The Pitt · Season 1, Episode 9
“3:00 P.M.” · Season 1, Episode 9
In this episode: Dana Evans (5), Dr. Frank Langdon (3), Robby Robinavitch (2), Victoria Javadi (2), Doug Driscoll (2), Dr. Cassie McKay (1), Dr. Heather Collins (1), King (1)
[Dana breaks up a fight in the waiting room]
Jesus almighty, I can't believe what I'm seein'! Where do you people think you are? This ain't Philly! This is a hospital, for Christ's sakes, what's the matter with you? You call yourselves adults? There are children in here! You should be ashamed of yourselves.
An operation?
Well, you were just shouting a minute ago about infection, and with good reason. While I am sure you are in the clear for rabies and HIV, human mouths are filthy, some more than others.
How can you tell if it's bad?
Good question. Dr. K?
I'm sorry?
I am going to inject some sterile saline into your knuckle joint, which you won't feel 'cause of the anesthetic. If it comes spraying back out of the bite wound, we'll know.
Oh, did you want me to tell the surgeons to go no masks for surgery?
What?
Well, those of us who save lives for a living believe strongly that masks minimize risk when it comes to spreading disease and infection. But I want to respect your beliefs, so what do you think? With or without for surgery? Without?
Um…I want with.
Good call.
I know you hear me. You can pretend you don't, but I know you do. This glass might be bulletproof, but it ain't soundproof. Huh? Hello? Can you hear me now? Huh? Hello!
Whoa. Whoa. Whoa, sir. Sir, what is the issue?
Oh, same issue. I've been here all day, and you people have done nothing to fucking help me.
We're still waiting on your second troponin. We can't clear you medically until it comes back. For instance, if it comes back elevated, that could indicate a silent heart attack. And you'd need to be admitted for monitoring in a cardiology consult.
That's all I'm asking for. I'm afraid I've had a silent heart attack. I just want someone who knows something about hearts to tell me what's happening to me. You know, unlike most of these losers, I have insurance, good insurance. And I pay my taxes, which pays for them to not have any insurance.
Sir, you've got about five seconds to change your whole attitude before security and the police get involved.
Fuck it. I'm leaving.
Hey. Hey! You are absolutely free to go. But if you do, you will be leaving AMA, against medical advice. This form states that I have advised you to stay and complete your evaluation, but you are choosing to leave, understanding and accepting all risks of heart attack, stroke, disability, and death.
Sounds like a CYA form in case I drop dead on the curb.
That's exactly what it is.
I just want to be treated fairly.
I assure you that is our intention. We are not back here playing Go Fish.
We're doing our best to help some very sick people. You will be seen, OK?
Robby's gonna love that patient satisfaction score.
Crazy people.
I hear they're gonna start you working on the Middle East peace plan. Not since the Dalai Lama or Gandhi.
They'd be fucking-A right to. You should have seen me. I was inspiring, also terrifying, and a little bit shaming.
Holy Trinity of crowd control.
Yeah, purulent drainage from the cervix. Got the culture. Oof. Looks like we have our source. The positive urine this morning was contaminated.
Maybe.
Definitely. Not-so-clean catch specimen.
This infection's been brewing for a while.
So the car crash was a coincidence.
Not necessarily. She was probably already septic as the disease progressed, dropped her BP, and passed out while driving.
She wasn't hypotensive when she arrived.
Adrenaline rush from the car crash and the sternal fracture raised her BP but not for long.
Oh. No history of fever.
Bet she was taking Tylenol for the pain.
Let's call ICU for an admit. Also want gyn to see her.
She had mild lower abdominal pain and a positive urine dip. No fever, no back pain to indicate pyelonephritis. She was alert, walking, talking. It just seemed like a simple UTI. I saw no reason to have her wait eight hours for a bed for a pelvic exam.
McKay. Every postpartum patient needs a pelvic exam to rule out endometritis.
Wait, you're saying that with 20/20 hindsight.
Did you ask about Tylenol or ibuprofen use? Because that can mask a fever.
There was no fever.
Did you do a careful abdominal exam?
It was a quick chair exam, and there was only mild tenderness over the bladder.
Perhaps there was something about the patient that made you overlook proper treatment.
Like what, other than the obvious health risk factors?
Her size doesn't inherently make her unhealthy.
Are you saying I was biased against the patient because of her weight?
I raise it as a possibility, not as an accusation.
Wow. I mean, I really don't think that's the case here, but I will look out for it. Yeah.
Excuse me, sir. You're not allowed back there.
Unless, what, I start a fight? Become homeless? Apparently, that's what it takes.
I understand your frustration. I promise you'll be seen as soon as a provider is available.
But how can they become available if new people keep cutting the fucking line?
There's no line. We see patients by severity of need. As soon as we have your tests and labs, you will be seen.
This place is fucking unbelievable. Runaround after runaround. Hey. What's up, Erik Estrada? Still keeping your eye on me?
Always, my friend. Always. [to Dana] Who's Erik Estrada?
Shame on you. CHiPs. Know your television history.
It's like…my parents took me skiing in Utah for Christmas, and from the moment I got off the plane, I could not catch my breath. No matter how hard I tried, the altitude made me feel, like, awkward and uncoordinated. I couldn't concentrate, I couldn't get my bearings. And I'm a very good skier, but I spent the entire vacation just, like, on my butt, dizzy and panting.
[Dana half-glares at her, nudging her to get to the point]
Mateo is like a human Utah.
[laughs understandingly] Oh honey! I've worked with a few human Utahs. I wish you many, many Utahs in your life.
These quotes come from Wikiquote's The Pitt pages and are available under the Creative Commons Attribution-ShareAlike License.
