a heart is a heavy burden

[appleberry--blast]

just realized that most of the cases that the pitt frames as stupid or easily preventable have been women. The spinal tap mom, the turmeric girl, the influencer girl, the hot car mom, and now the free birth pregnant woman. All people who are presented as being in the wrong, silly, or downright stupid. All women.

[alhashimis]

victoria: i have this whole secret life and if anyone finds out what i do i shall be eternally mortified

the whole ed apparently: is it that you publish tiktoks about the hospital on your tiktok page that we all found within .5 milliseconds and watch because you make tiktoks on your tiktok account?

[talkabtthattome]

Am I misinterpreting the Langdon and Whitaker scene? My perspective is that the scene has nothing to do with Santos even if you consider Whitaker's loyalty to her as his friend.

Whitaker has 3 older brothers. He was raised on a farm in Nebraska where it's implied he was the runt of the litter and subject to frequent power plays from his brothers where he's had to learn to stand his ground. A lot of rough housing and sibling bullying implied by his description of them. I presume that informs Whitaker's reaction to Langdon when he's confronted by a dynamic where he feels like he's being sonned by an older man he's unfamiliar with in a workplace.

The line he says to Langdon.

You can play whatever part you like. Just don't pick mine for me.

Those lines are rather telling. It's something a youngest sibling would say when they've been forced to play a role or adhere to an image imposed upon them by their family most of their life. I'm open to being wrong, though.

[talkabtthattome]

You people have no idea what medical education pathways look like and you're speaking on things you know nothing about.

Mohan is an 4th year Emergency Medicine resident. A fellowship is merely specialized training for her before her return to Emergency Medicine. A fellowship in Ultrasound or Geriatrics would mean that she returns as an Emergency Medicine physician with extra skills focused on Ultrasound or Geriatrics that makes her more competitive for an attending position, with a potential boost in pay, and she'd be the first one the other physicians defer to if they have a patient requiring those specific skills. She could work in the ED, EDOU, or ICU, but she is still considered a Emergency Medicine physician unless she decides to do another residency and double boards in something like General Surgery. Even if she's off-service, she's an Emergency Medicine physician.

A fellowship isn't necessary for you to advance in your career, and a fellowship wouldn't require anyone to leave the institution they trained at as a resident if the fellowship is located within the same system. Garcia is on screen to prove my point. It is extremely difficult to leave in the middle of your 4th year as a resident without a mark on your record unless you experienced extreme workplace harassment or injury. The excuse they could use for next season is that it's her day off or she took a month long opportunity to pad her skills and make her more competitive for fellowship applications. An attending can apply for fellowships, although few do because the pay cut and excess workload of a fellow feels like an insult after the attending lifestyle.

The people saying Mohan isn't made for Emergency Medicine have no concept of what they're speaking about. Modern day Emergency Medicine is taking on more and more of the burden that's meant to fall on outpatient Primary Care clinics because of budget cuts and insurance. The ED is the place that cannot turn away patients even if they have insufficient insurance or means of paying, and that means we're doing a lot more work than traumas and reductions on the daily because of it.

[talkabtthattome]

Mohan didn't get to publish anything in relation to what she did in last season's MCI. Disappointing. I spent $10K+ in 3 years out of pocket on publishing to keep competitive against other fellowship applicants. I had something published last year that costed $6K which my grant paid for. I'm surprised that they didn't follow through with Mohan's purported academic background. She was conducting research on racial disparities in emergency care over 5 years. That's not something done lightly by the inexperienced.

The way they're writing Mohan's character is insufficient and surface level, but many of the characters don't have the skeleton of who they were from Season 1. Robinavitch, Evans, Santos, and McKay are the only characters that retained their core along with a narrative through-line. The addition of new characters when the season is about the end is rather blunt and abrupt, similar to how things work in a real life Emergency Department, but there are places where the show sacrifices authenticity for shock value and spectacle when realism would land with more impact. The cast feels bloated. They neglected their original characters and gave too much ground to certain plots and tensions. I wonder if they're going to stick the landing.

[talkabtthattome]

I really do think that Langdon's attempt to get Kwon to stay behind is funny and it made me laugh when I thought about it on my shift today. Because, what the hell?

She's a 3rd year medical student. She's not being paid. She wouldn't even be particularly helpful, except maybe for sliding papers through the scanner, but you have people who are paid by the hour for that job. She can't even start a chart or prescribe meds. She's supposed to be supervised the entire time. Medical students slow down the whole rhythm and system.

None of you have even attempted to buy her a meal. She saved your asses with memorizing the patients and she's being made to do more than the average medical student on her first rotation ever. Reminder, none of them have fed her or even offered a caffeinated beverage to her. Let that girl go, goddamn. We usually have to circle around the medical students to see if they're a freak we need to keep around until their dismissal time because they might report us for sending them home early. She's making herself scarce and opening up the floor without prompting. If anyone wanted her to stay, they had better offer her a free hot meal and a drink.

[talkabtthattome]

Joy Kwon is officially slotting up in my favorites. Going home without a resident having to remember to dismiss her. Sheer confidence to just fuck off, peace, and I have boundaries? No pretending that she wants to stay and the resident has to find some shit for her to do besides take up space. Also, Langdon, she's a 3rd year medical student. What the fuck is she even going to do?

[noah-wyles]

the pitt cast on breaking barriers and becoming lifelines

[samirasystole]

still absolutely incomprehensible to me that langdon managed to dilute lorazepam during his shifts. i need y'all to know how many things he needed to get and do to (safely) dilute lorazepam

two blunt needles, one to draw up lorazepam for himself and one for the saline to thin it out

two syringes. one for his lorazepam and one for the saline

injectable saline vial

vial of lorazepam

another needle for injecting himself

glue to get the thing shut again

alcohol 70% and gauze to keep it all sterile

gloves

a little basin to carry it. or he did several rounds by putting things in his pocket.

imagine taking all of that into bathroom or on-call room. he had to have done that in the hospital. like dana explained santos, the pyxis system is secure but it will accept a vial if it wasn't used. we don't have a pyxis at my hospital here but i'm assuming he can't take it home and then bring the 'unused' vial back a few days later. it probably has to be within a set amount of time. this guy stole a lot more shit than just lorazepam with this process, unless he did it unsafely, which would be even more worrying.

i need you guys to know how fucking crazy that is. that is WORK for stealing meds, to commit those crimes. he had to have a very secure system of doing it so he wouldn't have been caught. he took the TIME for this. like i said i doubt he took stuff home, but there are enough little corners in a hospital where he could have hidden 'his' supplies. he had a plan and he did it over and over again and then glued the lid shut with like some arts and crafts bullshit.

and on top of that, adding the risks of patients not getting enough lorazepam(which is a long list, but can include trauma from being extremely stressed during procedures, intubations, small surgeries, brain damage from prolonged seizures which almost happened to his patient in s1, and far more) and re-using a vial; this is such a well thought out and extremely dangerous crime, it's insane. i'm not gonna call him crazy because addiction can make you do a lot of bad stuff but wow, that is a lot

[talkabtthattome]

By the way, just so everyone knows, most of the residents on The Pitt are likely working 60hrs+ per week for pennies on the dollar because they're salaried. Sometimes, they're doing 8s, 12s, or 24s.

The math for me when I was an intern... I was making $14/hour. Maybe a cute $18/hour in my 3rd year unless I was moonlighting. Not including what taxes take away.

What I'm saying is that unless they have miracle money they're sitting on prior to becoming a doctor, they're broke. King wasn't joking when she said she had no money. Most of the doctors that are not attendings have no money. They're eating rice and beans, ramen packets, or taking sad turkey sandwiches on fortified whole wheat bread from the hospital. If they're giving nutrition advice, they're not following it themselves.

[talkabtthattome]

I have more thoughts on this episode and the previous ones I had to binge, but I'm about to be worked to death. So, this will have to be quick. 😐

But, if I were advising the current medical students, this is what I would say:

Javadi is definitely good for Emergency Medicine with a CCM fellowship, or any specialty her heart desires and fulfills her. I hope what she does choose pisses off her parents and teaches Shamsi to stop trying to press her into a mold. Yes, both parents. Shamsi has the busier schedule and someone else had to be responsible for transporting the child prodigy to university.

Ogilvie should abandon Emergency Medicine and go into Anesthesia with a CCM fellowship. The way he responds to traumas, especially with that leg in E10, would've had me taking him out of the room into the lounge for a talk and putting him in Tetris corner. He can intubate as much as he wants there and it would allow him to work in more areas of the hospital to gain perspective while playing an integral part of a team and having less attachments to patients.

Kwon deserves her dream of Pathology. Maybe Radiology with the amount of overlap. Those two fields would be served well with a mind like hers. Radiology and Pathology take on the most cases and requires constant varied thinking, even faster judgments because of caseload, and a large foundational knowledge base of differentials. Radiology might suit her even better because it's so urgent with higher output and more stakes. She's a much more flawed and nuanced character than people give her credit for, but later on that if I ever have the time.

[talkabtthattome]

OK, guys, I don't like Ogilvie as much as the next person, but as someone who supervises medical students, that patient was Mohan's responsibility as the resident. Not just senior resident. Just like Javadi's sigmoid volvulus case was a resident and attending's responsibility. Speaking from experience, the student presents the case to the resident, and the resident double checks their work thoroughly. Residents wouldn't trust some 4th year medical student's verification of an ultrasound coming back with no abnormalities. The 1st year radiologist resident has been fucking up left and right, and Mohan's going to trust someone who hasn't even matched? Absolutely not. If she wasn't building up to a panic attack, that would've never happened realistically.

My favorite medical student could look me in the eye right now, pinky promise that they did everything right, and I would still say OK, loser, let's prove it together and I'll buy you ice cream and a Monster if you didn't fuck anything up.

Robinavitch needs to let up though. He's all over the place with how he's responding to situations and his subordinates.

[talkabtthattome]

A host of thoughts because I just finished episode 9 and 10 of The Pitt, but these residents and attendings need to start sending medical students to the Tetris corner so they don't retain traumatic memories of the day.

Another thing on the forefront of my mind is that I would like for Shamsi to see a true medical nepotism baby in action so she can be grateful for the daughter she currently has and so she learns something. I'm talking a medical student with Chief of Ophthalmology for a parent, or another branch full of nepotism. A medical student that will complain to their physician parent in the middle of the work day to get them to verbally brawl with the attending or resident of the current rotation they're on that gave them a bad eval or won't let them perform an R2 procedure.

It really doesn't help that The Pitt showcases families being torn apart left and right from children dying to parents dying to deportations, and then there's Shamsi who is disappointed in her daughter for not being a surgeon. Javadi can't even confidently say that her mother would love her if she didn't fit the exact mold her mother carved out for her after sacrificing 8 years of her life for it. That's almost half her life as of right now.

And that scene where she's berating her in front of the Emergency Department. That could've been my most diabolical hated medical student and I would've stepped in. Like this is a workplace and that is my student doctor, not your daughter. Do not undermine her in front of all of her peers, superiors, and potential patients.

[brainrot61]

no offense to whitaker i think his character is cool and his friendship with trinity and how that develops can be something really interesting and all but why must the masses always grab onto any white man possible. there’s a lesbian situationship falling apart right in front of our eyes. neurodivergence is finally being portrayed in the correct way. a mother and doctor who deals with child custody and law enforcement issues while being a recovering addict. TRINITY SANTOS. SAMIRA MOHAN. JOY KWON. HEATHER COLLINS. MELISSA KING. VICTORIA JAVADI. CASSIE MCKAY. BARAN AL HASHIMI. PARKER ELLIS. PRINCESS DELA CRUZ. PERLAH ALAWI. EMMA NOLAN. please there are so many more deep complex and interesting female characters with CANON lore. do we need to focus on the religious white farmboy from nebraska?

[talkabtthattome]

My job hates me. I already put in 72 hours this week. I wanted to relax and watch The Pitt with my dinner only to get called in.

I haven't even been allowed to finish episode 9. I want to laugh at the unfortunate characters, but I am the unfortunate one.

[talkabtthattome]

See, all the white men on the show are on thin ice at all times. What do you mean you want to send her home with naproxen, Whitaker? Thank god McKay was there.

[talkabtthattome]

Can you all please criticize Michael Robinavitch for something that is actually a problem? Like his misogyny, his refusal to heal, his pettiness, his stubbornness, how he treats his some of his residents, how he projects his self-loathing onto others, the creation of a hostile work environment, and all that other stuff, and not the fact he was planning on giving Louie, a man that is suffering from alcohol use disorder, a beer. They might've had to prescribe Louie a beer or glass of wine with his meals anyway if they admitted him or he stayed during essential meal times while refusing to take benzodiazepine.

Louie would've not been allowed to go cold turkey off alcohol because the alcohol withdrawal would've killed him without prescription intervention. He was drinking more than a quart of vodka per day in Season 1 and you need to be carefully weaned off alcohol under supervision to prevent complications. If a patient suffers from alcoholism and they're in the hospital for another issue with no plans of treating their alcohol use disorder, we have to prescribe them alcohol or they might die from the stress of detoxing. There's a reason why liquor stores were considered essential businesses during the pandemic or else hospitals would've been flooded with people suffering from DT.