The PITT

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Groove

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Anybody watched this yet? I normally hate medical shows and abhor "ER" based shows but the trailer hit a little close to home with the "52 in the waiting room" and a few other scenes and now I've got it on my list of shows to watch. It seems to be getting some traction online.


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Anybody watched this yet? I normally hate medical shows and abhor "ER" based shows but the trailer hit a little close to home with the "52 in the waiting room" and a few other scenes and now I've got it on my list of shows to watch. It seems to be getting some traction online.



Good to see Noah Wyle reprising his role as an ER doc.
 
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Was he in the old ER show? I've never watched any of those shows.

Yes, He played John Carter. He was a fixture in it. The show ran from 94-2009. He basically was a med student in the early seasons and became an attending later on.
 
Overall impression: 3/5 stars.

Disclaimer: I've never seen an episode of "ER" or any other medicine show that isn't "House MD". I'm in this one because "Pittsburgh".

First episode was very good, second was full of sappy-be-sensitive-to-the patient's-needs-and-be-a-good-person-everything-is-racist-and-you-are-a-bad-person nonsense.
 
Overall impression: 3/5 stars.

Disclaimer: I've never seen an episode of "ER" or any other medicine show that isn't "House MD". I'm in this one because "Pittsburgh".

First episode was very good, second was full of sappy-be-sensitive-to-the patient's-needs-and-be-a-good-person-everything-is-racist-and-you-are-a-bad-person nonsense.

Hmm... I'll pass

BUT... important question. Will this portray us in a good light to Joe everyman and Karen everywoman as they go on the journey with the characters, season-over-season?
 
I admire the guy giving compressions who didn’t want to call it go back to giving subpar compressions.

How come they don’t make shows about hospital admin?

Watching admins sitting at home during the height of COVID while the real people risk their lives doesn't make much must see TV
 
Watching admins sitting at home during the height of COVID while the real people risk their lives doesn't make much must see TV
Did they not come to the parking lot and honk their horns while you awkwardly stood there in an N95 that was 2 weeks old?
 
Hmm... I'll pass

BUT... important question. Will this portray us in a good light to Joe everyman and Karen everywoman as they go on the journey with the characters, season-over-season?

Hard to tell. Right now? I'm gonna say "this isn't doing us any favors."
 
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I thoroughly enjoyed it. A lot of it resonated with me, especially since I did my residency during COVID. I was cheering when Noah Wyle's character was squaring off against admin about boarding, metrics, etc. Seemed like the conversation we all want to have. Definitely chuckled at the naked psych patient and the frequent flyer hustling everyone for a turkey sandwich. Some of it was pretty predictable and a lot of the medicine seemed spot on.
 
I thoroughly enjoyed it. A lot of it resonated with me, especially since I did my residency during COVID. I was cheering when Noah Wyle's character was squaring off against admin about boarding, metrics, etc. Seemed like the conversation we all want to have. Definitely chuckled at the naked psych patient and the frequent flyer hustling everyone for a turkey sandwich. Some of it was pretty predictable and a lot of the medicine seemed spot on.

Need more of Episode 1 and less social-justice-antiracism woke nonsense.
Also need more shots of the cleanest city in the east.
Also loved that Noah Wylie looks as tired as I feel most days.
 
I can't imagine this will be any different than all the other "realistic" ER shows.
The only thing that would make me watch it, is the producers also made West Wing, the best political drama series of the past few decades.
 
An accurate portrayal of a real ER would be

"Ma'am, sorry I don't know what is causing your pain. But you can go home."

"Sir, sorry I don't know what is causing your pain. But no emergency!"

"Ma'am, I know what is causing your stomach pain. TOO MUCH WEED."

"Sir, I know what is causing your pain. Your bad hip is getting worse. Sorry I don't hip replacements."

"Ma'am, I know why you can't breathe. You didn't take your COPD medications for 2 weeks. What a surprise."

"Ma'am.....sir.....ma'am.....sir......ma'am......sir......"


"Sir, I know what's going! Yes YOU ARE HAVING A HEART ATTACK!"
"Sir, I'm being serious I'm not joking."
"Sir...why would I lie to you?"
"Sir...I don't think you should leave. 100,000s of people a year die from heart attacks."
"Sir...that wasn't nice. Don't wave your finger at me again."
"Sir...I don't give dilaudid to people who are having a heart attack."
"Sir...it matters not that the ER doc three days ago gave you dilaudid for your chest pain and sent you home."
"Sir...yes I just looked at the chart and you have been given dilaudid 14 times over the past 9 months for your so called chronic pericarditis. But this time you are having a heart attack!"
"SIR!!!! I'm NOT F'ING AROUND HERE!"
"SIR!! Fine, if you want to leave AMA then please repeat after me. I FULLY UNDERSTAND AND COMPREHEND THAT I PREDICT YOU WILL DROP DEAD IN 2 HOURS, MAYBE LESS."
"SIR, your wife is in the lobby and she wants to come back"
Wife: "SIR! WTF IS WRONG WITH YOU GET ADMITTED! JUST GET THE F ADMITTED. DON'T PLAY WITH ME"
 
I watched ep.1 again because I got hungry and had little else to do right now.

MOAR SNARKY BANTER DIRECTED AT ADMINISTRATORS !
 
Overall impression: 3/5 stars.

Disclaimer: I've never seen an episode of "ER" or any other medicine show that isn't "House MD". I'm in this one because "Pittsburgh".

First episode was very good, second was full of sappy-be-sensitive-to-the patient's-needs-and-be-a-good-person-everything-is-racist-and-you-are-a-bad-person nonsense.
Lol, I rolled my eyes so hard with the sickle cell scene where the resident gave 10mg of morphine and asked to redose every 5 minutes as needed, then placing the patient on a 3mg/hr dilaudid PCA pump within the SAME HOUR and then had the nerve to lecture the med student when he was clearly concerned about the amount of opioids being administered. I’d get reported by my nurses for trying administer that much opioids to a patient, regardless of their tolerance.
 
Overall impression: 3/5 stars.

Disclaimer: I've never seen an episode of "ER" or any other medicine show that isn't "House MD". I'm in this one because "Pittsburgh".

First episode was very good, second was full of sappy-be-sensitive-to-the patient's-needs-and-be-a-good-person-everything-is-racist-and-you-are-a-bad-person nonsense.
You should watch scrubs. I don’t really like medical shows but that show is great.
 
I watched some last night and enjoyed it so far. They must have done their research. Pretty realistic cases. The one where the lady had been drinking ipecac to bring her homicidal son to the ER to get evaluated had me rolling my eyes and thinking that is exactly the kind of stuff we see. Reminded me of a case where these neighbors brought in a toddler girl for "abuse" because the mom had been "locking her" in the bathroom while she got ready for work to keep an eye on her. They were babysitting and snatched her from the home and dumped her in the ER. Then they disappeared and we were stuck with this toddler at 1am that we kept having to entertain while we tried to wake up CPS and have police come out for a report. It was such a cluster and the kid was with us all night until mom was able to sort everything out and pick her up at the end of my shift. I loved how hospital admin was following dude all over the ER while he's coding people waiting to lecture him on PG scores and metrics. They definitely consulted a crusty PITT doc to help inspire the writers. Anyway, I'm only in episode 1 and have a bit left to watch.
 
Lol, ok. You’re such a blowhard.

LoL.
But DiVeRsiTy.
That's the reason I'm not in the NBA and I'm just an ER doc; because the NBA needs diversity. It's the solution to all things at all times. If only the NBA had DEI requirements, the underrepresented would have what they are entitled to and everything would be fair.

Say otherwise and you're a bigot.
 
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Couple eye roll moments but I thought it was pretty well done overall and I enjoyed watching it. Looking forward to more.
 
So the show is 15 episodes, each 1 hr, shift likely lasts 12 hrs (maybe??). You think the last hour of the 12 hr shift will be a mass casualty event where the son became a school shooter and the doc has to stay 3 hrs after shift to help out?
 
So the show is 15 episodes, each 1 hr, shift likely lasts 12 hrs (maybe??). You think the last hour of the 12 hr shift will be a mass casualty event where the son became a school shooter and the doc has to stay 3 hrs after shift to help out?

The "fifteen hour shift" grabbed my ears as well. I didn't think about the kid.
 
So the show is 15 episodes, each 1 hr, shift likely lasts 12 hrs (maybe??). You think the last hour of the 12 hr shift will be a mass casualty event where the son became a school shooter and the doc has to stay 3 hrs after shift to help out?
doc has to stay 3 hrs after shift to document.
 
the one hour of 'real life' per episode thing works for me. I loved 24.

That its 15 hours makes me wonder if there will be a swing shift of new characters about 8 hours in AND that the doctor will be dragged 3 hours past his shift end time alongside that swing shift. Theyve done their research on other stuff, why not on shift rotations and needing to stay late?
 
This show was on point. As others have pointed out, they really did their research. In fact, after the first hour I kind of felt mentally drained and was hesitant to watch the 2nd episode. The sickle cell thing kinda killed me inside, but the part that hit home was him slowly setting up for an intubation of a DNR patient because of family. Also the 4th year student not wanting to stop CPR. We've all been there. I'll continue to watch it in bits and pieces. Definitely the most medically accurate show I've ever seen.
 
Only watched the trailer.

Why is it so hard for these shows to show reasonable, decent chest Compressions?

It would literally take them minutes to instruct the actors appropriately on how to do compressions effectively. This would have serious trickle-down effects into the general population
 
Only watched the trailer.

Why is it so hard for these shows to show reasonable, decent chest Compressions?

It would literally take them minutes to instruct the actors appropriately on how to do compressions effectively. This would have serious trickle-down effects into the general population
Because real compressions aren't tolerated that well by living people?
 
I just felt annoyed watching it. The medicine was mostly so on point it was annoying and kind of cringey and eyerolling. It’s also just another dumb show where the ED is full of it trauma and codes every second. Show more of the naked guy running away and the guy screaming and ****ting all over the gurney. Show me the absurd amount of 20-40 years that whine all day long nothing is wrong with them. That’s a real ED right there. The shots at admin, press ganey, nursing staff shortages, etc were very good but too quick. They need to spend more time on that.
 
I just felt annoyed watching it. The medicine was mostly so on point it was annoying and kind of cringey and eyerolling. It’s also just another dumb show where the ED is full of it trauma and codes every second. Show more of the naked guy running away and the guy screaming and ****ting all over the gurney. Show me the absurd amount of 20-40 years that whine all day long nothing is wrong with them. That’s a real ED right there. The shots at admin, press ganey, nursing staff shortages, etc were very good but too quick. They need to spend more time on that.

I had that same taste in my mouth, too.
Crics, V-fib arrests, pericardial tamponade, mangled extremites all in the same hour?? Mm-hmm.

I eyerolled hard at doing an extemity block on that leg and fights over 4mg morphine.
 
I had that same taste in my mouth, too.
Crics, V-fib arrests, pericardial tamponade, mangled extremites all in the same hour?? Mm-hmm.

I eyerolled hard at doing an extemity block on that leg and fights over 4mg morphine.

I've had those kind of fights in the pacu...
 
Wow!

I recall a pt from residency who had an open dislocation of her ankle (foot was lateral, and wouldn't stay reduced). All she needed was 2mg morphine before ortho took her to the OR.
Old person? Different rules for acute pain management in the over 70 crowd.
 
Europe manages hip fractures without opioids and just IV tylenol.
Many Americans have very altered perceptions of pain and analgesia. Or they have a fundamental misunderstanding of the purpose of pain meds being to make pain tolerable and not zonk you out so much you can’t perceive it.
 
I’ve come full circle on Morphine. Initially I was persuaded we were under dosing and they just needed 8-10 mg for proper dosing. The focus on ALTO and even MME reduction has me back to giving doses of 2-4 mg, or alternatively just 0.2 mg of Dilaudid instead of 1 mg when I would have previously thought that was trivial. I’ve been pleasantly surprised that just taking the edge off of patients pain achieving tolerable and stopping the screaming from the room across from the doc box is all that is needed for patient, staff and physician satisfaction. People can live with a little pain and I prefer that to the delirium or respiratory depression from over medication. Moving past pain as a vital sign though was key to this change. They mandated treating pain, and now they mandate not treating. Lovely migration to the extremes…
 
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