearing business casual. His dumbass science shirts are for the love of the game and nothing else
That episode (I’m late, I know, I just got back home from vacation lol) is really inspiring me to make Rough Day, but season 2.
Robby’s avoidance, workaholic tendencies and mental health crisis + Dr wife reader suffering from burnout = delicious angst and drama. I’m already sad thinking about them.
Are we not supposed to view Al-Hashimi as incompetent? Are we not supposed to take the hostile takeover of the ED seriously? Are we supposed to take her appalling behaviour at face value? Where is her story going?
I can't tell if I'm stupid or the writers are.
Look. Here's a long, ranting, messy list of the things that I can't quite reconcile with Al-Hashimi and how the story of season 2 at large is unfolding, and though we still have 3 episodes left, I genuinely feel like I'm watching a totally different show than what the writers intended and I don't know what the fuck they're trying to do or say; skill issue on my part. I genuinely can't tell who's stupid. As is typical with The Pitt, probably a bit of both. 🎉
I'm going to be honest, I'm starting to worry about what the writers are doing with Al-Hashimi. We have 3 episodes left.
I'm just confused about some of the threads being dropped or flat out ignored.
I'm willing to take the L that I'm just totally off base with the story the writers are trying to tell, but let me explain off the cuff
How do any of these things further the stories being told? What are the stories trying to say? How? Why?
She has no apparent recent Level 1 Trauma Centre experience
She hasn't been in leadership or taught in a L1TC recently (if at all)
Her ED is a VA hospital
Her ED doesn't accept medic runs. Trying to rebuff Robby's comment about that with well traumas walk in is insane. At that point, she's been repeatedly confronted with how out of her depth she is. Take the L. Yeah, as a woman, and particularly as a woman of colour, it is sociopolitically necessary to bite back, but it's best to save that for when you're actually correct. Fucking insane thing for her to say.
Her skills as a physician and teacher vary wildly in the environment (especially understandable given her lack of experience), from not having the experience to build and apply intuition (textbook says shock at 25 vs Robby's 50 gets it right the first time), being unwilling to think critically about treating the patient in front of her rather than dogmatically charging ahead with her CYA course of action (wanting to paralyse and invasively fucking ventilate the stable airway obstruction guy instead of starting with ketamine only and just like. having a look first, and then turning out of the room making a smarmy comment about I've never been sued; I'd like to keep it that way); to pulling a totally baller slash trach (it is not lost on me that this is something she practiced in sim labs and not from experience on real cases; it's impressive), having MacGyver tricks for Gus' sutures, etc.
She does not have the skills or experience needed to keep the seat warm at the PTMC ED.
PTMC admin have been openly hostile to Robby. That is laid out clearly within the first minutes of season 1. Gloria straight tells him to quit. They will find someone else; they always do. We also see her rub Adamson's death in Robby's face. They hate him and don't respect him at all.
PTMC hired someone incompetent to seat warm; they do not give a shit about the ED. They are actively hostile to the ED.
It is insane for Al-Hashimi to take the job; she isn't qualified. It is insane to think she can walk in to a L1TC from her podunk glorified urgent care VA ED.
PTMC didn't actually hire her to seat warm at all; interim department heads filling in during a planned vacation do not make changes, even ones that are planned to roll out across all university hospitals
It takes time to get the passports approved and printed; it takes time to get the LLM integrated in any way. This shit has been in the works for months despite Al-Hashimi never having met the actual fucking chief, apparently.
Al-Hashimi simply cannot be naïve enough to think that being the prodigal daughter (probably cum sacrificial lamb) for the PTMC admin to help them actively undermine the actual chief and his authority/experience/his job is 'fixing the system' or good for her career, can she?
I want to reiterate how insane the admin overhaul on sabbatical shit is.
It's insane for both Robby's job being in danger and anyone wanting to take the job and facilitate a hostile takeover.
Showing up early to take over nigh shift and day shift with her Giant Balls of Disrespect
Getting called upstairs by PTMC admin and taking part in the CEO publicly undermining Robby and trying to justify it to Robby with the CEO's presumed excuse of how she is allegedly trained in cybersecurity (press X to doubt, but whatever) is the absolute worst way to try handle that. That tracks for her. Yeah, she's being fucked over by admin, too, but she knowingly took the job of overhauling the ED from under the current chief. I wish she'd just own it.
She isn't going to have time to practice, teach, and supervise when she's focused on administrative overhaul stuff, by the way. Even if it's all planned and the contracts with vendors like for the stupid fucking LLM are signed and dry.
She says shit about wanting to shadow and learn while flat out refusing to shadow and learn. When Robby, who is chief, asks Al-Hashimi, who is new, who has no recent experience in a L1TC, to run down her cases she arcs up about why are you treating me like one of your residents? when Dr Babe, he's actually being professional by checking in. She cannot possibly be so hubristic to think she is even vaguely qualified here?
She makes a smarmy comment about just because the system's broken doesn't mean you stop trying to fix it immediately after Robby confirmed with Gus' prison that he'd have access to care; yes, not brilliant care, but he does not need to be in hospital; he'd be discharged home if he weren't incarcerated. It is a holiday. Other hospitals are down. She doesn't know PTMC. Using Digby as a fucking rhetorical device with which to rub her ill-informed bullshit opinion in Robby's face (Why not put him on the street with some gauze?) is genuinely despicable. It is also intellectually dishonest!
She insisted on implementing administrative changes to the ED in which she's never worked on her very first day. Did I mention it's Fireworks Holiday? She continues even after the other hospitals go down. That is an appalling level of incompetence. Also it's not her ED now or for the next three months.
Implementing the stupid fucking LLM with a 2% error rate and burdensome proofreading process in a L1TC ED where staff are routinely pulled off tasks as no notice is fucking insane. It will kill people. If she'd ever spent time in a L1TC (or like. thought about it), that should be obvious.
She doesn't appear to have any real understanding of anything relating to the LLM or clinical informatics if she can't understand processes and human interface design.
She doesn't appear to have anything to say about the LLM except the marketing schpiels that she repeats verbatim (98%, proofread) and is unwilling and likely unable to have actual discussions about it, and I think it is because she doesn't understand the first fucking thing about it. If you want to know what I mean by scripts, look up Heidi AI's resources 'patient explainer' documents. She's repeating that shit. She's just Saying Things. She can't talk deeper about any of it because she does not understand. She cannot get informed consent from patients about the LLM use if all the understanding she has are those scripts. She is incompetent as an ED attending and chief. She is incompetent as a clinical informatics 'expert'. She is dangerous. She is implementing this shit anyway.
No, I don't think her patterns of speech on the LLM shit can be entirely explained away by presumed neurodivergence.
Al-Hashimi repeatedly encouraged use of the LLM tool while refusing to actually do hands on training with Santos. Just telling her to use it and to proofread is not adequate supervision of the use of novel tech on fucking legal documents that are also crucial to patient fucking care. She needed to do some charts with Santos. She just repeated her % and proofread thought-terminating scripts even when confronted with it being used incorrectly. She still had nothing of substance to say! She still didn't actually guide Santos. Yes, I am dead fucking serious that I expect her to do some charts with Santos. Oh, it's too busy for that? Well don't fucking do it!
Rolling out patient passports on a day where everything is going to take at least twice as long is deeply stupid
Patient passports IRL do exist and they vary in purpose and use cases. Wrong estimates for ambulatory ED care is not really helpful; it is meaningless froufrou. Admin loves that shit as an operational 'improvement' because it's low cost and can be dressed up as sexy and helping patient satisfaction metrics when it's just more fucking PII, PHI, and bullshit box ticking that nobody values. Again, if she had ever spent time in any non-VA ED, that would likely be obvious.
Even if Al-Hashimi really didn't know Santos was the one that uncovered Langdon's diverting meds, she had plenty of interactions with both Santos and Langdon individually and together to see that there was clearly Shit Going Down. Early in the season we also see that she is otherwise very well informed about Langdon's absence. That is so much information for her to work with. If she does not have the soft skills to try manage issues like that (it obviously had the potential to impact patient and staff safety, not to mention Langdon's sobriety/PHP nightmare) prior to them having a massive, undeniable blowup, she should not be fucking chief because it is another core fucking competency required for the job. What do I expect her to do? Talk to people; hard to talk to Santos after threatening her fucking job (incompetent!). Send either Santos or Langdon off the ring finger degloving case instead of making a smarmy you can learn a lot from the senior residents comment. Talk to people other than just the senior fucking resident who has power over Santos. Like. She is so fucking incompetent at every aspect of the job!
Her soft skills with patients are pretty great; she explains things to patients and families really well.
Don't harass the obviously burnt out guy whose job and department you're taking a sledgehammer to (esp. when you have no fucking experience!) about getting basic human empathy back. First off, he's burnt out; he's going on sabbatical tomorrow, not sure if she's heard. I am genuinely astounded by that happening. What was the point of that interaction?
I am still laughing at her pulling Robby aside to have a Very Serious Discussion about needing a second attending. No shit, idiot! Guy whose job you're helping admin destroy because admin hate him isn't respected or listened to. What is the point of this interaction? If they wanted to show Al-Hashimi as Pizza Box Donald Glover in Community, they can do that without showing her as deeply stupid, but they didn't. Why?
She is repeatedly confronted with her own incompetence and always seems to double down instead of like. not doing that. ???
That was a lot of gripes and I'm sure not all of them are reasonable.
I want to emphasise that I love complicated characters. We get a lot of quite well written ones in The Pitt! I don't think Al-Hashimi's grey areas have been written with care or coherence. I am hoping the last few episodes tie it together but I'm really struggling to reconcile where this is all going and how things tie together.
Again, it's a TV show and reality shouldn't get in the way of a good story. However, sometimes it does if things don't make sense in ways that disrupt suspension of disbelief.
Examples from season 1 that broke suspension of disbelief for some: the entire way the David issue unfolded; 'decide if it is reportable' about the potential child abuse; the speed highly complex cases were resolved was ridiculously fast.
Back to Al-Hashimi
The thing that troubles me most at this point, S02E12, none of it has really been meaningfully addressed in the story? With three episodes left, I would usually expect to have some ideas about where the story is going.
Al-Hashimi is dangerously incompetent and she is hubristic. It is not clear whether the writers want to meaningfully acknowledge this and the dangers.
Her comments to and about Robby are so clearly fucking insane I actually have no idea what to do with it. Yeah, the empathy comment makes for a good clip, but in the story is a horrific and tone deaf thing to say, especially coming from the incompetent person helping admin do a hostile takeover while he's on sabbatical
Al-Hashimi's specific lack of L1TC experience has gone by unremarked except in stupid potshots between her and Robby.
AI thread hasn't gone anywhere as far as AI or Al-Hashimi's competence. Computers were down; there's still time if the writers care to make a more prescient point. I'm not sure they will. We have seen a few soft-ball takes about its safety and its alleged potential to reduce workload. We do get Robby's comment about class stuff like improved efficiency means higher expectations and not reduced workload, and his stupid comment about potentially LLMing themselves out of a job.
Nobody has really acknowledged how in danger Robby's job is
Nobody has talked about the CEO publicly humiliating Robby in front of his own staff aside from stupid potshots
No talk about how Al-Hashimi explicitly being brought in to do admin overhaul while Robby's gone is simply not the done thing
No meaningful talk about Al-Hashimi's obvious incompetencies (yes, despite clearly having mad skills), again except for stupid potshots between her and Robby
Nobody talking about how actively hostile admin is to the ED and how the senior residents and nurses are really going to fight now that Robby, who has never stopped fighting for shit like staffing, safety, and conditions on top of everything else, had been replaced by an incompetent Gloria plant admin patsy. Yes, the ED will always find a way, but it's about to get a whole lot harder.
Jack says she has good grasp of staff and procedure but we have repeatedly been shown that that is simply not true. Jack saying that to Robby at that moment could be read as him telling Robby it's okay to go; it's not necessarily about Al-Hashimi at all.
The ED staff are loyal to Robby, even when he's a burnt out shell of a man who is behaving appallingly on account of his mental health crisis. He has earned their love, respect, and grace. He deserves it. Nobody even dropping a passing comment to Robby about how despicable admin overhauling the ED while he's gone is just weird to me. Idk. It's not like he's been receptive to the changes thus far.
There's a lot of conflicting things the show is portraying, and not in a congruent story telling way, imo.
Half of what comes out of Al-Hashimi's mouth is portrayed as serious but is patently fucking ridiculous. It's never called back on or presented in a way that seems to acknowledge it.
The whole admin overhaul thing is just totally ignored in text thus far which is absurd considering the amount of shit that has gone down.
Al-Hashimi being willing to walk into a L1TC and start making changes on a fucking holiday, when several hospitals have shut is fucking insane and I cannot abide it going by unremarked in the show.
Al-Hashimi's incompetence as interim chief being ignored is actually driving me insane. Are they playing it straight? Like, are we not supposed to view her as incompetent?
If they didn't want us to view her as incompetent then why portray her that way?
I don't want this to read like the secret ending conspiracies or whatever cos like. Sometimes the things I like aren't perfect. Sometimes they're downright bad! The show has so much awkward dialogue and takes stupid liberties like how reporting suspected child abuse works or the whole David thing or whatever. The getting twitterpilled of it all in season 2 is really fucking annoying. Idk. It's fine. I can still love it anyway. I do. I just. Am I smoking crack?
Edited to add: I'm not wanting the writers to turn to the camera and Tell Us Everything, I'm just wanting to have her behaviour and her existence ...impact something? Say something? Right now it's not really clear to me whether the show wants to engage with parts of its own text that I feel are significant, I guess lol
Edited to add again: when I say unaddressed except in stupid potshots with/by Robby, I'm saying that to me, the snippy comments feel more like the writers intended to reflect Robby and his Difficulties rather than actually engaging with Al-Hashimi's ability to do the job. That might just be me reading it wrong tho (like all of it)
imagine being forged in the hellfire of the PittFest MCI on your first shift as a 20 yr old MS3 and some prehistoric cunt who refused to learn windows 98 calls you a snowflake
