Thinking on it - the helmet message of what else is he not being truthful about?
It makes a bit more sense that they are bringing in a replacement for his position rather than appointing an interim chair. He has in fact tendered his resignation and administration has acted accordingly. He is telling his staff and colleagues that is just a sabbatical but he knows he is planning on never coming back - off to off himself by some means passive or active after he leaves.
Do we know if he has anything or anyone outside of work? The one connection we knew about, his father figure relationship, was last seen as toast. His father figure mentor died during Covid. Plan is to travel alone. Pretty sure there are some nice steep cliffs near his planned destination.
But that relationship got blown up, when Robby couldn’t save his girlfriend after the mass shooting. So who knows what’s happened in the intervening 10 months?
Bit of a slow episode. The woman with Alzheimer’s was so sad. That almost seems like torture, to keep having her learn of her husband’s death.
I don’t think the girl is being abused. My guess is she has that super rare condition where you don’t feel pain so she pushes her body farther than normal and doesn’t know when she injures herself.
If they go the super rare route I for one will be annoyed.
But already annoyed.
Just basic stuff.
Med student still in the ED? Ok could be a senior elective month that we are just catching her at.
Doing funky make the baby pee tricks? Just no. A catch is not so traumatic. And if the baby is felt to be under 29 days it would be likely getting an LP as part of the evaluation. If older and now identified as well appearing with reassuring labs, and a viral source identified then no need for the ceftriaxone. No, Peds would not refuse to take before other testing is done. If they felt it was needed they would order from the floor. And they wouldn’t.
Residents and medical students are amazed at ambient AI? Even when it was spanking brand new it didn’t amaze anyone.
The girl has gross hematuria and trauma and they are just now getting around to an external GU exam?
Okay. It is a tv show not a documentary. But part of its appeal is its being grounded in reality more than most.
Still a great show but not up to last year so far.
Gross hematuria is the blood just grossly visible in her urine. They had time after that to note her other bruising, order and draw other tests, do additional interviews … doing a brief external GU exam was something that would have been done at the same time as looking at her back. It is now some amount more than an hour after having seen the urine and discovered a variety of traumas and they still haven’t done the complete pertinent physical exam?
I had closed captioning on so I caught an amusing bit from Robby. When he was describing the technique used to capture the baby’s urine, he mentioned that the British Medical Journal had done the “wee-search” on this.
Robby likely woke up next to that lovely nurse before hitting the road without a helmet and is foregoing another night of companionship so he can leave for whatever right after his shift. She seems disappointed but not worried. Also, has anybody asked him where he is going? It seems like everyone but the audience already knows. I’m puzzled.
BTW, when Al-Hashimi demonstrated using generative AI to enter notes from that patient interaction into the EMR system, couldn’t ninety percent of that be done with medical dictation software, which is nothing new?
Maybe it’s a trip with his (kinda) stepson to help rebuild their relationship. That would explain why he’s deferring his other personal relationships (like with Langdon or his new girlfriend). If his replacement washes out this shift, then he needs to decide between who needs him more; Jake or the Pitt.
Could be. I would be surprised if we don’t find out what the state of that relationship is.
Langdon though is something different. It’s anger or contempt. Not pushing off something he wants.
And I remain fixated on the not wearing his helmet. He is now looking less like someone who has a passive death wish. Just a quick way to tell us he is lying about some stuff is dumb.
Robby mentioned when talking to Langdon that his ultimate destination is Head-Smashed-In Buffalo Jump, a UNESCO World Heritage Site just outside Fort Macleod, Alberta, Canada. When Robby mentioned the name, Langdon jokingly said five words of gibberish, not understanding the name of the place.
I was thinking the same thing. Notice she had no reaction to the blood draw.
Regarding Robby, also notice that the one doctor (psychiatrist?) who was working on the Alzheimer patient wanted to talk to him and Robby clearly did not want to talk.
Last week I asked why he had to leave just after the shift. This week, while it wasn’t explained, it was clearly implied that there was a reason for it. I figure it will be revealed in due course.
This is brilliant writing.
I liked when Langdon turned out the lights when Mel was freaking out. This is a direct reference to an episode last year when she was dealing with an autistic man. I believe Langdon saw it back then.
It doesn’t make sense to me that Robby would work an exhausting twelve-hour shift in the ED and then immediately begin a long ride, especially since he’ll only have a couple of hours of sunlight before he’s riding at night. Why not just go home, get some sleep and start first thing in the morning?