The Pitt, Season 2, Episode 4 : "The New Attending is Al-Right"
- Marielle Bokor
- 16 hours ago
- 10 min read
Ok, medical drama lovers. It’s 10 am in Season 2 of The Pitt. That means we’re getting in the swing of things. Episode 4 is full to the brim with everything we love, so let’s do a soft recap recap and then just forge forward.
We go back a few episodes to our abandoned baby as the lead in that recap - so there’s definitely more to the story, and that hopefully means we’re gonna find out what Al-Hashimi has against (or for) babies.
It’s not always easy to tell what’s in real time and what’s not. Diabetic dad’s kiddo, who’s a gem, is waiting on their mom, who has to take several buses to get to the ER. Quick reminder that Dr. Al’s new, revisiting our eyelash girl looking for a doctor who doesn’t exist, and yelling kid, then the Westbridge code black that we’ve only seen the tip of the iceberg for yet.
“I should’ve left last night” says Dr. Robby. Oh, sweetie. We knew you couldn’t leave.
Now we’re solidly in the present, because we’re watching the betting start on why the code black happened. I really like that they do this, and not only do it but heavily endorse it, because at least from what I know of the ER and medical profession at large, you need a stress reliever, and you need camaraderie.
Though she DOES “at my old school (the VA) we never” she’s ultimately game, which…props!
Robby’s got flooding, 3 hours and 20 patients, and she’s got flooding 4.5 hours, and 30 patients. Oooo. Let’s see what develops. Dana asks if Robby wants to move Langdon out of triage and basically on board for the main event, and Robby refuses. This grudge is gonna take longer to wear away, I guess.
Much like a stubborn eyelash glue that our girl’s got mineral oil on. She’s pissed, cuz she’s been there for 2 hours and nothing’s come of our oily solution.
In the waiting room we find yelling college kid’s sister, who’s eager to get in, and back in the ER proper. We're with our - are we supposed to assume junkie - who’s deaf, and we’ve got no real idea why she’s there. Langdon’s with someone who’s got a high fever and low 02 and just wants to work, but he tells her to look forward to a long weekend recouping.
Back at the desk, Trudy, Santos and Curly are talking shit - to and about each other. Dana breaks it up but Al Hashimi catches Santos to not so politely remind her she’s behind on charting and could repeat this year of residency if she doesn’t catch up. Now outside, the same group tries to go back to some Dr. Al gossip but at least one of them thinks better of it.
We’ve got a belly and chest pain rolling in in the ambulance bay. Our belly pain ate bad chilaquiles, perhaps? Is it ever that simple? And also, bad chilaquiles? May we never.
Our chest pain guy seems religious and ready to die, which we hate to see. He also has Santos competing to know the most, this time with Whitaker, and a bonus ambulance featuring a bloody 20 something who fell through a skylight and is unresponsive. He’s got a videographer in tow, who says they were parkouring. Ogilvie’s spouting stats no one cares about, Joy’s on his case about it, and they turn to this as the main trauma. McKay’s also on the case with Robby overseeing. They didn’t notice our videographer was still filming and when they try to get her out she’s belligerent, stating they’ve gotta get it for their 4th of July Tiktok. Kids today.
It seems mostly like Ogilvie’s getting in the way and bothering people today, and he bumps straight into McKay as she’s attending to the patient and ordering an intubation before a CT since the patient’s unresponsive. He asks if he can perform the procedure, and Robby tasks her with teaching him. Of course, he already knows what he’s doing, so they sit back and watch. We think.
Santos and Whitaker are at the same computer and Santos is over how close he is. When she walks away though, he grabs the paper off the station and orders further testing.
Meanwhile, Al Hashimi’s meeting up with yelling college kid’s sister, and she’s freaking out learning he was so belligerent and had to be tased, saying it’s not like him at all. This might get interesting, and I’m looking back to the legal codes he was yelling last week to try to guess what really happened.
Now, Whitaker’s with Robby showing him the abnormalities on that chest pain guy he wants to do additional testing on and he signs off on it, so at least we know he’s learned a little better than to just do it without consultation.
Dr. Mohan’s meeting up with our diabetic’s wife, and she seems amazing. There’s a very small moment where she mentions how busy they are where you can see the through line between the ER and the crush of retail or foodservice, and I love that. There are front lines everywhere.
Then we’re back to the crushing reality of the US healthcare system instantly. She, despite working hard and her husband working hard - has no insurance and can’t afford the care her husband needs in the ER. Dr. Mohan sets her up with social work and man, do I hope someone can help her.
We’re back with a chest pain guy, who’s sweaty and intent on dying, despite Whitaker’s workings. And then Langdon’s in the weeds with our eyelash girl, who either has to wait 2 weeks for a second eye to open or who has to relent to having half her eyelash trimmed. She’s got a party tonight and of course, can’t be seen like this.
Back with Whitaker’s Samba, he’s been right all along and it’s the worst kind of heart attack. Now everyone’s in the room and that quick thinking and prep Whitaker did may have saved this guy.
King is talking with Santos outside the room about if she’s ever had patients flirt with her, and I mean, weird person to ask. Also, weird to be smiling about it considering he ran you over, girl.
Our virus having overachiever needs a chest x-ray and it seems like Santos is missing something obvious King is trying to get her to look at. Hmmm.
Meanwhile Joy’s picking glass out of our skylight guy and is acerbic as ever. I mean, it’s not a great gig, but like…can we just be anything but sour for a minute, girl? She cuts herself on one of the shards and since that’s blood exposure, she’s not only off the case, but is currently her own case. You can imagine Suzy Sunshine being all excited about that.
There’s new people coming in from Westbridge, and Hashimi asks again if they can pull Langdon in. Robby says no, again, because it’s his first day back (do we believe that’s why?) and they weigh in on the bet again. Dr. Al seems downright flirty with Robby, offering to buy him a drink with her winnings. Also confident she’s right and it’s going to be worse than he says. So, let’s see.
Dr. Mohan’s back with Jada, the college guy’s sister, and they’re discussing whether to call her parents. She says they should. He’s got a normal CT and normal blood and urine, so she’s thinking of a spinal tap. That seems extreme. I wonder if we’re going too far here. She’s gonna check with Dr. Al though so we’ll see what happens.
McKay’s back with her admirer from last week, who broke his butt. I mean, that’s not the medical term, but it is what happened. He’s still trying to charm her on his way out. He’s worried about his social calendar, and actually distraught that he’s going to be down for the count with the ladies for six weeks. He pushes back, and she says they can do a procedure to push the pieces back in place, but it’ll hurt really badly.
Her other admirer across the way, and he’s pretty much fine, with a sprain. But he’s also pretty much FINE, and working his charms. Just when it looks like they’ll part as patient and doctor and that’ll be it, she turns around and asks him to check out some art galleries together. Why am I already rooting for this, taboo though it may be?
It’s Louie! Whitaker and Ogilvie are in with him, and he’s a grumpy Gus because his tooth is kiling him and the whole side of his face is numb. He needs a tooth pulled, so he’s waiting for social at this point. Everyone’s missing Dr. Collins, the former social worker, and honestly, me too. They’ve kept him around so long that I’m scared for him and simultaneously will be sad to see him go.
Back with our diabetic and his family - social work is saying they’re just over the poverty line so it’s not as easy as all that, and the best option would be to buy private insurance. The daughter overhears, and this cannot go simply from here.
Our new nurse is in Dana’s hands, and she’s doing an IV on Joy. Oh man Dana, you’re really not taking it easy on her. It goes well until she drops the vial of blood. Oh no, poor girl.
Back with Mr. Skylight and his video team, he’s gonna be fine. Or wait, he’s not, since there’s major bleeding suddenly. Things are rarely ever this simple. Bleeding from teh back. Our videographer is majorly concerned. It’s a little piece of glass. And Ogilvie causes a HUGE problem when he pulls it out. See, this is where hubris gets you kid. Now it’s a full blown bloody emergency.
Santos and King are back out in the hall and Santos still isn’t getting what’s going on with their flu person. Her aspiration pneumonia is leading King to believe it’s an ED, but Santos just didn’t have the light turn on for it.
Al Hashimi is in with Jada, and psych is also in with him. And not happy about it, because he’s still sedated - so there’s nothing he can do. Weird way to meet a new character, but it shows how eager Mohan is, at least.
Back to our now major bleed and they’ve got the glass out and are getting the bleeding under control, but Ogilvie looks really traumatized. Understandable. Perhaps this will tamp down this kid’s hubris. Luckily, the worst seems over for now. Robby gently re-emphasizes why you don’t remove a foreign body and you let surgery do it, and Ogilvie looks like a puppy who just got scolded.
Our psych meets up with Robby and Robby’s not super enthused about it. He brings up the motorcycle crash, and Robby’s on the defensive immediately without Jefferson (our psych) even trying to get anything out of him. He gets congratulated on saying Fuck, and says therapy must be working - he’s gone through two therapists and Jefferson’s trying to get him to get another one before or during his sabbatical. Oh yeah, you can try, but that doesn’t seem super likely.
“Motorcycle trip is zoom therapy.” Yeah. Ok.
Whitaker wanders over towards security and lays down 40 for power outage.
Langdon’s in with our eyelash horror, and trimming hasn’t gotten that eye open. She’s demanding Dr. J again. Um…oh my God. It’s Javadi. On Tiktok. Delightful.
McKay’s shoving pieces of butt back where they belong, and our charmer’s got choice words about it, but hey, it worked! One repaired old man butt.
Back to flu lady, King’s trying really hard to be gentle about her suspicions that she’s got an eating disorder. Santos…is trying to be gentle, but she’s always got that hard edge. She goes to look at her teeth and as King suspected, the worn enamel is present, so we’ve got confirmation that this might actually be what she’s thinking.
Langdon summons “Dr. J” and reveals his knowledge of her “fame” introducing her to her fan/patient, Willow. Ball’s in her court now. She jumps in with the added confidence that this girl believes in her, and…does the same thing he was doing, cutting up even higher on the lash. She seems a little cocky about her fandom, even. Willow’s eye pops open and she asks if she can still wear fake eyelashes. Let’s see what backlash she receives if not.
Our diabetic dad admits that he’s only been using partial doses of insulin because he’s not able to afford it without his work insurance, which he also hasn’t been able to afford. Honestly, this is the most traumatic part of this episode so far, because it’s a reality for so many. His daughter pops in and she’s set up a GoFundMe to raise money for him - it’s been successful but her dad shouts it down and sends her out of the room. I really hope he comes around, or social work comes through. Or both.
Langdon and Louie get a little bit of alone time since the confession, and they’re like a set of old friends, talking kids, dogs and family. Even lawn care advice. Ok, I’m really getting attached to Louie and I feel like this show’s waiting for me to fall for him so they can kill him off. Robby sees him in with him, and he’s’ not particularly happy about it, but passes up the confrontation. Al Hashimi stops to tell him that he’s off triage and on the floor.
She also affirms his decision to go with the Physician’s Health Program during his rehab.
Dana sees Robby looking on, and tries to reason with him about Langdon. She’s, per usual, right on. Knowing they were close and that it was gonna be hard. She tries to reason with him, and tell him there was a callout,and maybe it’s time to clear the air, but…Robby’s not there. Maybe sometime soon.
King and Santos are dealing with our ED patient, who finally admits that she has a problem. She explains how central food is in her family and how hard it is to avoid triggers with them. As someone from a big Polish family where food is never off the table, I can relate, and I think a lot of people can, which is why I’m glad The Pitt is handling this so gracefully. It’s not just a teen problem, a white problem,a privilege problem, or even just a woman problem. So many people have dysfunctional relationships with food for so many reasons and it’s okay to ask for help.
Dr. King drives that point home and really opens up, admitting she had a problem with it, too, but Santos waves her off to go back to her charting. King never really takes the “go away cues” on time, but ends up helping a little by telling Santos to dictate to go faster.
Whitaker pops up and reports back on Samba, mentioning he had the posterior STEMI and caught it. This immediately sets Santos off and she calls him Fuckleberry before peacing out. That’s…honestly kinda mean. Not cool.
A nurse tells Langdon one of his patients is back, and she’s …very back, with a raging infection. They suspect MRSA or worse. I can’t recall why she came in in the first place, but…that’s all folks!
We’ll have to scrub in again next week. And Louie better be okay!