Warning! This text comprises spoilers for The Pitt season 2, episode 1.
The Pitt season 2 has kicked off with an eventful first hour because the crew at Pittsburgh Trauma Medical Hospital welcomes at least 15 sufferers to kick the season off. Dr. Robby and the crew had an especially difficult shift in season 1 that noticed them deal with dozens of sufferers together with victims from a pageant mass taking pictures.
Fortunately, regardless of the fourth of July setting in The Pitt season 2, the shift appears to be beginning at a way more manageable tempo, however that is not anticipated to proceed for lengthy. Regardless, it is value checking in on who’s at present occupying the beds within the ER.
Margaret Walker – Hypochondriac
The primary affected person that we meet after Dr. Robby will get on shift is Mrs. Margaret Walker. Dr. Robby and Dr. Shen, who is because of clock out after his evening shift, briefly meet with Mrs. Walker and focus on her intensive considerations. Nonetheless, regardless of her worry that she is in imminent hazard of dying, there are not any clear indicators that something is definitely unsuitable.
In an effort to give Mrs. Walker some peace of thoughts, Dr. Shen suggests they prescribe 500mg of cyanocobalamin. To which Dr. Robby insists they up it to a full 1000mg. As soon as exterior the room, they affirm that the shot is definitely simply B12. It seems that, clearly, Mrs. Walker might have a case of hypochondria and finds solace in getting consideration, which can additionally clarify why she is sporting a waitress uniform for a long-gone diner.
Mr. Burgess – Leg Cramps
Subsequent up, Dr. Robby and Dr. Shen are launched to Mr. Burgess, who has arrived within the ER after complaining of leg cramps. Whereas they meet with Mr. Burgess, the person is unable to say something, whereas his spouse takes management of the state of affairs. When requested in regards to the treatment he at present takes, she then takes 4 massive plastic baggage from her purse full of assorted capsules and nutritional vitamins.
Mr. Burgess is not seen once more within the episode, and plainly the big concoction of unprescribed drugs could also be creating some unlucky unintended effects.
John Doe – Chest Puncture
Subsequent up, after Dr. Robby meets Dr. Baran Al-Hashimi, an pressing case is rushed in from the ambulance into one of many accessible trauma rooms. The person is known as a John Doe, and the ambulance crew let the docs know that he’s a dishwasher who received a extreme chest wound from a knife, although they do not know if it was unintentional or an assault.
Whereas the person initially had a pulse, two blocks earlier than their arrival, his pulse stopped. Dr. Robby and a number of other others soar into motion, with Dr. Robby permitting the residents to take the lead whereas he gently guides them. Instantly, they make an incision into the left aspect of the chest, reverse the injured space, to look at the extent of the injury.
It turns into obvious earlier than lengthy that the visibility is poor, they usually convert to a clamshell, which implies slicing the sternum and totally opening the chest cavity. As soon as inside, Dr. Robby advises a dangerous transfer referred to as a Hilar flip, and along with his calm, light teaching, the crew manages to efficiently get issues underneath management.
Nonetheless, there may be nonetheless intensive bleeding, and as soon as they do an inside defibrillation to revive the center to a standard rhythm, they offer the affected person a number of blood transfusions to make up for all of the misplaced blood. The affected person is then despatched upstairs for additional remedy and care after the docs within the ER actually introduced him again from dying.
Kylie Connors – Chin Laceration
Kylie Connors is a 9-year-old woman who was introduced in by her father’s girlfriend after falling down the steps and getting a critical chin laceration. She additionally chipped one among her entrance incisors, although that seems to be a a lot much less extreme damage.
Whereas within the care of Dr. Trinity Santos, massive bruises are found on Kylie’s again, together with a number of extra accidents round her physique. Checking her data, they be taught that Kylie has repeatedly been seen within the West Pittsburgh hospital, and it raises some apparent crimson flags for Santos. Upon additional examination, she additionally discovers that the woman’s urine comprises a whole lot of blood.
Santos checks in with Dr. Robby earlier than getting social companies concerned, and her story is more likely to proceed into future episodes of The Pitt season 2.
Liam Sanders – Extreme Leg Abrasion
Liam Sanders arrived within the ER after having a critical fall from his bicycle, which precipitated intense leg accidents. He’s a 26-year-old who rode his bike by means of his neighborhood with no helmet, although that clearly would not have saved his legs.
Initially, Sanders is assigned to Langdon, however when Dr. Robby sends Langdon again to triage, he passes Sanders on to Dr. Melissa King. Evidently, Sanders is happy with this modification, as he begins flirting with Dr. King, although she fails to select up on his advances.
Candace O’Grady – Intractable Vomiting
Subsequent up, the nurses inform the docs {that a} affected person named Candace O’Grady has been introduced in by her stressed and reasonably aggravated son, Richard. Nonetheless, Candace and Richard do not seem on-screen till a lot later within the episode. Dr. Mohan visits with Candace, who sends her son out of the room after he responds harshly to questions.
Candace is 82 years previous, and informs Dr. Mohan that she has stopped taking her meds for an prolonged time frame as she discovered a brand new technique of treating her points: marijuana. Having experimented with the drug whereas with a buddy, Candace has taken to recurrently consuming 12 or extra marijuana cookies day by day. That is possible the place her situation stems from.
Mr. Williams – Fall At Dwelling
Dr. Cassie McKay has the great fortune to satisfy with Mr. Williams, a middle-aged man who fell and injured his nostril, inflicting a reasonably intense nosebleed. Cassie offers an intensive examination, the place she finds that Mr. Williams additionally has intense ache in his proper wrist.
Nonetheless, Mr. Williams seems extraordinarily aggressive and confrontational, saying he needs to go away and keep away from any pointless extra expenses. Regardless of this, Cassie persists to be able to present the perfect care potential. Upon repeat visits, she begins to see that Mr. Williams additionally seems to have signs of a potential concussion, or not less than some short-term reminiscence loss.
With Mr. Williams’ temper swings, Cassie must strategy fastidiously, however it seems that the affected person is affected by greater than a bloody nostril and an injured wrist.
Mr. Ethan Bostick – Discovered Altered In Assisted Dwelling Facility
Within the morning rush, as sufferers are introduced in from the Assisted Dwelling Facility, Dr. Whitaker is launched to Ethan Bostick, a 79-year-old man who was discovered altered that morning. He’s additionally knowledgeable that Mr. Bostick has a POLST, Doctor Orders for Life-Sustaining Remedy. This directs that Mr. Bostick wouldn’t prefer to obtain any CPR or intubation.
After a spherical of basic exams, Mr. Bostick goes right into a V-tach, an irregular, fast-paced coronary heart rhythm. Because of the POLST, they haven’t any technique of treating the situation, and so, Whitaker and the brand new scholar docs, Pleasure Kwon and James Ogilvie, merely stand by as he passes.
Mr. Bostick is asserted lifeless, and Whitaker takes the time to supply up a second of silence for the person, instructing Kwon and Ogilvie to do the identical.
Mr. Digby – Forged Removing
Upon arriving within the ER, Dr. Robby famous that there was a very foul-smelling man within the ready room, and all through the day, the stench appeared to have worsened. This led among the different folks within the ready room to beg for the person to be seen to, to be able to get him out of the ready room.
The employees of the ER oblige, and whereas Mr. Digby solely wants a solid eliminated, he’s escorted to an outside bathe the place he can wash the grime and dirt from his physique.
Sister Grace Matthews – Conjunctivitis
Picture by way of Max
Dr. Victoria Javadi picks up a affected person with extreme conjunctivitis. Sister Grace Matthews, a Nun, seems to be very pleased to talk with Javadi, and even feels snug inquiring about spiritual beliefs. Nonetheless, Javadi is evidently extra occupied with seeing to her medical wants.
