Editor’s note: The below recap contains spoilers for The Pitt Season 2 Episode 4.

This season of The Pitt has started slowly, particularly regarding the cases Dr. Michael “Robby” Robinavitch (Noah Wyle) and his team are handling. Instead, the focus has been on the underlying drama, such as Robby’s mistrust of Dr. Baran Al-Hashimi (Sepideh Moafi) and his neglect of his mental and physical well-being before his sabbatical. However, with Episode 3 concluding with the revelation of another hospital shutting down for undisclosed reasons, the ER is set to become significantly busier. By the end credits, we may discover the cause, which is likely to be troubling.

Santos Isn’t a Fan of Al-Hashimi in ‘The Pitt’ Season 2 Episode 4

Episode 4 opens with staff members betting on what might be happening at Westbridge Hospital that is causing patients to be transferred to The Pitt. Dr. Robby speculates that the Code Black is due to flooding, while Dr. Al-Hashimi confidently predicts it will be something worse. In the waiting area, the sister of a tased college student arrives to see him and is informed that he requires a CT scan to diagnose his condition. Meanwhile, Donnie Donahue (Brandon Mendez Homer) treats a Deaf patient, while Dr. Frank Langdon (Patrick Ball) assists a woman with a cough requiring further evaluation.

A conversation unfolds between Victoria Javadi (Shabana Azeez), Dr. Trinity Santos (Isa Briones), and Dr. Dennis Whitaker (Gerran Howell). It begins with Dennis discussing how their living situation is going before shifting to his “friendship” with a farmer’s widow, which he insists is purely platonic. Al-Hashimi urges Santos to complete her charts more quickly for prompt billing. Although Santos is displeased, she remains silent when her future boss suggests she may need to repeat her R2 year if her performance does not improve.

The staff waits outside for ambulances from Westbridge when Santos bluntly asks if anyone actually likes Al-Hashimi. This question elicits laughter from Robby. As patients begin arriving in rapid succession, Robby longs for just one minute to catch his breath. The most concerning case involves a barely conscious man who fell while parkour training; his partner films the incident for TikTok before being escorted away.

Whitaker approaches Robby for assistance with a patient just as the diabetic man’s wife arrives to see him. She informs Dr. Samira Mohan (Supriya Ganesh) that they cannot afford treatment due to their lack of health insurance; thus, the doctor seeks help from their case manager, Noelle Hastings (Meta Golding). Mohan is puzzled as to how her patient and his wife have jobs but no insurance; it turns out they work multiple part-time jobs that do not provide coverage and earn too much for Medicaid eligibility. She mentions the ACA as a potential solution, shocking their daughter who overhears this discussion. Meanwhile, her father’s condition worsens because he can only afford half of his medication.

‘The Pitt’ Season 2 Episode 4 Reveals What Happened to Collins

Langdon returns to assist the woman who got superglue in her eye; mineral oil was ineffective, so it’s time to trim her eyelashes. While he does this, Whitaker tends to a patient suffering a heart attack right in front of him. Robby and others rush in to help, successfully stabilizing him. During this chaos, Dr. Mel King (Taylor Dearden) chats with Santos about how flattering it was to be flirted with earlier, despite the patient turning out to be a criminal. Together they treat the woman with a cough; however, Santos is distracted and does not engage with the patient while anxiously wanting to leave.

Joy Kwon (Irene Choi) and James Ogilvie (Lucas Iverson) are under Robby’s observation when Joy accidentally cuts her hand while treating another patient. Now she requires a blood test herself. Al-Hashimi wonders if they should involve Langdon in helping, but Robby deflects by suggesting easing him back into work on his first day. Joy then teases him about his bet and playfully offers to buy him a drink with her winnings, leaving Robby pleasantly surprised by her comment.

Javadi speaks with the college student’s sister about his condition; he remains unconscious despite normal test results so far. In another case, Dr. Cassie McKay (Fiona Dourif) converses with an elderly man who has been flirting with her and has been diagnosed with a fractured tailbone. He expresses concern that this injury will hinder his busy dating schedule for the week ahead and wishes for quicker healing. Cassie suggests a painful procedure that could realign the bone fragments but later finds herself approached by a young man with an injured foot who smiles at her after she turns around.Cassie decides to ask him out, then treats the man with the broken tailbone by performing an intimate procedure that ultimately resolves his discomfort.

Whitaker and Ogilvie attend to Louie’s bad tooth and provide a temporary fix but inform him he needs extraction soon. Louie inquires about Dr. Collins (Tracy Ifeachor). Whitaker explains she has left after completing her residency and is now an attending physician in Portland where she is adopting a baby and wants proximity to family. Robby overhears this conversation and appears heartbroken.

Robby and Langdon Are Being Forced Back Together in ‘The Pitt’ Season 2 Episode 4

Cassie speaks with the parkour guy’s partner about his condition—he has a serious concussion but is stable until he starts bleeding profusely from his back due to glass lodged against a blood vessel during treatment by Ogilvie. Although initially worsening the situation due to pride, they ultimately manage to extract the shard and stop the bleeding.

Santos appears visibly stressed as she struggles with her charting duties while Mel questions whether their patient may have an eating disorder after noticing signs during examination. When asked if she has been vomiting frequently, Santos checks her teeth and discovers enamel loss.The patient’s pneumonia stems from an eating disorder, but she hesitates to discuss it further until eventually confiding in Mel later on about her situation, leading them to arrange outpatient care for her eating disorder program.

Javadi presents the tased student’s case to a psychiatrist who cannot assess him while he remains sedated. Meanwhile, Robby reflects on a motorcycle patient who recently passed away but remains determined not to let it deter him from taking his own trip soon after this incident unfolds in front of him at work.
The psychiatrist provides Robby with contact information for a therapist but expresses concern over whether this one will be any better than previous experiences he’s had.
Santos overhears Whitaker engaging in betting discussions regarding Westbridge’s situation while Langdon expresses disbelief that their superglued-eye patient still cannot open her eye.
The patient requests “Dr. J,” one of Pittsburgh’s top doctors, showing Langdon a TikTok video featuring Javadi on her phone.

Langdon checks on Louie again who reports feeling much improved before Al-Hashimi disregards Robby’s wishes by instructing Langdon to collaborate with them instead.
Santos confides in Dana Evans (Katherine LaNasa) about hoping for sabbatical time before Langdon’s return but Dana interprets it as fate pushing them towards communication instead.
Langdon later examines another woman suffering from worsening leg infection symptoms prompting Donnie Donahue (Brandon Mendez Homer) to speculate whether it could be MRSA—a concerning superbug infection—leading Langdon into deep concern over potential complications ahead.

[nospin]Here you can find the original article; the photos and images used in our article also come from this source. We are not their authors; they have been used solely for informational purposes with proper attribution to their original source.[/nospin]

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