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The Pitt Season 2 Episode 4 Review: “10:00 A.M.” Turns Realism Up to an Uncomfortable Eleven

Medical team in scrubs with blue gloves tends to a patient with bandaged legs on a table. An attentive man gestures in a clinical room.


The Fourth of July weekend in Pittsburgh is officially heating up, and at PTMC, the fireworks started well before the sun went down. The Pitt Season 2, Episode 4, titled "10:00 A.M.", marks the fourth hour of a grueling 15-hour shift and if this pace keeps up, the staff is going to need a collective sabbatical by midnight.


Let's break down an hour that was equal parts heart-pounding, educational and in one specific scene entirely too graphic for Thursday night dinner.



The Realism Debt: How Much is Too Much?

The hallmark of The Pitt has always been its unflinching realism. While other medical dramas trade in soapy hallway hookups, this show dives into the grit of the ER. However, "10:00 A.M." tested the limits of "educational television."


Take Dr. McKay, for instance. She’s been dealing with a flirtatious older patient for a while now, but the writers decided to take their "realistic" approach to a literal end. Watching McKay perform a digital rectal exam on the man was… a choice. We get it, writers: medicine is messy. But we don’t need a front-row seat to the back door. Fortunately, McKay’s luck turned around when she scored a potential date with a cute patient. From prostate exams to potential romance, McKay is truly the MVP of emotional whiplash this week.


Influencers in Scubs: Dr. Javadi’s Rising Star

One of the most entertaining subplots of the hour belonged to Dr. Javadi. In a hilarious nod to the modern age of "Med-Tok," we discover she has a massive social media following. Her expertise was put to the test by a patient who used superglue instead of lash glue, a nightmare scenario that felt ripped straight from a viral "fail" video. Remember gorilla glue hair girl? "It don't move." The patient’s declaration that Javadi is the "best doctor in Pittsburgh" was hilarious, providing some much-needed levity to the trauma bay.


A young woman with dark hair and a purple hoodie looks focused in an office setting. She's in front of a computer; background shows blurred people.
Photograph by Warrick Page/HBO Max

Triage No More: Langdon and Robby’s Collision Course

The tension we’ve been waiting for is finally bubbling over. Dr. Langdon is officially out of the "purgatory" of triage and back in the ER trenches. His return sets the stage for the inevitable confrontation with Dr. Michael Robinavitch (the legendary Noah Wyle).


Robby himself is in a strange place. Between his therapy sessions and his motorcycle-bound sabbatical plans, he’s actually showing signs of warming up to Dr. Baran Al-Hashimi. While their professional chemistry is improving, let’s hope the writers keep it strictly platonic. We need a solid working partnership, not a forced romance that clutters the surgical field.


Also, there was a throw away line about Collin’s’ fate. She moved to be closer to family as she is adopting a baby. Mystery solved.



Vital Lessons and Student Struggles

The episode excelled in its social commentary through Dr. King. Her handling of a bulimic African-American patient was a masterclass in clinical empathy. King’s explanation to Dr. Santos about how eating disorders are dangerously underrepresented and underdiagnosed in the Black community was a powerful, necessary moment.


On the flip side, the "baby docs" are barely keeping their heads above water. Joy had a literal blood horror story, getting cut while treating a patient and facing the terrifying reality of STD testing. The new nurse that drew her blood then drops it and it gets run over. Newbies. Meanwhile, the overachieving Ogilvie nearly sent a patient to the morgue by prematurely pulling a piece of glass from their back. It was a stark reminder that in the ER, confidence without experience is a deadly combination.


Winners and Losers of the Hour

  • Winner: Whitaker, who continues to be the steady hand of the unit, saving a heart attack patient with surgical precision.

  • Loser: Dr. Santos, whose cocky attitude is finally catching up to her. If she doesn't get her charting together, her ego might be the next thing that needs reviving.


As we head into the 11:00 a.m. hour, the closure of Westbridge Hospital looms large. With all traffic diverted to PTMC, the "realism" is about to get a whole lot louder. Check back with The TV Cave for the latest previews and news on your favorite medical dramas.


Do you think Robby and Al-Hashimi are headed for a romance, or should they keep it strictly professional?


What did you think?

  • Loved it

  • Hated it

  • So/So


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