Summary
Bald Move Prestige hosts Jim and Aaron discuss The Pit S02E13, analyzing the tragic aftermath of Orlando Diaz's fall, the near-fatal asthma case, and escalating tensions between attending physicians Robbie and Dana over hospital staffing and personal responsibility.
Insights
- Healthcare system failures create cascading crises: Diaz's $100k debt and insurance gaps made his fall potentially deliberate, illustrating how financial desperation compounds medical emergencies
- Physician burnout stems from false belief in personal indispensability: Robbie's conviction that only he can manage the ER creates emotional quicksand, preventing healthy delegation and succession planning
- Diagnostic expertise in specialized ultrasound can eliminate unnecessary imaging: Dr. Cruz's advanced sonography skills discharge patients faster without X-rays, suggesting future shifts in emergency medicine workflows
- Trauma responses in healthcare workers manifest as dissociative episodes: Dr. Al's absent seizures appear triggered by pediatric emergencies, suggesting unprocessed PTSD from the children's unit attack
- Information asymmetry in patient care creates moral hazard: Insurance company representatives lack full context of patient situations, leading to tone-deaf financial counseling that worsens outcomes
Trends
Point-of-care ultrasound replacing traditional imaging in emergency departments for speed and radiation avoidanceHealthcare worker mental health crises (dissociation, burnout, substance abuse) becoming central narrative drivers in prestige medical dramasInsurance system design flaws creating perverse incentives where catastrophic injury paradoxically improves financial access to careTeaching hospitals struggling with single-attending models despite best practices recommending 3-6 concurrent attendingsAlgorithmic social media amplification of health misinformation (turmeric supplements, natural remedies) driving preventable medical emergenciesIntergenerational housing instability among working poor forcing adult children to choose between parental support and independent livingMedication access gaps for low-income patients (name-brand inhalers vs. generics) creating treatment failures despite insurance coveragePhysician mentorship models where senior doctors (Whitaker, Robbie) provide emotional labor beyond clinical scope to prevent resident burnoutNight shift staffing strategies in teaching hospitals requiring rotation of day-shift attendings to maintain continuityNeurotrauma management complexity: intracranial pressure management, Cushing reflex paradoxes, and trepanation procedures as last-resort interventions
Topics
Intracranial pressure management and cranial drilling proceduresAsthma pathophysiology and intubation contraindicationsPneumothorax diagnosis via ultrasound vs. X-rayInsurance coverage gaps and Medicare/Medicaid cliff effectsTurmeric supplement toxicity and hepatic failureAortic aneurysm diagnosis and surgical timingPhysician burnout and false indispensability beliefsAbsent seizures and trauma-related dissociationPoint-of-care ultrasound training and certificationHomelessness among working-class familiesPediatric asthma management and aerosol medication deliveryHealthcare worker PTSD from mass casualty eventsDual-attending models in emergency departmentsBenzodiazepine addiction and hospital theft in medical professionalsTriage and waiting room management during system failures
Companies
Hilton Hotels
Sponsor advertisement promoting resort stays and family vacation experiences during episode pre-roll
People
Jim
Co-host of Bald Move Prestige podcast analyzing The Pit episode
Aaron
Co-host of Bald Move Prestige podcast providing medical analysis and character interpretation
Noah Wyle
Plays protagonist Robbie in The Pit; discussed extensively regarding character arc and burnout narrative
Charles Baker
Plays Mr. Digby, homeless patient character whose storyline with nurse Dana explores compassionate care
Quotes
"You can be if you are poor enough, you can get the coverage that will pay for this. If you are injured enough, you'll get coverage that will pay for it. But anything in between being fabulously wealthy and just covering it with cash or being super poor and unable to cover anything with cash, you fucked."
Jim•~45:00
"The problem with asthma is not that you can't breathe in. The problem is actually you can't breathe out because the sacks collapse with gunk."
Aaron (citing medical research)•~60:00
"You've got to find a balance. You care too deeply about patients dying, but be a little callous to like have a little bit of toughness there."
Whitaker (character)•~75:00
"The ER is not one person. You can't do this all alone. You need everybody, but you can take a brick out and slot another brick in and we're fine."
Robbie (character)•~110:00
"I feel like that is the true failing here. She was not able to connect with him enough to keep this from happening."
Aaron (on Dr. Mohan and Orlando Diaz)•~35:00
Full Transcript
It's easy for family time to feel way too rushed. But at a Hilton resort, time has a way of slowing down. No busy schedule, no school run, nowhere to be. With stays in your favourite destinations and everything taken care of, you can savour what's important. When you want your holiday to feel like a holiday, it matters where you stay. Book now at hilton.com. Hilton for the stay. Oh yeah, mom? You do a lot of ortho work? Oh yeah, how many times have you like fucking drilled into people's heads and poked around in their brain matter with a trocar? Like that's the top, that's the, like pediatric neurosurgeon has to be the tippy-tippy top of the doctor penis measuring contest scale, right? Welcome to Into the Pit, Bald Moves officially unofficial podcast for the pit on HBO. I'm Jim. I'm Aaron. And we are back with 7 to 8 p.m. Season 2 Episode 13. This is the, what, 13th hour, 14th hour? 100th hour. For one, I'm exhausted. This has been a long day. Right. Who knows? Eyes are getting gummy. You know, who knows how long we'll be stuck here after season scan and paperwork. My eyes did get gummy this week. I hope, I hope I don't sound too weird. I had a cold this week and it was a head cold. So hopefully it won't distract too much, but I'm feeling much better now. Aaron, this episode, we get the aftermath of the Orlando DS situation, which might be the most tragic, but there's one that I'm way more interested in talking about. Because I feel like it's really relevant. But what do you think of this episode? I thought this episode was great. It gave us a lot of insights. Like I feel now that I'm starting around into, I think that everybody is misreading the death signs of Noah Wiley. And he's not worried about, he's not suicidal, worried about killing himself. He has been this sabbatical, I think, is like a trial separation from his marriage to the pit. Yeah. And he's leaving thinking he's like 80, 20, 90, 10, I'm not coming back. And I say that because he seemed like he was wanting to leave without having to come back and see Langdon. That would be dumb if he was just going to come back and have to do it three months now. I feel like that. Yeah, we're seeing that he's just like, I can't do this. And I feel like it's going to go something like, you know, last season in between seasons, Dana, what took a month, two months off or something. I feel like it's going to be something like that. I'm not saying that he might not die because like obviously not wearing your helmet is dumb. But like, I think it's like, you know, maybe it's not that he runs around at the helmet off all the time, but it's the hottest day of the year. And it's the night before he leaves on his motorcycle. I could see him feel it himself, but I don't think he's suicidal. That was my big takeaway. And the fact that we've got confirmed mommy issues that we knew nothing about. That's the other thing is like, I don't think you drop a juicy detail like that on a core character thinking you're going to kill him off in the midseason or in the offseason. But other than that, the compassion storylines here with Digby, Digby, you know, brought me to tears. These got these damn nurses and how compassionate they are. I the or led the poor Mohan man feeling like life is just shitting on her. And then when Robbie goes to pull her out and she thinks he's going to ask her about how she's doing and he just wants to know about doctor. I feel so bad for her right now to knowing that like, oh, I was thinking about maybe doing ultrasound. And then like the final boss of ultrasound shows up and talks about his qualification and she just shrugged like there's there's a lot to like. And I even I even like the thawing of the, you know, the Huckleberry Santos. I like that too, that, you know, he's getting that, you know, maybe maybe we are better together for at least right now. Yeah, maybe I'm looking forward to that more than I'm looking forward to living in Robbie's bachelor swing pad. Having said, and yeah, there's a lot more to say. But having said all that, what did you think of the episode? Oh, yeah, no, I largely agree with you. Good episode. I don't know the the pin has had a bad episode in its entire run, but I'll say a lot of the cases here that should affect you. I've already kind of been through the ringer with like Diaz. I mean, I felt how dire his situation was before at this point. I'm I'm already, I guess, inoculated against feeling extra bad because like it was pretty hopeless to begin with. But now I mean, like, I guess the added wrinkle here was that scene where his wife shows up and has this expectation that, oh, yeah, no, I'm just here to deliver some soup to my husband who just had a blood sugar incident, right? And she doesn't know about the other accident. That that got me a little tore up. But aside from that, there's not a lot of stuff going on here that's like really making me sad. Now, this couple of conversations that maybe they skipped or haven't had yet, I think are going to do it. Like, I don't know what's going to happen to me when I watch Duke and Robbie talk about his situation. That could be rough. I also think them skipping Mohan telling Orlando's wife about his new accident was not cowardice because it showed isn't scared of the conversation like that. It's just disappointing, I guess, because I was gearing up for Mohan to deliver some really bad news and, you know, reaching for the tissues. But they skip it entirely. So a little disappointing there. On this topic of Orlando, were you because I think the big change for me was feeling like this man might have killed himself to try to unburden his family and might have just double burdened him. And the conversation with the insurance lady, Noel, Robbie's kind of side piece or main piece, I don't know. It's not him, it's her. That stuff really got to me. Like, you know, trying to make that decision that you're going to kill yourself because it's the best thing for your family. And you're not even able to do that. I don't know. I mean, I like until I get the sense, which we'll never get from Orlando because he's not waking up this season. But until I like understand that more, I'm putting that more on Robbie saying like Robbie's dark mind in this very trying time going to a bad place. I don't know this could have because it's very well could have been just he went home too early, he went to another job like Mohan advised against and he had another incident, you know, passed out fell off a thing. But Robbie saying it is the thing that makes me go, well, I'm going to wait and see because he's not in a great place. His mind is in that gutter. That's how I was on first watch. But then on subsequent watches when I watched Mohan running down the things and the fact that they got the information that he wasn't in diabetic crisis even after even after this, you know. Yeah, fair. It could also just be an accident. Like just really unfortunate time slip of a footing and boom. It absolutely could just be or like, you know, Mohan's even saying like, was there a loose railing? Is there a right, you know, security cam footage? There's like, yeah. But I wonder if she's going to follow up on any of that. But but I'm with you when she came when that poor woman came in there thinking with a smile on her face and a hamburger for her husband and thinking that, oh my God, he's already admitted. Yeah. That was sad. And I did like. I will say I even like the okulvi stuff. I think. You know, I don't particularly care for that character. I guess it's more the way Whitaker handles that situation. Whitaker, man, he he's just such a dude like. Yeah, the way he handled Robbie last season, the way he's handled it all go this season. And now he's got a little bit of experience under his belt and he can sort of relate similar things that have happened to him. Because in the last year, I mean, he's probably seen it all. Mm hmm. But yeah, I don't know. I'm really warming up to Whitaker and I will say Santos. I think Santos was a pretty smooth operator in this episode with the woman who was feasting on turmeric. She's always been a good doctor. It's just, you know, like, is she demanding too much of herself? Is she like what what is her problem? What is her damage that she's bringing in here? The whole cutting thing? Like. I wonder because the thing is the fact that she seemed a little bit more chill. I wonder if they're trying to tell us met a narratively that maybe she has offscreen done a little bit of cutting to kind of center herself. Yeah, she had still as Calpa last episode. Yeah. And she does seem like she even though she was more stressors, it did seem like she was a little bit more basal line. But that could be me reading into things and like overvaluing to scalpel last last episode. I would like nothing more than like seeing her like waste that scalpel in a trash bag as she's walking out to hospital this season. But I fear I fear it's not going to go that way. And just tons of drama. This might be the most dense drama, you know, with the back and forth between Dana Dana Dana and Robbie and Mohan and Dr. J getting to drill someone's head open and all the new doctors we got. How about Dr. Cruz, man? Potential new fave. Yeah. Yeah. Yeah, he's great. Dude to stud. Anybody good enough to single handedly cause Mohan to shred her application is like, yeah, pretty fucking cool. Yeah, I don't know. I don't know what she's cut out for, but I don't know about the E.R. man. She's on shaky ground there. Elder care. Yeah, there's I do wonder like how many of these people are the last because I didn't think about that last year. Like, oh, yeah, this is a teaching hospital. People are going to rotate go on to their fellowships, go on to other attending things. But like now this episode felt so much like introducing us to new characters and especially getting us onto the night shift. Rossifer, I was fucking around on the discord last night after the episode chopping up with people about it. And Rossifer mentioned that like, man, we're meeting a lot of the night shift and getting a good primer and staying. What's the odds of them doing like a night shift rotation? Like Robbie does a night shift next up next season. I'm like, that makes a lot of sense. And I think so. You know, especially if Dr. Alashimi gets to dual attending, can you imagine like night shift with Abbott and Robbie? Who doesn't want to just watch the hell out of that? Oh, my God. Yeah. Yeah, we've got some theories. I think Aaron wrote in, had a theory about, you know, Robbie having an accident on the bike as he goes out and they bring him back in. And here we go night shift for next season, right? Taking care of Robbie. Yeah. I've got to say, like, I think you could do a night shift without any of the day shifters. I would still be down for that. There's enough characters of night shift. I'm like, hell, yeah, I would like to know more about these guys. Yeah, start off with rounds in the first episode, hand it off to the night shift and I'm in. We know half those characters anyway. So yeah. But we unfortunately know that it's going to end with Robbie driving off from the pit and the whole things want to sink into a sinkhole. And we're going to go to Westbridge. So good idea. But I think we've already called out a shot on that one. Damn, Jim, should we get into this episode? Yeah, let's do it. We'll be right back with more bald move after this brief pause. There's no one like you and there never will be. From the producer Bohemian Rhapsody. And the director of Training Day. Will you let your light shine? This April. With a greatest of all time. There are many legends. But there is only one. Michael in IMAX and cinemas Wednesday, April 22. And now back with more bald news. We are talking about episode 213. Not too many episodes left at 7 p.m. Been on shift for 12 hours. We're going to start with Orlando Diaz. He was kind of the big, the big, one of the big plot lines. You know, one A, one B with him and the kid. He's the boomerang diabetic crisis patient that Mohan tried so hard to get admitted for cheap. And to get him to stay and he is boomerang backed in and now he has got a skull fracture and in an increased intracranial pressure among other things afflicting him. Bad news. 30, 20 foot fall by the way, which they helpfully let us know that anything higher than 10 is considered, you know, an emergency significance. Yeah. And this just keeps getting worse over the course of the episode. You, you do they start throwing out terms like halo sign and things that are increasingly more desperate. And by the end of it, there is no good outcome. Like there is no. We save the day and he goes back to being totally him. Yeah. Like there might be like a sliver, like I don't know, like somewhere between zero and 10 percent chance of him essentially recovering fully after a year or two. But what I got is he can live independently after a year, which means he can feed and clothe himself. But is he going to be able to hold down three fucking jobs and secure it? No. No, no, no, no. This is a life changing event for this family, which ironically makes it easier for them to get medical. Care. That's the thing, man. It's crazy. It's like you can be if if you are poor enough, you can get the coverage that will pay for this. If you are injured enough, you'll get coverage that will pay for it. But anything in between being fabulously wealthy and just covering it with cash or being super poor and unable to cover anything with cash, you fucked. Sorry. Yeah. Yeah. And that keeps coming up because it is a big part of the emergency room experience. And, you know, we talked about this when we were going through the first like, man, insurance sucks in this country. The fact that like the social safety nets have these hard cutoffs where it's not like, OK, you get 100 percent maximum until you get to this poverty threshold. And then the benefits drop off as you're making more money and you're back on your feet until you don't need them anymore. They just fucking. So now he, ironically, by falling off a literal cliff, he is back on his feet. He is back on the Medicare Medicaid cliff. And it's just it almost I almost didn't believe that Noel would be this tone deaf. But on the other hand, this family was like hyperventilating about medical costs. So maybe like, I just want to assure you that it's not going to get any worse. But then again, yeah, that's everything. She doesn't even know about the $100,000 of debt that they already have. Right. So you're going to be on disability with $100,000 of debt. You're going to go into bankruptcy regardless because now your primary breadwinner of the family working three jobs can't work any jobs. Yeah. And is going to need round the clock care. But don't worry, they'll pay for the equipment. But like, will they pay for the mom? Half in the whole guy. Right. I don't know. Like I said, there was you're right. There are so many terms they threw out to proceed this. I went ahead and if people are curious, I can. Do you think people would actually want to know what these things mean? I'm curious about some of them. I didn't have time to look them all up. Okay. It's a mishmash. It's a cornucopia of acronyms somewhere in the middle. And I kind of understood those, but yeah, I was able to like vibe through it. But the first thing to mention is he's got a ruptured TM with serosanguina is discharged. That's a fancy way of saying he ruptured his eardrum and blood and other body fluids are leaking out. They mentioned the cushion reflex, which is an interesting misadaptation of the body where the body, I guess, can't detect cranial pressure, but it can detect brain perfusion. And when your brain perfusion drops to a certain level, the body is like, holy shit, the brain's not getting enough blood. Jack up the blood pressure, Jack up the heart rate, Jack. But the reason it's not getting blood is because there's too much pressure. So now the body is literally trying to cram all this blood into. So that's why they're desperately trying to get the fluid out there, trying to lower that blood pressure, do all those things. Because obviously if the longer your brain is caught in a hydraulic vice, the worst it's going to be for your neural recovery. Sure. And it cuts off the blood too, right? The swelling in the cranium, the reason the swelling in the cranium is such a problem is under my understanding of it is that it cuts off the blood. It constricts the blood vessels. I can't get blood into the brain because it can't pump hard enough. Right. And even if it could, it's a race to the bottom. As the heart blood, the pressure rises, perfusion drops, pressure increases. But the body, all it knows how to do is add more fuel to the fire. Yeah. But anyway, there's a key indication that I think beyond Robbie being morbid, that there is something this Orlando, because they're analyzing his blood sugar and they're expecting to see it sky high. It's high, but it's not like passing out high. Potassium levels is good. The anion gap is 14. So like, why'd she pass out? And she's like, there are reasons. Like she's working in a warehouse. Like if he's up high in the roof of the warehouse, a lot of these places aren't ventilated. It could be super hot up there. You could add a dizzy spell, it's aspirated by his, you know, still recovering of blood sugar. But it doesn't seem like there's a medical reason for this fall. And there's a lot of motive for him to, you know, maybe try to get out, get his family underneath this burden. It's pretty extreme. Pretty extreme. I mean, he was a desperate man, I think. So I wouldn't put it past him entirely, but it's got a wife and three kids at $100,000 in debt looking at that again. And also, there is no improvement in his day to day prognosis because he's not going to be able to afford the things he needs to do to stay out of this trouble. So it's like, you're almost caught. It's almost like it feels like it feels like you never once when you're playing a video game or really hard video game and you fuck up a quick save to where like I meant to save when I was at full health. But I actually quit the quick save button. I'm at 10% health before the boss. And it's like, fuck, I got to just go back to a previous save state if I can get it because there's no way I can get here. I feel like Orlando felt like that way in real life. Like I'm at a save spot that I can't recover from. Yeah. Yeah. It's I don't know, man. I that maybe it's a lack of imagination on his part or maybe this is just a fall and it just happened. It seems like there there are. I the thing that I guess bugs me about this is that he refuses to tell his family about the trouble they're in. That's the thing that kills me and I'm not blaming him like I understand it, but it's like, man, maybe there are a lot. Maybe there's some other resorts as opposed to at best depriving your family of their husband's father for the rest of their lives and dumping all this sadness and grief on them while also digging them out from under this pile of debt. Like maybe there's another solution. You just need to maybe open up and talk about the thing you feel a little bit of shame about with the people you love the most. Yeah. And one thing that I like my grandfather told me this once about worrying about money and whatnot is he's like, you know, they can't squeeze blood from a stone, which is like, yeah, you might, you know, the things might suck and you might do this, you might do that. But like, what are you know, especially the metal, what are they going to do? You know, if you can't pay, you can't pay. You know, but like, I don't know, man. My granddad also grew up in a different world. And he retired. Yeah. He's a farmer. Yeah. And he only has his own food. No, this is the one that didn't finish high school. Got a job at the Allison plant in Indianapolis and retired at the age of 55 with full benefits and pension and had put six kids through college. Wow. Yeah. Crazy the opportunities people used to have. But anyway, the other thing is submit like what do you think is going on in Mohan? She just having like the opposite version of the high she had last season when she finally, you know, got the plug into like I can do fast medicine. I love doing fast. But this is like the crash version of the I guess the. Depressive version of that mania. Yeah, I guess so. I mean, it's too. So she she cares too deeply is the problem. Like you've got to find a balance like Whitaker tells Ogilvy in this episode. You you. Yeah, this shit is going to happen all the time. And if you can't find a balance with it, it's going to kill you. And I think Mohan I'm trying to think like has Mohan really been put in situations like this in in previous episodes where she's ever had the you kill the patient plot. Yeah, or experience like I need to move incredibly fast. I guess pit fest was one was the time where she was tested that in a regard. But yeah, her big loss has not come yet. And she's still a young doctor. Yeah. And even then, like I wonder if the pit fest is easier to deal with because it's like, you know what? This is fucked. There's way too many people were doing cowboy shit. We're using, you know, urine drainers for heart stint and doing all this shit. Whereas this is like. It's it's not like a bunch of critical things are coming in that you it's more of like it's the same bullshit. But now everything is slower. So. And I think it's her core competency failing her to like she's always been very good with patients, right? Being able to get into a space where they really trust her and she trusts them. And she was never able to like she was on the edge of that with Diaz. But he always had this debt looming over his head, this threat of like really bad things happening to his family that she just couldn't surmount. And I feel like that is the true failing here. She was not able to connect with him enough to keep this from happening. And I also think there's like you can definitely tell that maybe because like when her and Robbie are explaining like, hey, your husband was competent, we had to respect his decision to deny medical treatment. And Samira was saying all that, too. Like Robbie was making eye contact. But like Samira and she usually does, you know, in an acting show. So like when she's not it's deliberate. She is not making eye contact. I actually think that she thinks she did fuck up that if she had just done this or that, or she'd been a little bit quicker that she could have caught Orlando and. But she like you said, the balance of you got to care for your patients. If you care too much, it kills you. And then you flame out of being a doctor and how many people die because of that, you know. Yeah. Yeah. But fuck, how does a human being find that balance where you got to care deeply about people dying, but be a little callous to like like have a little bit of toughness there? Yeah. No, it seems incredibly difficult and something you can only find over the course of years of practice. Yeah. I'm not sure why the man at all was a bad call because I looked it up and it seems like it's a pretty standard of care treatment for higher intracranial pressure, but they ended up treating it with hypersaline, hypotonic saline, which just means really salty water. Sure. And that pulls fluid when you have a concentration of salt, water wants to flow from the low concentration to high. So you're literally pulling water out of the cells. That is going to reduce inflammation and that hopefully causes the pressure to come down before they get in there, drill a hole and start removing fluid. Yeah, man. Do you want to talk about Javadi in this sequence as well, because that was interesting. We were just about to get into Javid Mohan is is all good, doesn't want to be drilling holes in Orlando's head. And Javadi also doesn't feel up to the task. But Robbie's like, do you understand this is the neuro surgeon in Pittsburgh, who apparently is BFFs with your mom and is highly respected and she's inviting you to scrub in to drill a hole in the patient's head. Do this. And he doesn't take no for an answer. I think this reflects his mental state more than anything, honestly. Because why does he care so much? I mean, does he really care about Javadi's future career so much that he wants to force her into this? Or is this more like I'm tired of all you weenies? Is he starting to become a what is it? Carol Caroline, what's her name? The other nurse Dana called in. Oh, shit. It's like Marcy, Monica, Monica, Monica. Yeah, yeah. Is he starting to become a Monica here where it's like, I am fucking sick of all these babies. Mohan, go home, Javadi, grab that drill. Like, is that what's happening here? Or is it genuine concern for her career? Next, he's going to walk in if I hear one fucking nurse speak a foreign language. So help me. Oh, right. I think he really cares about Javadi. And he sees that she is. Paralyzed kind of under her parent shadow. And I will say the one thing she could do to shut her mom and dad both up is become a neurosurgeon, become a brain surgeon. Oh, yeah, mom, you do a lot of ortho work. You do a lot of you do a lot of a lot of heart surgeries. Oh, yeah. How many times have you like fucking drilled into people's heads and poked around in their brain matter with a trocar? Like, that's the top. That's like pediatric neurosurgeon has to be the tippy, tippy top of the doctor penis measuring contest scale. Right. Oh, yeah. For sure. What else? That's male or female. First thing female docs do when they get their degrees, they have their medical penis installed so they can get in there and measure it with everybody else. Yeah. I mean, look at Garcia. Yeah, I think swinging down past her knees, you can tell. So. But yeah, what do you think of that take that he really does? Like he's like, if she can get the confidence that like you're not just a protege, you're not just you're not just a person who's been forced through life by a tiger mom and a tiger dad. You can do this and you should do this. I felt like, I don't know. Yeah, no, it could be that. That's a final and apparent being a parent, right? Is knowing like when your child is really like shitting their pants, terrified about something and when they're just like and when to push them into doing something and when to support their decision. And I feel like there's you got a lot of paternal feelings from Robbie. Even before I did had mommy issues, right? When to drag them onto the roller coaster when they're tall enough. Yeah, I do think so. There's something to that because later when he's talking with Dana, he's sort of going over the laundry list of people that he has to take care of and make sure they can survive in this environment in the ER. And, you know, Javadi is on that list. I. Yeah, I think he does see himself as somewhat apparent to everyone in the ER. Yeah, he's he's the daddy and Dana's the mommy. And boy, I don't like it when mommy and daddy fight, especially in public. Makes me uncomfortable. I did. Were you surprised at how? Because like we just watched like every single time they insert a tiny needle into the human's chest cavity, they're always like, Oh, my God, make sure you image it. My God, you don't want to nick a vein. Oh, Jesus, you can hit that meniscus and all hell breaks loose. And Javadi's like, we're not going to image this guy's brain. No, we got a safety. You know that thing that your dad has in his wood shop to keep his drills from. Go, we got one of those out on the grill. And you're just going to give it four turns and then half turns until you feel it. It's insane how like, I guess that's like, like, why are they got cavalier about fucking with the brain? I guess it's because it's super resilient. It's the one thing you can put folk and fuck with and it's pretty OK. I don't know about that. I have no experience poking brains. But maybe I just I look at the tools they're using. And I feel like I know it's ergonomic. These things have been, you know, designed over the course of decades because they work with the human hands in a really good way. But I don't think a drill that goes into your brain should be shaped the same as a drill that builds a shitty chair. Like, yeah, shape it different. You don't make it look anything like that drill. Because if I wake up and I see that going into my head, I'm going to freak out. Yeah. Do you know that in Master and Commander, there's a famous trapanning scene where a guy is drilling a doctor drill and the guy's skull out and they're using the difference between that drill and what she's got is Javadi's got a nice plastic blue clam shell that's hiding the gears so I guess blood and shit doesn't get up in there. But otherwise, it's the same fucking mechanism that old cook lady is beaten eggs with undoubt. And Abby, it's just. Yeah, it's the shit that the Amish are creating your furniture with. It's horrifying, man. But I know that. So when you know, you know, we do modeling, not like sexy magazine modeling, the nerdy stuff to get you beat up in high school modeling, building starships and stuff. And when you're drilling in that fine plastic, we have drills, but they're hand powered little things because you don't want to punch through those. I feel like the same. You don't want a power tool when you're drilling into the brain. Definitely not. Yeah. Or if you do, you want a robotic robot control. Yeah, precision. It's also the thing that killed me about that scene is when they're kind of just threading the tube all around through his head. Like just just five or six times through his skin and out the other side like a pretzel. It's pushing till you till you feel the pop. Did you feel the pop? Yeah, I mean, what are you popping? What the fuck is popping with that trucker, man? The meniscus around the brain. Orlando just forgot his daughter's middle name, man. What the fuck? Yeah, it's horrifying. This was the worst, the worst of the the operation scenes in the episode. Yeah, maybe the only one. The only thing I want to say extra is what a phenomenal name burgatory is for a burger joint. That's a place that's saying you're going to walk in there and they're going to wreck your shit. You're going to have to wander and ask for God's forgiveness and have people pray for your absolution on the outside to get to get out of there. I love it, burgatory, man. Oh, good name. I will also say I really like the joke from I think it's Linda, who says this, the division chief of neurosurgery when she is like, all right, you've got to get in here. It's not brain surgery. No, we're just drilling holes in heads. This is a brain surgery. This is what we let the interns do upstairs. It is it is really crazy, though. And yeah, I really like the like old gunslinger neurosurgeon, the department chief who's working on the holiday weekends, because somebody's got to. And, you know, this is like maybe the single person scarier than Javadi's mom. You know, that can like little broer a little bit. And the fact that she's, you know, taking a shine to her, I don't know. I would love to see Javadi in neurosurgery because it would also let your skipper on the show in like a Garcia capacity. She'd be the person coming downstairs to be like, what? What what Frankenstein's monster you got for me today? Yeah, they've introduced us to a few new surgeons this season. Hopefully we see them all again. Oh, yeah. We're going to talk about them all in the doctor drama. Got the shark. The shark. You remember the shark? It was one of the episodes where you were out, I think. Shark. What is a shark? Yeah, the shark, the surgeon who came down. I can't remember his actual name. It was something, the shark. Oh, you're OK. OK, I thought you're the shark. OK, I thought you were talking about one of the new surgeons we met. One of the new doctors we met this episode. Yeah, surgeons. Yeah, that's the nice thing about watching pit on vacation. I don't have to write anything down or do anything, but remember the highlights. Well, the other thing is like what what sometimes is show like I you know, it's this isn't a new realization, but the stark realization that the human body is just a meat engine like the way that, you know, just some dude just plugs a hole in somebody's rib cage and they come back to life. And, you know, Diaz's fucking blood pressures north of 200. And then they let like, you know, 10 drops of cerebral fluid and they pinch it off. And he instantly it's like it's like it's like it's like just in the idling on a motor, it's like this instant instant feedback. Yeah, no, that is wild. Crazy. It's not not like a like you think it's like, oh, it's going to come down over. No, but just instantly the brains of the brain. Oh, oh, brains getting profused. We don't have to jack up all this blood pressure. Problem I was trying to fix. It's gone. Yeah. But good thing. Dr. Conley was there. You think they're going to like get more into this with his family and his money issues and all that over the next episode or two before we get out of there? It's just going to be a sequence of the Diaz family is trying and failing to commit suicide to financially benefit their family. No, that's dark. That's so dark. That's dark. Maybe I will come back and drag Diaz to a holding cell because sure he's got some problems with this paperwork. I I don't know because like the thing is, is like his prognosis is not something and I kind of wouldn't mind seeing them deal with the insurance, but I feel like their points made, you know, it was fucked before. It's super fucked now, even though it's easier. And like, yeah, is it beating a dead horse? If they if they have one more round of Noel with with Miss Diaz, I don't know. I agree. I it felt like they got a little close to that with Roxy. So like, hopefully they don't they don't do that. But this, I guess, could be the last time we see them. All right. The other headliner this this week is Grady Barnhill. He's a teenager presenting with a tight chest and difficulty of breathing. He has a history of asthma and his mom reports that his albuterol inhaler is not not getting the job done. Give me a tube. Got to innovate this kid stat. What I will say one of the mysteries that I was leaving this episode is why can you not intubate an asthmatic patient? My guess is since asthmatic is some some kind of idiopathic inflammation of your tubes and lungs and sacs and fluid that like jabbing some system down to bruise and further inflame it is going to make things worse. Or it's not so much that the the throat tube is the problem. It's just the the the the AVI olai ravioli. What are the ravioli? This one is the time the chef boy R.D. discovered back in 1819 the ravioli in the lungs. Delicious. Delicious. Oh, when you when you get that the sero sanguine fluid, just just the hearing to the pasta just just right. You know, I won't open a can unless I see the halo sign, frankly. Chef boy R.D. halo sign. It's delicious. Mark of quality. Was this ravioli from a teenager who had his lungs reamed by a finger or not? I only accept lung reamed fingered ravioli. OK, sorry. You're pretty close. Too much dad humor. I so I started to independently look this up and I found some papers, some, you know, actual research papers and and statements on why you shouldn't do this. But you know what? They're way over my head as far as terminology. And I couldn't make heads or tails of them. And then I went to my inbox and lo and behold, Dr. G here to save the day. He explains it in human language. The only medical influencer I need. He's yeah, Dr. G. He he wants to say that the problem with asthma is not that you can't breathe in. The problem is actually you can't breathe out because the sacks, those of Eli or whatever ravioli in your lungs, they collapse with gunk. And so you there's nowhere for the new breath to go in, I guess. Because like it just keeps filling and filling and filling with the asthma. And then when you intubate, what you're doing is pushing high pressure air into those lungs, further restricting them, further making it a problem for breathing out. So like that means eventually like you can't push any more air in. You can you can cause, you know, the what is it? Pulmonary embolism, all kinds of stuff with that. So I was curious, maybe like, why didn't they just give him like pure oxygen and like a cannula or something? Because it seems like at least he can get some oxygen to the brain. But I don't know because like, but that's interesting because I that's and there's like even hints in the episode, we're understanding the problem with the asthma is like they don't get the they don't let all their breath out. So eventually it gets over inflated and that itself causes the rupture in the damage to the lungs that cause it to collapse. So. Yeah. And I guess they were. Kind of lucky that, you know, they could release this, you know, this pneumothorax that was happening there. And because, yeah, that would just exacerbate it. So Langdon was definitely on the wrong track. Yeah. And I kind of with Dr. King, I think between the roomful of doctors that they wouldn't have intubated the kid, I was going to say, King later tells Langdon, you would have caught it. And I'm like, well, he was actively trying to shove a tube down this kid's throat. I don't know that he would have. But Dr. G also points out that one of the procedures you do after an intubation is a chest X-ray and that would have shown that there was the pneumothorax and Langdon would have caught it then. So like we're also I've heard that like when they do those, they talk about getting good title volumes and like airflow. Like you probably see some kind of restriction there too, maybe. But that's why you go to med school, kids. Yep. Ever more impressed with doctors. Every single episode, I'm just like the amount of knowledge in those noggins is insane. And it never stops. They never like it's not like to get to meds. That's the last fucking thing I learn about the human body. No, they're learning all the time. And I don't think I made because they mentioned some name brand inhalers that are better than a butyrol that might have done a better job. But they lost their Medicare. And this is from like not from a. Well, I mean, they didn't they didn't like make too much money. They didn't fuck anything up. They as a lot of people who are in financially precarious situations, they move a lot. And they are the state just randomly decided they want to do a redetermination of this kid. And if he should still get his benefits and they sent it to their old address, it did get forwarded. And then the state's like, well, fuck you, if you're not even going to respond, there goes your insurance. And this lady, I've been through a little bit of this of late, helping people try to get on disability and stuff. There's so much fucking paperwork. Yeah. And you have to think that right now they are hella understaffed to. Oh, you would. Yeah, you would think. So it's like it's just systems really, really showing cracks. But yeah, I did. There's a couple of funny things where it's like Dr. King, you know, she's like, hey, we're going to shoot you in the thigh with this epi-pin. OK. And the kids like, no, no, no, no, no, no, no. It is like. So like, do you just not have to get consent with the kid? Or is it like you don't have to get a consent to get if you're dying? Or can you do that with an adult too? Or it's so weird how. The links they'll go to get consent to do surgical procedures for people like, you know, wait till they regain consciousness. And then it's like, but I guess it's just an epi-pin. And it really also matters just like how urgent the situation is. Right. Yeah. I imagine you can justify a lot by this person was seconds away from dying. Right. Where he's still alert and he hasn't even passed out yet. So I thought this aerogen technology is interesting. She kind of explains it, but like not why it's cool or where it like, as I was thinking, like, is this something that you put on someone's chest and it vibrates to get like, you know, like a percussive vest or something that they give to cystic fibrosis patient. No, this is like a tiny, I think it's platinum mesh that's inside the nebulizer. And it just bashes water into droplets that are like quite a bit smaller than your regular med nebulizer. So you use heat. That heat can also damage the medicine, make it less effective, less therapeutic. So this thing just makes cold mist super fine droplets that penetrate airways and ravioli. The most Parmesan based medicine. Yeah, no. So it's yeah, it's it's so it's it's a delivery mechanism, not a actual true like a medicine. Yeah, yeah, it's a way to it's a it's a fancier nebulizer. Oh, little pre doctor drama. Doctor Al has another one of her like zone out things when she's listening to this kid gasp in her ear earpiece. Do you want to talk about that now or wait till we get to Dr. Drama? Let's do it in Dr. Drama. OK. And another thing we'll go through all these doctors, but we got this this new early favorite doctor, Dr. Cruz, Cruz Control. He is a pro like he like we've heard lung sliding so many times, actually looked it up a while back. Lung sliding is I guess on the sonogram, the line between the bag of the lung and it's sliding against the bag that all your organs are in your chest. That shows up on a sonogram when it's moving as like they call it like an ants marching line. These like little dashes that are moving back and forth as as the muscular tissues are sliding in and out of the slices view. So when you'll get lung sliding, that's an indication of collapsed lung because it should be, you know, like that lung should be sliding and ain't sliding. We got to get it sliding again. I just thought and it turns out he's just a bad ass ultrasound guy. We'll be right back with more bald move after this brief pause. And now back with more bald move. Let's move on to one of the B features, but an entertaining one. It's Miss Davis. She is a 40 year old mid 40s woman presenting with inflammation and liver and skin discoloration. I buy the beats for the bronzing on the skin. I don't know what you did to get them yellow eyes, Gal. Like that's not. John this baby. It's liver failure. Fuck. Yeah. Uh, this to me is an eight year discussion because of. One single line. And it's when she says from eating a spice. Because like this mentality is so crazy to me, like she thinks that eating a spice is going to cure every fucking disease she's ever had, make her live longer, make her superhuman, give her X-ray vision. All the positive things she's expecting incredible results from eating a spice. But then you tell her it can have any negative consequence and she can't fathom it, she's incredulous. Like you do amazing things on one side, but the other side. What? That makes no sense. And that's a mentality that I think a lot of people get into where like they hear one thing on the internet from one influencer and they think this is going to change my life. Well, yeah, it might just in the wrong direction. We have this weird thing going in our society where for whatever reason people are rejecting like. Education, experience, you know, professional knowledge and accreditation. But also they are just on vibes going, you know, it's not like they don't care about their health, but they just go and it's like, OK, well, we can't believe all the doctors and the ADA and the CDC, but I can believe this dude that's talking and also like there's it's like the Morpheus meme. In Matrix, what if I told you that the spice is a chemical like this, this meaningless separation between, oh, this is a manmade chemical and it's a natural chemical like bitch, nightshade will kill you and it comes from a plant. You know, lots of all natural things, botulism, South, it will kill you. Sure, it will kill you fucking dead. It's like the idea that you can eat anything and then limit like, oh, 500 milligrams is good than 25 minutes. It's it's it's it's insane. It's insane. It's insane. And Santos nailed this lady that like how much I mean, yeah, she wants to take care of her health and all that, but she is going to Bozo Clown Medical School for her advice. So. Yeah, no, I think so two things. One, I think it's a visibility problem in a lot of cases where what social media platform do I go to to get actual advice from actual doctors and people in the know? Like, where do I look in the establishment to understand these things versus all of the shit that shoved down my throat? Anytime I open an app is the clowns. I mean, they get the most they have the most outlandish claims. Therefore, they get the most clicks. Therefore, they get the most promotion. It's it's a visibility problem. Number one, with Santos, I think she's actually this is where I said earlier she's a pretty smooth operator this episode because I love where what she does here with this patient who if you ask her directly might start getting offended about her, you know, her rigid structure of life. So I think but she mentions the sleep maxing in the context of well, maybe McKay, maybe you should try sleep maxing. And then this woman lights up and she's like, OK, I see who you are. Instantly Santos became cool because she's up on the trends and she's in and you know, she's even going to say bad about two Maric. She's just going to be like, that's, you know, everything in moderation. But her heuristic of the second I hear someone saying this obnoxious bullshit, then I just think of what the dumbest thing that they could have done to cause these symptoms and that's it is actually really, I think, useful. Because I've started to notice that. Like if someone starts going on about one subject, I could probably guess 10 other stances that you have just based on that. Just hearing that one thing. It's incredibly hard to find someone who has got extreme opinions on diverse topics such as vaccination. It's because of the algorithms, right? I mean, that's what I mean. Like, yeah, you just get pigeonholed into a certain sector of society. Yeah. Yeah. Like, yeah, the algorithmic driving of interest not based on factuality or benefit, but based on whether you personally are interested or outraged by it is. Hell of a drug, man. Yeah. But I don't know. You know, something fun about Miss Davis here. Sure. This is Sarah Wiley, the wife of Noah Wiley. Oh, all right. I think they've been married about 15 years. And this is a real coloration, too. Yeah. No, like, Noah loves him, loves him, John, this man. Yeah, yeah. Loves looking the contrast between that blue iris and the yellow scolera or whatever the hell. The whites of your eyes just can't resist it. All right. Well, that's cool. Get a little work. I love like the Whitaker zebra. Like, you know, that they talk about like, don't look for zebras when it's probably a horse, you know, it's like, don't look for the most outlandish thing that could cause it when, you know, there's a lot more land landish reasons. I love that he comes back with was she eaten polar bear liver? That's exactly something Whitaker would have like read in like, you know, sportsmen outdoor quarterly. Yeah, we all love shooting polar bears. And of course, we all love eating their viscera. But did you know if you eat more than six polar bear livers in any given quarter, you can it's just it's like, how does he know that? I he doesn't have any cause to know this. I don't know. Personal interest, I guess. Yeah. Anyway. I did research in like, did this particular thing? I guess this is actually there was a medical research paper written in 2004 about this exact same thing about turmeric overdose because people are taking these supplements and they said that most almost everyone has a good prognosis that they stop when the symptoms first appear. If you're like jaundice and you're like, well, fuck it, turmeric is still good and you keep on going, it can rapidly go bad because I forget how it does it, but it's something it does something to again, the osmosis of your body where like your kidneys or your liver thinks it has to do more filtering than it does or I don't know. I couldn't figure out what the exact mechanism of the turmeric injury is. But yeah. Job security. Right. Big fucking idiot. Mr. Digby, he's been with us this whole damn season. And he has made me get weepy about how much nurses care about people. And he did it again. God damn it. Charles Baker. He's great, man. Yeah, I. Why is Dana so invested in this, I guess, is my question. I think she even articulated this earlier in the season. I like. I like finding people that have fallen through the cracks and seen if I can give them another chance. And she said words that I like. I remember the credit falling like the when the system does fail, people fall through the cracks and it's been, you know, this guy came in with a maggoty infested wound, my God. You know, well, yeah, admit this guy and get him healthy, see if we can, you know, find some things out about him. Like that's what my guess is. And also it's like something she can do that will make a difference in this guy's life unambiguously and it's not hard. It's not going to kill anybody. It's not going to make anybody have to testify for a rape kit or a case. Probably not on the cost chart for the hospital, right? A haircut. And maybe it is. I don't know. But I noticed in the main episode discussion thread on the pit, the subreddit, that there was a lot of nurses saying like, oh, we all do this. Like even like our ICU patients unconscious, we like shave them, braid their hair, you know, try to keep them looking nice and pretty. It's just it's just something they do to care for the humanity of the patient, not just the meat. And and also like Emma has no business being this good at the patient interface that she is like this does seem like a person who's not in this because it's where the money's at. It's not she does feel like a calling. Yeah, very compassionate. I think she hit on a good guide here, a good medical Sherpa, like teaching her the ropes. True. Dana's Dana's great. You know, she's tough, but she's also caring. She'll carry out to the top of Olympus or Olympus ever started back. So now we know a little bit more about Digby. What do you think his deal is? Because I got a I got I got a little bit of a new jerk. OK. Yeah, my my gut feeling here for what he says is that. He has effectively made himself homeless so that his daughter could have a house. I like I'm getting the idea that like this is, you know, the ever present problem for younger generations is there's no way they can fucking afford it by houses. Like you'd have to save up for 10 years just to afford a down payment. And by the time you do that, it's inflated another 30 percent. You don't have the down payment anymore. So my opinion is he moved out to let his daughter move in when they got married. And he's just been living on the street since then because he can't afford to lie to her. Like, oh, I got a place to go and I just want to give this place to you. Or because like I'm thinking like, what do you not have a broom closet? You could let him sleep in at night because. Yeah, what daughter would let their father sleep on the street when they have like a space, even a couch? I wonder if it's a bubbles type situation. And if you don't know, bubbles is a drug addict character, a abuser character in The Wire, who has a loving family. But because of his drug addiction and the things he's done and the lies and the stealing and the endangerment they have put up huge walls against him. And I wonder, because you look at this guy, he's not just like a homeless guy. He's got like these scabies on him. I think he is doing some sort of drugs or at least like matching the drink for drink. I wonder if like him dancing with his daughter was like before whatever happened to throw him off the kilter. Yeah. Yeah. Or if he's always kind of been like, you know, flaky and have a hard time keeping things together and that's the one time he was able to. Yeah, could be. I mean, Charles Baker looks like a man who like if you put any makeup on him to you know, dress him down a little bit, he looks like a man who has been on the streets for a while. It's part of his character. He's very good at it. So yeah, he looks like a guy who's I get the impression like what, a couple of years ago, his daughter got married a few years ago, a handful. I don't think it's been like 30 years. That's the thing. It's like he didn't look like like Ryan Gosling in the first scenes of Project Hail Mary, where he's got like the the Van Winklebeard and the hair going past. Like it looks like a couple years of growth, maybe. But also like you don't you don't fucking know if the hair and makeup are like that intentional. Yeah, I don't know the prosthetic links they go to in the show. I would expect them to get that right. But yeah, I don't know. I mean, either way, it's kind of tragic, right? If his daughter doesn't want him around or if he lied to his daughter about, you know, how well off he is in order to get them to move in. Do you think he's also because he also didn't seem like he was all there? Like, I don't think a person with normal cognition functions to go like has a sobbing fit about their family, not recognize like, oh, yeah, we're both in say nowhere. I'm at dinner, but then it's like, oh, I've changed so much that they're not going to be able to find me. Right. Yeah, you're onto something there. Yeah, I did get that impression, too. But I don't know how much of that came baked in and how much that is just life on the streets. Yeah. And also like, how are we ever going to get closure on? We got two more episodes. We might not ever. Yeah. So but it's again, like this show is an empathy engine. And it was really perrin when Emma was taken care of. Digby here. Yeah. Oh, oh, also, I really loved like the, you know, the building up that they're doing this guy like, oh, Tom Cruise, look at you. And like, are you going to get a five out of fresh cut? Don't think the ladies won't notice. And then literally, Dr. Tumeric, it's not a real name. I'll get it to the new, the new doctor who got assigned him literally didn't recognize him. He's like, oh, he's a new guy. Clean shave and fresh haircut. Yeah. I thought that was really good payoff of all that good natured, you know, building the guy up. Yep. All right. Surely you will qualify this as a silly plot line. We have a teenager presenting with magnetic earrings stuck to the insides of her septum and it hurts too bad to pull them straight off. But yet if they are on for much longer, her septum might collapse. What do you do? Get at the forms knows my God, get them out of there. I. This is the plot that shows me that Whitaker is a magician because like I'm trying to I'm trying to think how this actually happens. I I don't understand the principles of work here with the magnetism. I have a theory that if you looked at the septum and you look at the space that those magnets were that they were strongly attracted. But I bet without the flesh barrier, they're much more strongly attracted to a piece of ferrous material. OK. And once you get the one separate and you kind of did the magnetic force is going to do the rest. It's just that it's going to want to like read. All right. So that makes sense. Only thing I can make sense of. I did wonder if like I still think that would hurt because you're still pulling, you know, those sensitive tissues in the other direction. Because if they were that weakly adhered, I also thought that like Dr. Tumeric with the plastic car or whatever could could have gotten it off. But I don't know. I feel like maybe she had an unusually thick septum to. I don't I don't know. I've looked at mine. But yeah, lucky. That's what I got. That's what I got. Hugely thick septum that the man. And now I tell you what, man, those neodymium magnets are no joke. Like I've heard tell of like kids swallowing them and they get in their bowels and they get stuck together. And then they cause an acrosis of a big loop of it's not. It's fucking and these aren't even the really powerful ones that like you ever seen was like science channels where the guys get like the super duper, like they weigh five pounds and they're like treating them like handles on them. Yeah, like TNT is like you can't like this could literally crush your crush a limb if you got them in the wrong spot. I see breaking bad. Yeah. Fucking fucking magnets. Right. All right. There is just a few kind of catch ups on Dr. Mr. Haas, he's the the guy whose son heroically drove him in like Mario Andretti to treat his pulmonary edema. He'll be here till just before 11 p.m. Probably won't catch up with him again. They stabilized him super fast, though, right? Like I was shocked to see because he was like shooting blood out of his mouth and like he's all cleaned up and stabilized. It was fast. What happens when you get he's on that right? He's on dialysis and like the dialysis will last until so. Yeah, I guess as soon as you start taking the toxins out of your blood, I guess. The human vise machine. What can I say? Lillian Stegman, which we've seen in the background, complaining loudly about it taking forever to get her X-rays. She is a water skier who tweaked her knee and has been waiting hours for an X-ray. And Dr. Cruz is going to blow our minds with some medical wizardry here. Update on baby Jane Doe not much, except for this is something we asked. I think a while goes like, what happens to the mom? This shows up and is like, oh, my God, I've been looking. I feel like maybe an hour you could do that. But 12 hours later, it's like just call the cops. Like, yeah, you're not getting out of that. Yeah. Brenda Azar Mindy, she is the son of the mom of Micah, who she accidentally maybe on purpose cooked her kid in the car. And she tried to wander out in traffic. She's a cycle. I did wonder if it's like. Is this like a main line treatment to have the like like all? It reminded me that scene in Terminator 2, where all of the psychology students are gathering around Sarah Connors porthole to be like, look at this crazy bitch. This is the craziest one you've ever seen. She believes in metal robots and shit and they're all gawking at her. I felt like all of the people like in this big giant picture window under the stare at her like she's a weird fish in a tank. Like, is that good for someone on a cycle? I don't know. Yeah, she's dissociated. So she probably doesn't realize it's happening. But yeah, your your point is well taken. Are you ready to talk about? There's one more. Oh, that tickled me. Absolutely tickles me in this entire season. Well, not entire season, but she's been around a long time. It's Sunburn Girl, who they're just walking around the ER. Like, I don't understand why this girl is still hanging out here. Like you said, give her some aloe vera, cinder home, or like treat her for whatever toxicity she's got. But like why walk her around for three hours or whatever it's been? Yeah, I don't know. I don't. Yeah, I got some people. I I saw some emails like people were surprised that I was so anti, you know, sunburn to the ER. And I guess, yeah, I guess if you got a severe enough burn over like that much of your body, it can cause you get sun poisoning, get all kinds of shit. But it's just her two tone paint job is. Yes, she is so white on the backside and so red on the front side. My God. Love it. All right. Are you ready to do doctor drama? Oh, yeah. Do you know what else has a lot of drama? The show for all mankind. Did you know that we're covering for all mankind? Season season five. It's a great show. It's about astronauts. We also got more of the pit next week. Anthony has done an electric boogaloo chapter with me. I think it was last week. It might be this week where we're breaking down one of the Song of Ice and Fire books. We got lunch and then a special engagement for club members. Next Friday at 10 o'clock, Eastern Standard Time, we had someone to want to commission us to live watch a Neil Breen film. If you know, you know, if you don't, you should come to find out. Again, it's not the it's on the discord live stage at 10 p.m. If you'd like to get more bald move support that bald move dot com. All right, doctor drama. Robbie. OK, I want to say this is a minor thing. I never thought of the implication of being a boss and turning down a birthday cake that that's actually a morale blow to the entire department. Because they want the cake as much as you do. Yeah, who gives a fuck about what you want, Bobby? The Robbie Doctor. Dr. Shin wanted his sugar fix, man. Yeah, kind of like in this guy. I know why Robbie doesn't want cake. He doesn't make a big fuss. But is it also because he's not sure he's going to leave anyway? And the cake would be like, OK, now I have to leave. If they get me cake, I can't stay. If he was thinking through that, I think he would want the pressure to leave. Like, I can't back out now. They got me to cake. Like, is he looking for excuses to keep his foot in the door? I think so. Yeah. I think that's been sort of the thing is he's like they're saying this is a quick saying, right? Even Duke saying it. There is a bit of hint that also he hasn't tried exceptionally hard, like, why would you schedule your prickly motorcycle rider, a buddy, to get a procedure done on the last day on July 4th? Why if the attendant is attending, taking over from you, sent you some papers to look over, why wouldn't you at least give him a look? Like, it feels like that that Robbie has maybe deliberately created some situations where he sabotaged his ability to get away. Yeah, I think so. Uh, the night shift is getting briefed because they're about to take over. I thought it'd be useful to go around, get everybody's names. We have Dr. Jack Abbott. He is Dr. Rambo. He's the guy missing the leg from his experiences with the global war on terror, most likely. We don't know much about that. He's awesome. We love him. We got Dr. Parker Ellis. She's very no nonsense. We got to see her to tail in at the pit fiasco last year. Uh, Dr. Cruz Henderson is a new resident who's there, I guess, trying to shore up ultrasound specialty. And we also have Dr. Shin, who is the guy who's always walking around with an ice Frappuccino. And it's just completely on. He's like the Easter Island statue faces. Nothing, nothing gets him excited. And they're joined by brand new intern, Dr. Nazli Tumarian, who I've been calling to Merrick for reasons I hope make sense now. Sure. She's Armenian, I guess, or at least that's what she speaks. Yep. And. Aside from English. That really pissed off Monica, like really these women speak flawless English. You're just mad that they speak one more language than you. Everything pisses off Monica. Yeah, I've really come to dislike Monica over the last couple of episodes. The shit that she like shaking her head at Javadi for like leaving on time after the fucking day she's had. Are you kidding me? Like, yeah, OK, you're grizzled. You're tough. You've been in the health care industry for 50 fucking years. Maybe give the girl who's barely been here a year a little bit of a break. Are you talking about Emma? Oh, is it Emma? Yeah, give the girl who's been here one fucking day a break. Thank you. Because I was like, wait, what? Javadi, she got she's pissed off Javadi too. Yeah. And especially since it's like also Dana told her to do it. Sit down, Monica. Go back home. In fact, the computer back up. Go go take your we'll need you. Fucking knucklebusting paper handler self back and watch your stories. Yeah. Oh, anyway, I thought she was the savior of the ER when she first arrived now. I would just want to go home. Hey, she did her job. I know. You know, maybe one reason she's so unpleasant is because this fucking hospital administration gave her to heave ho. But yeah. Oh, I said at the beginning when we were given to Casper, I said, Perla, Perla is the wolf. She is Mr. Wolf. She's the one to get shit done. You do not want to fuck with Perla. Perla got the down and dirty intel about what they did with Jesse. Oh, yeah. She wolfed it. She used her connections. Seems like he's going to be locked up for the rest of the season. Yeah. At least he's not coming back unless they can get to him at the DHS in South but like like they're saying like he's going to have at this point. I think he'd unless the ice is going to be like, oh, yeah, we fucked up. Let you he's going to have to appear before a judge. That's not going to happen until, you know, regardless of how many fucking medical. Depositions we're going to take on this. There's no way a judge is going to come in and work on. So like, yeah, he's going to be stuck through the holiday weekend, which is for sure the rest of the season. I was like how all the doctors just couldn't believe it. Like I I wonder also I really want to know if Abbott had been there. What he what he would have said or done on the scene. Yeah, like they can't really fucking dismiss him the way they could dismiss a guy like Jesse. I don't know that that feels a little more scary. Well, that's true attitude was because things could get really out of hand. But yeah, I don't know. Maybe you could a warrior talk them down or something flattered. Yeah. Let's talk about Duke. Robbie is on pins and needles that Duke was going to take off. I don't think Duke had any intention of taking off once VV started nursing him. Yeah. Oh my God. So I don't know whether this is creepy or this is cute. But I found myself laughing at it. And the VV I think VV understands what's going on here. I don't I don't know how she feels about it. But she's going to take these motorcycle lessons. I I don't know. It's funny. Yeah, actually, I thought it would have been better. I mean, that's the thing. It's like there's certain things I think. Oh, like, yeah, we talked about the old guy who had the tail fractured tailbone and he was like taking it to McKay and like sometimes as an old man, you can be like non-threatening and also it's not a serious offer. Like, oh, you want to get dinner with me and like it's. Yeah, but it's a way it's a way. No, I'm not saying it's appropriate. Not every nurse would be like down with it and all that kind of stuff. Yeah, I know it is, you know. And you're allowed to write nasty weird shit into your scripts. Like, let's not, you know, not every character has to be a hero. Yeah, it Duke can be a nasty, perverted old man. If you want him to be. That's the thing. This is why it feels a little bit different with Duke, because Duke has more of an edge to him. Duke is not this old man. It's like, yeah, like he on his weekends, he helps Wesley snipe, defeat vampires. 100 percent. He looks just like that, dude. Exactly. He's whistling on the weekends, if you know what I mean. He's a little bit more intimidating, but also he's got, you know, an aneurysm ready to break free from his heart. So all VV has to do is give him a sharp blow through the solar plexus if he's giving her a guffin. Boom. Yeah, I do think VV can handle him. But, you know, I was laughing mostly at Robbie's reaction because he knows what's happening here. Yeah, yeah. Yep. And I'm also going to give them credit. These are two adults who can also choose to be engaged in some playful banter and, you know, like not be tone deaf and make it creepy and keep it charming for it. It can happen. It can happen. Sure. But. But yeah, well, it turns out he has a textbook ascending aortic aneurysm, which is a weakness of his aorta. Which is which is bad news. Like like Robbie said, that can blow out since it's your aorta. It's your primary blood supply to your heart. Kill you fast. That would be a fast killer. Yeah. And one and one doctor is like, 50 percent mortality a year on with this. But yeah, you can wait the weekend, which I guess didn't surprise me. Yeah, it makes sense. Just because this is an urgent thing for Robbie, like, you know, again, kind of asshole move to bring Duke in on your last day when it's a holiday weekend and all that. But it really pisses Robbie off. And I expected to like he's an ER doctor, right? Like him for him, it's like he deals with emergencies all day and they need surgery immediately. And they just send him upstairs. Like they don't wait a week. They just send him up to have life saving surgeries. This is a life saving surgery, but it's got like a fuse that could be pretty long. I was thinking that Robbie was thinking that on an average day, a guy with this critical of an issue walks in, they're just going to, like you said, take him as an inpatient while we can't send you home. And he just right did not count on how short staffed and how barbecue fixated the doctors were going to be at the hospital. Sure. Yeah. And like it is a little callous when the doctor is like talking to Robbie. He's like, what happens if it blows before then call call it. Call 911. It's not going to help like. But you know, definitely do that. But this is the thing that breaks the straw at the camel's back with with Dana. But that's the biggest piece of drama. We're going to save it for the very end. We'll be right back with more ball move after this brief pause. Need anything from Tesco? Like Tesco finest salted pretzel or caramelised biscuit chocolate Easter eggs. Twelve pounds each with your Tesco Club card or Tesco finest extra fruity hot cross buns. Two packs for just three pounds because every little helps. Selected hot cross buns, majority of larger stores and online. And sixth of April, club card or app required, exclusions apply. And now back with more ball move. Santos slips in some of the in the shave water. Her and Whitaker have been put on scanning paperwork detail, which is something they threatened us in the last few weeks. Like, oh, even if this gets back, it's going to take hours of having to scan all this paperwork into the system and they drew the short straws. Yeah, I wanted to ask you, you know, you got the pit fest event that happened in the first season, which was a true catastrophe for this hospital. How much did the systems going down feel similar or different to you this season? It felt. Very different. And I think it is like with the pit fest, it felt like the doctors were unleashed to their full capacity. Like you wouldn't want to running on that every for like regular routine things. But when you're dealing with mass casuals, those people bleeding out, like these people just like going around like a blur and doing this ad hoc cowboy medicine was pretty awesome. This feels like the doctors not being liberated. The doctors being stuck in mud. Like everything is just slower. Yeah. And, you know, it's harder to find things. And also, you don't you don't have an obvious thing like a gunshot wound. You got to treat people with gallstones like they might be having heart attacks, even though you don't have sonograms and X-rays to back. So I feel like it's been a little bit more less pressure cooker and more claustrophobic, if that makes sense. Yeah. What's your take? Yeah, totally. That's how I felt, too. I think like they I never felt like they were overwhelmed in this season. And maybe that's, you know, a consequence of not showing the waiting room as much. But but I think it's also primarily what you said. It's the cases were coming in as many as they could handle, but not more than they could handle. And that's how that's what the first one was like, right? In PIFest, it was, well, we got to get all these people in here right now. Be, you know, you're going to treat them as they're coming in and then slide them out into the hallway after four seconds of diagnosis. Yeah, this feels like, OK, well, we'll just take in as many of the people in the waiting room as we can handle and then that'll be that. So because that's the thing is like most of people out there in triage are not dying, so you could like it sucks for them, but you could infinitely hold them out there. Yeah. And I guess triage was was sinking. But we didn't see a ton of that, you know, Langdon ended up on a couple of bigger. Yeah. What do you think? So not every week do I get on the fan boards that are not our own. And like, but I was like, you know, heading into this and with, you know, some new info, Robbie is kind of curious to see. I feel like there's a small but significant minority of fans that are just being like season two is not nearly as good as season one. And the pits lost its way. And I wonder if it's this feel that we're talking about, like the pulse and pressure cooker versus being suffocated in cold mud. And yeah. And the fact that the doctors because of that situation are butting heads rather than coming together. You know, because it's just the same bullshit. Just slower and more frustrating and harder. So I feel like, yeah, they don't like mommy and daddy fighting and they don't they don't like seeing the doctors kind of knee capped, handicapped. But I don't I really don't think the writing has taken a step back. In fact, I think they're they're a little bit better on like the PSA current event kind of talking to make it seem less like, you know, an after school special. Like, hey, Mckay is going to turn to the camera and read from the pamphlet on domestic abuse that I feel like they're a little bit slicker this year. Yeah, I will say like we're I think we're late enough in the season to call this. I don't think anything astoundingly different to change my mind is going to happen in the next two episodes. Robbie Dead dies next episode. Confirmed. Maybe maybe that'll do it. I do think season two has felt less propulsive. Like it has been less satisfying, which is not to say it has been dissatisfying to me. But I also think they need to create those textural differences season to season. You can't just power creep this thing up for seven. See how many seasons they want to do with this? Like, where do you go after a mass casualty event like that? You can't keep upping the ante in the same way. Right. Like, oh, they dropped a nuke on Pittsburgh and we got to treat all the people who affected by the fallout. Like, yeah, what? No. So they have to make every season feel different. Yeah. The test vision reactor at the University of Pennsylvania went prompt critical and we got. Yeah. Keanu Reeves is the only one who made it away in time. Yeah, he's one with the Jesus Christ. Luckily, he had a moped. Jim can always maybe laugh. Keanu Reeves outrunning a nuclear blast and a moped. And he either saw that movie or didn't, I guess. So the big thing about this is Santos and Whitaker look like they're going to pitch they're going to patch things up because Whitaker is a saint. He is competing with Saint Robbie and Saint Dana for the biggest saint on Saint Pitt this year. Because he just genuinely gets off on helping people. He's all about the street team. He's all about helping me. I think there's nothing untoward going on with him in the widow. You know. Even a saint as perceptive and self aware. I can can can can. You know, just a good widow, good far. Still the subbrain installed at the lower wastes area that could could be blamed for that. But I think, yeah, the stocks of him just being a really good guy and helping Amy because he likes farming. He misses that kind of stuff. And he's got an in here and he's doing good. And, you know, he has got no reason to be this open and friendly and caring with Ogilvy. But like he got done with the speech. He's like, I think it was like he kind of turned to Ogilvy and is like a confessions. I really like helping people on their worst days, which kept his speech and also point blank, told Ogilvy. Don't feel bad about having this moment of weakness. I was almost I was wondering if he's want to bring up the Robbie thing because also like is it is is. Is Whitaker going to give like a buck to fuck up speech to people having emotional crisis in every season because he did it to Robbie last year. He did Ogilvy this year. He might. He might. There's something weird, though, in what he's saying versus what he's doing. I'm not calling him a hypocrite. I'm just wondering if he's found his balance yet because he tells him you've got to find a balance. But he's how could he went and helped the widow of a patient and he's still helping her a year later with the farm. Like and he's more worried about hurting Santos's feelings than getting an opportunity to maybe branch out. I think he could afford his own apartment now. Like he's probably helping her more than he's helping himself at this point. Yeah, he and I think there was even a reaction when he said about you got to find a balance and where he's like, fuck, I haven't found, you know, like I'm I'm I'm giving advice that I'm not really good at taking. I yeah, I do that all the time on lunch. Things you know you should be doing. And he didn't know the right thing to do, making your fucking physical meat engine. Do it. That's a whole other. Yeah, a whole other thing. I want to talk about Mohan because like I do feel like the real break for her other than like, you know, the like, oh, my God, this is the second patient that I've had to hands in that are dying. When Robbie called her out, she really thought he was worried about her. And she's like, you know, I just and he's like, oh, yeah, I have no doubt. Give me some dirt on Dr. Al. How much I mean, like it's it was gross, especially after he. And maybe he believes that they were slipping and they needed a kick in the ass. But like, I felt like he was particularly cruel the way he did it. And then this show that lack. It just shows how Robbie's head is everywhere. But. Where it needs to be to be healthy about a percent. Yeah. I do want to talk about Dr. Al because it seems like the big theory now is she's having what is called absent seizures, which are defined as periods of four to 10 seconds where a person just zones out and they're unresponsive. I guess it's common in children. They usually grow out of it. I don't know. There's any pathology to this. And I I mean, I'm not medically qualified to say one way or the other. I do wonder. If it is trauma, because I couldn't help but notice that when she's zoned out, she was looking at infant, you know, orphaned infant reports and listening to a young man who is like drown his own. He's drowning in the fluid in his own lungs. And with the attack on the children's unit and can I just wonder if like all these things that she's hearing are like reminding her of that? Like when's the last time I heard a kid drowning in his own fluid? Oh, it's because he got his, you know, his lungs vaporized in the blast wave. When's the last time I had to deal with the healthy child that didn't have parents and say, oh, it's because I just think it might just be she's being triggered with the trauma. But she is also calling about a neuroscience team. So. Yeah, I don't buy it. That felt like an excuse to me. I do think it's trauma related. I don't think she was just thinking in that moment. So she's actually not willing to admit that it's she's actually pursuing like she's got some kind of diagnosis thing. Yeah. I and I don't know where they're going to go with that because it will feel like if she's suffering from trauma and has to deal with that in season three, it'll be too much like Robbie in season two and Robbie in season one. Like Robbie's the trauma guy. Let him be the trauma guy. I mean, it's different. Like I mad I would accept that a person has gone through a war zone with children being blown apart might be more traumatized than a Pitsberg ER doctor. So it's like, I don't know. You can just. But you're right. It's like it maybe it's a much of a muchness. Yeah, narratively, it's just like how many of the same character do we want on a show? I did think it's interesting that she's in denial about it. Do you think that her push to have dual attendings at all times is as much as her trying to cover her basis for her? Like I don't want to put people's lives in stake. I want someone else kind of shadowing me or because the other thing is like, I think it's insane for this ER department to have only one attending. I did a little research. Most units like this would have like three to six, especially in a teaching environment. So on on call or on shift at any given time. Yeah. Yeah. Wow. Again, it's like it's like, you know, like, is it a rule? Like, yeah, you might have one attending in a rural ER. You might have two or three in an urban ER, but that plus teaching hospital. But it could just be narrative economy. They don't want that many main characters and they want to, you know, put the pressure on Robbie. It seems like, yeah, like having two attendings should be a no brainer. But I was wondering if you think that she's trying to shore up her own weaknesses there. It's possible. Yeah. I wonder. I guess the question there for me is how much of the power of being the attending is she going to try and retain? You know, she wants to institute all these AI procedures and stuff with that clash with somebody who's maybe not as into it. And you would have to have the there'd have to be one guy who is the attending, right? To they would have to be to make calls. Yeah. Yeah. Yeah. You could have dual, but what? There would have to be a junior and a senior and a senior one, because otherwise that would be madness. Or you divided up in a gold team, blue team and like gold team is sovereign over gold team and blue team is. But yeah, you couldn't have people share that power. I don't think so. Anyway, doctors, if I'm full of shit, let me know the pit at baldmood.com. Let's talk about Langdon. He almost thinks he almost kills this kid with the the asthma. And he's in the break room feeling sorry for himself. And Dr. King kicks in the door. Yeah, like she kicked in the paper shredder. Yeah. There's a hearty kick. I don't know what to make of Langdon. Like, obviously, he's got self doubt. As he expresses. But is he rusty? I. I don't know. I don't. It's a hard call on him, man. He's rusty. He's distracted. He is distracted today because he's trying to apologize to everybody. He's more concerned about like how he's going to be viewed. And he just had Santos drop the ultimatum where it's like, you're going to have to tell everybody how dirty you are before like, I'm not going to give you problems. And. But I liked King, you know, coming in there and saying like, you know, I felt like a shitty doctor. Like everyone makes mistakes, like, you know. And I did the other thing is like, I feel like everyone thinks that Langdon is like this pretty boy like asshole. He's like a Garcia type, you know, I think a lot of that is an act and. Mel got to see him where he recognized he was out of his element with the autistic person and he immediately put King in charge and like learned from it and like that shows like a caring side that I don't think a lot of the other doctors see. It is a little weird that she is that attached to him after working with him for one day and he's been gone for 10 months. I also wonder how she would feel if she knew the truth about it's not just you were addicted to Benzos, but you were stealing from. You're stealing from the hospital and you were also stealing from patients. It seems like a big difference in what I've seen the doctors discuss it in real life. It does feel like that. I don't know if they'll do it this season or we'll come back and it'll just be kind of public knowledge in the hospital. But it does seem like that has to get out to everyone, right? Yeah. Yeah, that's the that's the one weakness of this 24 hour or the one shift in the life of is that like, man, there's so much stuff is going to happen off season. Some of that stuff is super interesting. I love the niche quote being attributed to Kelly Clarkson. Uh-huh. I didn't know is Niche. I was like, I mean, I've heard that so many fucking times quoted so many different things, but just as the great philosopher Kelly Clarkson once said. I gave King too much credit the first time I watched this because the second time through was when I realized, oh, she's actually admitting to thinking it was a Kelly Clarkson quote. The first time I was like, oh, no, she understands it's Niche, of course. Oh, she's just being funny. No, I think she's right now, but totally not. Yeah. Santos finds out the Ogilvy's patient when she's scanning stuff. The one that he scrubbed into the ER a couple of shifts ago, a couple hours ago, he has died on the table recently. And then Miss Emma, when she's leaving for the day instantly comes back into the ER room and says, hey, Ogilvy's out there in a surgical gown covered in blood. Completely catatonic. He's Dr. Alling out there. Yeah. And then Ogilvy goes out and he gives him the the buck up Buttercup speech. I think we see him again. They sent him home. You think he's going to come back? He's going to go sleep on it. I don't think he comes back. I think we're done with Joy and Ogilvy, at least for this season. I think we're done with I think actually I'm sucks because I tend to. Oh, yeah, I meant season three. Sorry. Oh, hmm. If I if you put a gun in my head right now, I'd say Joy is not coming back. Ogilvy is. OK. Because I think Joy got what she needed out of this is not like she like and she's she's ready to move on to something else. But I also don't know how long the residencies are, especially since but I don't think she's not a resident, right? She was a third year med student, fourth year med student. I think so. I think this like, yeah, she doesn't necessarily have to come back to here. So I don't expect her back. But Ogilvy, I think I think what Whitaker said, and this is something to echoed back about like, you know, where else did all the ADHDH doctors with hero complexes and inability to work in routines? Like, where else are you going to go? Not be bored out of your fucking skull. Rural medicine. Rural you are. Yeah, that's. He could be on the street team. I think we'll see Ogilvy, but he'll be on the street team. That could be. But then yeah, but that's not rural medicine either. He's he's away. He's he's away from being able to do to do anything like in an attending manner. Yeah, he's he's not going to move up there. But I don't I think he won't be in the ER anymore. He'll just be like a street team doctor with McKay. No, well, his squeeze that we haven't seen since the beginning of the season comes down there after breaking Mrs. Diaz's heart wants to say goodbye to Ravi. And they leave things with her saying see in a week and him being like it's three months. I'll see in a week. Yeah, she doesn't buy it. She knows him. He's he's not going to be able to leave. He's still here at 7 30. Mm hmm. Um, oh, also the look Abbott gives Ravi and the answering middle finger. I got to see these guys work a night shift, man. Do they have a standing like date night every week or is this going to be in the capacity of her work? Robbie and her Robbie and Noel. Yeah, she says see you next week, which implies they have a meeting planned. Oh, I just thought that means that's how long she thinks he's going to last on a sabbatical before he's coming back. Yeah. OK, so. Uh, Cruz causes a consternation by discharging several patients were waiting on X-rays because surprise surprise, he's so good at the ultrasound. He don't fucking need him. Damn, that's impressive. Yeah, he took two electives from prestigious schools to get this good. Here's something I don't understand about his education and his work. Mm hmm. He wrote a paper on diagnosing dislocated shoulders with ultrasound. Do you need ultrasound to diagnose a dislocated shoulder? Can't you just like feel if the bone is connected in the way it should be? Can't you see the slump of the arm? Also, like, for example, my wife dislocated this real story last summer. We were working on the house and working on the second floor and she stepped off a Joyce through the ceiling and landed with her armpits in both Joyce and one of her shoulders got dislocated. But also open dislocation. No, I'm kidding. It was bad. But it was bad. Yeah, it tore the little cup and also chipped off a little piece of bone that'd be surgically. I imagine that's what they're talking about, not like, oh, your thing's dislocated. Is that dislocation that we can just put back in or there needs to be a surgical repair? Right. Yeah, fair enough. And then there's the thing that I was surprised at because I've always heard that like soft tissues harder to ultrasound than hard things. So it feels like finding breaks and bones would be a lot easier. They don't have that. Maybe it's because X-rays are just a gold standard for that. But like sure. The sonograms you can see right away. You don't need to be interpreted by film, right? Like it's it's even faster way to get to this stuff. So it's like it might be 20 years from now, like X-rays might be obsolete. Yeah, obsolete. That's why it's the words. Completely, man. And you're not radiating your patient. You're not radiating your staff. Yeah, upsides. But yeah, Samaritan just like I've been thinking about ultrasound and this guy's like, yeah, I went to Harvard and I got a fellowship there and I've also written a paper. There's only written one paper and he's already badass at it. She's like, yeah, fuck this. Yeah. What else do we have? I think, oh, the main event, Dana V. Robbie, this has been building and building and then Dana gave the martyr speech and then Dana tries to tell him to go home and he's like, oh, you get to stay here for a double show. And I get to be and then he starts slamming his thermos and he starts. That's the other crazy thing him blabbing like personal HIPAA data in public almost blowing up for his wife and Dana has it out with him. And we finally figured out what has been bugging Robbie here. Your take on it, Jim. Well, aside from the multiple traumatic events in his life, his mother leaving, which he says doesn't matter. Who gives a shit? Yeah, buddy. His mentor dying. Those two things are big. The thing that's really bothering him though here as it comes out in the speeches, he just doesn't. It's the same. So he has said time and time again to his people, the ER is not one person. You can't do this all alone. You need everybody, but you can take a brick out and slot another brick in and we're fine. Except for him, he's the cornerstone in his mind that cannot be pulled out of this wall. Otherwise, the entire thing crumbles and that's the weight on his shoulders. Yep. And like it's amazing how feeling trapped in a situation makes it worse. Like you have the same situation, but like a person who knows like you got like the worst job ever. And you hate it. You want to leave all the time. But if you won the lottery and at any time you could just be like, you know, fuck this job. I'm quitting. You might enjoy working there better because you're not stuck, right? You're not stuck in a situation. Oh, yeah. True. I feel like Robbie. Like maybe he wants to quit. Maybe he doesn't feel like he's he's don't got him in him no more. Maybe he's got like thinking a lot of things, but the idea that like, oh, shit, I've got to get certain milestones done. I got to make sure this doctor is in this place. I got to make sure this is running good and I got to make sure and then I can't hand it off to some some fucking idiot. Like, yeah, and it is stupid, but you got to trust your kids to fly at some point, right? Hard. It's a hard thing. Easier said than done. No, I imagine. Yeah. You know, Robbie's having a hard time taking his own medicine. But like, yeah, I now think it's like this sabbatical was like, can I take three months away from the year? How I feel. And if I feel OK, maybe I'm just going to never come back. Yeah. I don't think he wants to die now. And then there's that speech from from Whitaker about like, what would the ADHD because like Robbie needs something. Maybe joins me just work on motorcycles. Motorcycles. Yeah. Like those patients die just to take him to the junkyard. You don't have to worry about people crying over him. Like little baby motorcyclists, little tricycles coming in. Why? Oh, my God. No, yeah, I mean, that's a good point because like, yeah, where where where else would you go to be happy? Maybe he just retires me. He does whatever he wants. I don't know. Because like, I also thought it was really interesting that he let slip to his mom left. And then Dana immediately is like, oh, my God, I feel so sorry. He's like, who gives a shit? Why does it matter? He would not say that about finding that about any as soon as like, you got out about Santos. You got out about Mohan. Well, Mohan, his her mom won't leave her alone. But like, he would obviously, oh, my God, that's a major piece of the puzzle. I need to understand you. But Robbie doesn't want people getting that close. Robbie doesn't want people to hit his his weak spots and know where his that. Yeah, it's. Yeah. It's complicated because it's it's again, like he knows the right things to do. He knows why things would be issues. But like taking all that to heart is a different matter. Yeah. And he feels so personally responsible. Like he's like, it's like, only I am the Duke whisperer and convinced this old crusty vampire hunter to get a shit taken care of. Like if so, if any other doctor goes and shows a hate, this is a blowout that's in your aorta. You know, your aorta supplies all the blood to your. Heart that then supplies all the blood to your body. You will be dead within a minute of this happening to you. And if he's like, fuck it and walks out, then really could Robbie have convinced him? Give it to VV. She'll convince him. Just give her the X-ray. They'll be on the bike. She'll go down the highway. She'll pull it out and be like, look at this, buddy. Yeah, you can't teach me to motorcycle if you're dead, old man. I don't know. I can't have dinner if you're dead. But again, it's it's a it's this this false idea he has that he is the axis Monday of this hospital. He is the naval where all the energy and the healing flows through. And if that's disrupted, he's fucked. It's it's tough. I imagine not to have that attitude when you literally are that in the power structure and the responsibility structure. Yeah, because ultimately a lot of this does fall on you and it'll roll up hill. You know, if you don't do things right. But like that's why it's quicksand, I guess, you know, emotionally, because your job requires you to be in that position. But then how do you get out of it for any time? Yeah, I did this attitude is kind of humorously displayed in, you know, when the kid was crashing and Mohan's like, yeah, this is happening. He's like, do you need to attend things like, oh, now we got shin. And you see like Ravi and Abbott both look like, oh, like they got shot in the heart. Oh, yeah, should be sure you wouldn't want to Abbott or Dr. Rob. Then Robin of it was still, you know, like, shit's fine. But I thought that was really funny. Shin's good. Shin's going to be attending one day. He's attending now. He's the night attending. I thought it was. Okay. You know, I was like, what's the wrong about that? Here is the deal. You have the trauma center. Ah, where Robbie is the attending. And then you have the emergency department that Abbott is the attending of. So that's already having kind of two attendings for emergency stuff. But I was thinking, yeah, you know, one's more of like, oh, a person came in with like a super high fever and they need looked at. And the others like gunshot wound car accident, you know, that kind of thing. And they when they pulled out that board with the human body on it and they showed like the two different sides, right? Right. The drawers. Yeah. Yeah. So I think I and someone correct me for wrong, but I looked it up and I think that's the distinction. So it's like, shit. And then who the fuck is the attending of the emergency department here? And presumably they had that we know they have a Peds department. So there's probably an attending. Pediatrics doctor. Like, yeah, how many fucking how many attendings we already got in this department? Oh, man. But I could also be misremembered. I could not, you know, because I also think there's an emergency trauma surgery is separated from like, you know, the scheduled surgeries. I think that's different. Like, I don't think Garcia is scrubbing in to do like tonsillectomies and things like she's just she's just there to catch shit coming from the department. So but I yeah, my take is the pit is a kind of unusual structure anyway. And yeah, if you know, if you know the truth, the pit at bold move.com. What else do you want to talk about, Jim? Are we ready to scrub out, put our put our bloody gowns in the bin and go home? I think so. All right. We have enjoyed having you work this shift with us on the pit. We got a couple more episodes to go. If you like high quality drama, check out our coverage for all mankind on Apple Television Plus. You can send in feedback to pit the pit at bold move.com. And if you would like to get in on some of the special features we've got like ad free feeds, the live watch of the fantastic Neil Breen's fateful findings. You want to go to support that bold move.com and get instant access to that and so much more. That's going to do it for this week on the pit. Hope you guys have a good, if not great Friday and a pleasant Easter weekend with minimal gunshot wounds and minor sunburns at worst. We'll see you next week. Until then, I'm Aaron and I'm Jim later.