‘The Pitt’ Recap: Episodes 1 & 2
An accident on the T platform, a passed-out med student and child high on THC. Here’s what happened on “The Pitt.”
The Three Sisters Bridges. U.S. Steel Tower. Acrisure Stadium.
These are the Pittsburgh landmarks you see in the first few seconds of “The Pitt,” the new medical drama that premiered Thursday night on MAX. (Watch the trailer here.)
The 15-episode series tells the story of one emergency room shift in the fictional Pittsburgh Trauma Medical Center (Allegheny General Hospital on the North Side was used as the backdrop). Each episode is one hour of the 15-hour shift.
Watching along? Here are the Pittsburgh references we caught in the show. Can you spot them too?
If you missed the premiere, here’s a recap of episodes one and two. New episodes air each week.
Warning: While the following does not include all details of the show, it does include potential spoilers.
Episode 1: 7-8 a.m.
It’s been four years since Dr. Michael Robinavitch — known as Dr. Robby and played by Noah Wyle — has worked a shift on this particular day in “The Pitt,” the colloquial term for the hospital’s emergency room on the lower level. It’s the anniversary of the death of his patient and predecessor, Dr. Adamson.
“He still blames himself for Adamson’s death,” says Nurse Lead Dana Evans, played by Katherine LaNasa. “If he’s a little prickly today, give him a pass.”
It’s hard to understand how emergency room staff can’t be prickly after seeing what they deal with, although, in an exaggerated, fictionalized way.
Dr. Robby, the ER’s attending physician, has barely settled into his shift before a naked man runs through the ward, evading nurses and screaming about his disdain for needles. And then there are the interns.
Pittsburgh Trauma Medical Center is a teaching hospital that trains the doctors of tomorrow. Episode one is the interns’ first day, so inexperience blends with mayhem to create the perfect storm of chaos in the emergency department — but it makes for excellent television.
Here are the interns to remember: Trinity Santos, played by Isa Briones; Victoria Javadi, a 20-year-old, third-year medical student played by Shabana Azeez; and Dennis Whitaker, a fourth-year medical student played by Gerran Howell. Dr. Melissa King, a second-year resident played by Taylor Dearden, is also part of the new cohort.
These interns aren’t getting coffee or filing paperwork. They’re hands-on with the patients and offering medical recommendations — and even hoping for a gnarly wound to treat. And there are plenty of them.
The episode’s first critical patient has a gruesome injury to her right leg after she fell onto the T platform (Pittsburgh reference!). A Good Samaritan saved her, but suffered blunt force trauma to the head in the rescue.
MAX doesn’t shy away from gory details. Queasy viewers, be advised.
Medical student Javadi is one-such queasy person, who passes out at the sight of the patient’s leg. She’s reassigned to the waiting room to diagnose patients in triage.
One patient, a competitive triathlete, suffered high potassium and renal failure due to excessive training.
After doctors shocked his heart, he’s good to go.
“When your kidneys don’t work, potassium builds up and messes with the electrical activity in your heart,” Dr. McKay, played by Fiona Dourif, explains to the patient.
That’s a healthy reminder to all those running the Pittsburgh Marathon — stay hydrated!
Other noteworthy cases involve a child who got into a stash of THC gummies, and a mother who self-induced vomiting to deceive her son into bringing her to the hospital. She’s concerned for her son’s well-being, not her own. Watch the episode to find out why.

TAYLOR DEARDEN AS DR. MELISSA KING AND PATRICK BALL AS DR. LANGDON IN “THE PITT.” | PHOTO BY MAX/WARRICK PAGE
Episode 2: 8-9 a.m.
The dialogue used in “The Pitt” is heavy on jargon. Half the time, you may not even understand what the doctors are talking about.
The visuals, however, do a fine job clueing you in.
The first new patient to enter the ER has been in a bicycle accident. Ben, a 23-year-old, has a facial fracture, evidenced by his black eye and swollen face.
You don’t even notice his face is sunken inward until Dr. Langdon, a senior resident played by Patrick Ball, inserts his fingers into the patient’s mouth and pulls his face back into position like someone pitching a tent.
While “The Pitt” has its fair share of gruesome injuries, the show allows the personalities of the characters to slowly unfold to bring some levity to the tense scenes. Example A: intern Javadi cackles when a male nurse, played by Jalen Thomas Brooks, makes a joke. Flirting can happen anywhere! And then there’s the constant playful banter between Langdon and a surgeon who constantly floats around the ER looking for a new patient to treat.
The show excels at nimbly switching between character development and patient storylines. The ER can be a rollercoaster for doctors. The same is true of watching “The Pitt.”
Nick, a college student on a breathing tube from episode one, is unresponsive. His parents arrive, emotionally frail. Nick has just tested positive for fentanyl. He could be braindead. He’ll continue on the breathing tube for now.
Next is Mr. Spencer, an elderly Alzheimer’s patient who has sepsis. He had a clear wish: he does not want machines keeping him alive.
His two children, who hold the medical power of attorney, are conflicted. They can hope their dad gets better with medicine, or they can override their father’s wish and request he be intubated. It’s their decision.
“We’re thinking about [intubating] for a week,” the daughter says.
“That would be a very painful week,” Dr. Robby retorts. “He wouldn’t get a lot of rest with all the monitors and all the blood tests. He might need to be sedated. He might need to be restrained.”
Just when things couldn’t get more hectic, a homeless man is brought into the ER. When the hospital staff cut off his clothes, rats scattered out from underneath and scampered throughout the hospital.
All this and it’s only the second hour of the shift! If you know a medical professional, thank them.