The Pitt

Baran, is this you?

It began after a bad case of viral meningitis

when I was five.

They tried every anti-seizure medication,

but I still had episodes every few months or so.

No one's ever noticed before.

They just think I'm thoughtful.

Are you driving?

I couldn't until laser ablation

to my left temporal lobe 12 years ago.

Between that and the Keppra, I've been seizure-free,

cleared by Neurology to drive and to work as an attending.

How long, uh, between the seizure

you had today and the last one?

It's been well over a year.

But I had two today.

I don't know why.

It could be sleep deprivation, new job stress.

I... I haven't had to deal with Peds cases

since Afghanistan.

What are your options now?

Um...

up my Keppra or maybe try

one of the newer anti-seizure meds.

But if that doesn't work, I'm left with two choices...

um, a temporal lobectomy, which could impair my speech,

or get a neuromodulation device,

which can sense and stop the seizures

almost immediately.

You need to disclose this.

I know. I have a plan.

Hey, Robby, Dana's looking for you.

She's in Peds.

Yeah, OK, I'll be right there.

Sounds like you're needed in Peds,

and I have patients to see.

Robby, pregnant woman with severe headache

on her way in by ambulance.

Find Abbot or a night shift resident.

Need you to turn out your pockets.

OK. Show me your hands.

Come here often?

What's going on?

Oh, sorry... false alarm.

We thought she spiked a fever, but it was the wrong chart

from our analog hell.

You know anybody who might consider kinship adoption?

Doctors and nurses qualify.

Don't look at me.

Hey, can your staff keep an eye on Dr. Al-Hashimi

until she leaves?

Why?

Uh, because I think she's tired,

and I don't want her to make any mistakes.

Oh, great advice. Maybe you should take it.

Yeah.

I'm gonna go get some fresh air.

Grab some for me while you're out there.

Your lungs wouldn't know what to do with it.

Screw you!

In front of the baby? Nice.

Yeah.

We are the night crawlers.

We deal with the weirdest and the wildest because...

all: We are the weirdest and the wildest of them all.

That is right, and tonight,

they are really gonna be crawling.

Now go get some!

All: Hooah!

Sorry to wake you.

I... I was thinking.

Doubt PTX.

You're supposed to be leaving.

I am.

You know, this spirit quest of yours

has a lot of people up in arms around here.

Everyone's gonna be fine without me,

and it's hardly a spirit quest.

Whatever it is, it seems you've given people

the impression you might not be coming back.

Well, who knows

what the future has in store for any of us?

Yeah, saying shit like that right there

isn't helping.

People are worried about you.

Dr. Abbot, the patient in South 21,

Digby, he's missing again.

Sounds like a day shift problem.

Not if he was handed off already.

Best I can do under the circumstances.

Thank you.

Hey, don't leave before I get back, yeah?

Hell, I feel like I live here now.

Your friend fixing your bike?

Ambulance clipped it

while it was just parked here today.

Jesus Christ.

That's a sign if I've ever seen one.

Yeah, here's the thing... when people worry about you,

it makes me think that I should be worried about you,

and I don't like worrying about things.

Ooh. Now you're a shrink?

No, I'm trying to be your friend.

You got... you got Dana convinced

that you're gonna hurt yourself.

- Dana's got her own issues. - That sounds like projection.

Are you seriously trying to have this fucking

conversation with me right now, man?

I... I'm not the one

who spends his free time getting shot at.

Hooah!

Hey, Dr. Robby, this is Judith Lastrade...

36 weeks pregnant with two days of headache,

now a 10 out of 10 with blurred vision.

BP 174/120, heart rate 92.

- No relief with fentanyl. - Judith, I'm Dr. Abbot.

Any weakness in your arms or legs?

No, no. Is this a stroke?

We need to check for everything.

Pitting edema with severe preeclampsia.

Where are you doing your prenatal care?

Nowhere.

It's a wild pregnancy.

I want a free birth.

This 81-year-old nun presents with red, itchy eyes

with secretions for the past two days.

Patient complains of no URI symptoms,

- no contact with any chemical... - Hey.

Agents, no known exposures...

Want half a Monster?

Oh, no, thanks.

I... I don't really want to stay awake

any longer than I have to.

Yeah, I hear you.

Did you find your ID badge?

Uh, no.

You any closer to deciding what's next for you?

Uh, yeah, I'm seriously considering law school.

What? What are you talking about?

You're gonna be a great doctor.

I mean, no offense, but look what this place does to you.

Langdon's an addict.

Is a person with a substance use disorder.

McKay was on house arrest.

Dana's a time bomb.

Santos is one of the angriest people

you are ever going to meet.

Sarcastic, yes. Cynical, definitely.

I don't know if she's, you know...

Mel?

Samira has no life.

Abbot's an adrenaline junkie who gets shot at for fun.

Robby's got, like, PTSD or something way fucking worse.

OK, well, I... I mean,

I'd hate to know what you think about me.

I don't know, I just...

the more time I spend here,

the more I realize the importance

of my mental health.

Mm.

For patients and for us.

And this is...

Yeah.

Well, you know,

maybe that's what you should focus on.

- What? - Mental health.

Clearly, you have a passion for it, right?

I mean, that's... that's great.

I don't know if I'd call it a passion.

I would call it, like, a...

Oh, my God.

You might be right.

Oh, you're a genius, Whitaker.

Oh, OK.

CTG is on.

- CTG? - Cardiotocography.

Measures the baby's heart rate and checks for contractions.

Fetal heart rate 128.

Normal range, Nazely?

110 to 160.

So the baby's OK?

Right now, yes.

128 is reassuring.

BP's 170/119.

6 grams of magnesium running in.

Your next move, Crus?

20 of labetalol, IV push over two minutes.

Uh, what's happening?

Uh, you have a condition called preeclampsia.

And how did it happen?

Uh, nobody really knows, actually.

It affects about 10% of the pregnancies.

High blood pressure, headaches,

protein in the urine, and swollen ankles.

OK, well, it's a wild pregnancy,

so that means no medical care.

Then why are you here?

I just need to get rid of this headache.

Well, if we don't lower your blood pressure

and treat with magnesium, there can be problems.