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From the jump, we finally found out why Dr. McKay has an ankle bracelet — she's in a custody battle and was deemed flight risk. This explains so much about the tension with the "Bonus Mom" girlfriend, Dr. McKay's ex-husband, and her son. We don't know why the split and custody battle are so contemptuous, but at least it explains why someone with an ankle monitor is able to work in the medical field. It was always obvious Dr. McKay was a good doctor, but this little detail definitely confused me for the whole season.

I'm glad the police decided to let her go after tampering with the monitor — ya know, so she could save lives after a literal mass shooting.

This Dr. Langdon situation continues to get murky. He chose to confide in Dana which wasn’t necessarily unexpected, but it was interesting. It's clear he was desperately searching for allies to confirm that he's not actually an addict...whether he's looking to confirm that to himself or to Dr. Robbie is another story.

It seems like Dr. Langdon really believes he was just "weening" himself off of the pain medication like a doctor would, but it doesn't seem like anyone else is really buying that. When Dana tells him that Dr. Robbie will do what's best, it really shows how much the entire staff trusts his leadership, but also how questionable Dr. Langdon's choices really may be.

While we already know David isn’t the shooter from the festival, it's clear that Dr. McKay still finds him a bigger threat than just a depressed high schooler. He may not have deserved the intensity from the police at first, but I think the subsequent persistence for preventative mental health treatment is brilliant. This all feels especially timely given the “manosphere” and the rise of toxic masculinity in young men right now.

Totally love how they approached this, and I hope season 2 gives us a glimpse into a follow-up here.

When Dr. Langdon and Dr. Robbie finally had their confrontation about the drug use, I was genuinely shocked by Langdon's behavior. Dr. Robbie offered an out that made sense — NA meetings, random drug testing, etc — without requiring Dr. Langon to lose his job (or medical license). Instead of taking that graciously, Dr. Langdon acted out and used Dr. Robbie's panic attack very obviously caused by PTSD against him. This low blow was incredibly addict behavior-coded, and he really only proved that he's not fit to practice.

After a pretty tumultuous season for her, Dr. Santos definitely proved her bedside manner is so much better by the end! Her cutthroat mentality, rash decision-making, and blunt demeanor clearly wasn't serving her — or her patients — at the beginning of her first shift. Not only did it upset everyone around her, but it lead to some patient complications that honestly could have been avoided.

Now, by the end of her first 15 hours of her Emergency Medicine rotation, it's clear that Santos embraced a thoroughness and thoughtfulness that ultimately lead her to save a man from future self-harm. So proud of her growth!

(And I can't wait to see what roommate Santos and Whittaker are like in season 2!)

Throughout the episode, the residual blood prints on the floor highlighted the ever-present tragedy the ER just faced in only a few hours. It's such a good, small, specific detail that shows how the doctors, nurses, and overall hospital staff have to continue on in the face of their own trauma, saving more and more lives as the clock ticks on.

These details make Dr. Robbie’s speech all the more poignant. He said, “None of us are gonna forget today — even if we really, really want to.” And while that's exemplary of how people experience trauma in real life, but it also clearly exhibits his character’s direct experience with the trauma of COVID and the loss of his friend and mentor.

With that in mind, it's fitting that Dr. Robbie and Dr. Abbott share an emotional moment the roof after meeting each other there in the first episode. The men discuss the hardship of this role, questioning why they keep coming back day after day to such a heavy job.

Meanwhile, the ER waiting room starts quickly filling up all over again, further highlighting the continuous fatigue and mental health hardships each doctor and medical professional faces throughout their shifts – and their entire careers.

At the end of the day, when all the doctors cheers to the work, the patients saved, and the patients lost, it felt like Nick Caraway's last quote from The Great Gatsby:

So we beat on, boats against the current, borne back ceaselessly into the past.

Remaining Takeaways:

• Dr. Whitaker not being able to afford a place to live or a car as a literal doctor shows how messed up it is that we can’t pay a livable wage to the people literally saving lives day in and day out — even when they’re students, interns, or otherwise.
• Poor Dr. King's caregiver fatigue. I hope she’s okay because she's definitely gonna burnout operating at the level she is — high metabolism or not.
• The rats coming back is honestly hilarious.
• Dr. Abbott worked so hard all day with that prosthetic and didn't let a single person or patient feel bad about it. A consummate caregiver.
• Dana won’t come back — she’ll be the medical professional to break the cycle of putting themselves in this day-in and day-out.
• We still don't know what's going on with Dr. Collins — I hope she's okay!

Is episode 15 of 'The Pitt' the season finale?

Yes, episode 15 of The Pitt is the season 1 finale!

How long is the last episode of 'The Pitt'?

The last episode of The Pitt (episode 15) is 60 minutes long.

Is there a season 2 for 'The Pitt'?

Thankfully, Max confirmed that The Pitt season 2 is definitely coming! And the best part? We're supposed to get the second season by January 2026 — Yay!

Is 'The Pitt' based on a real hospital?

No, The Pitt isn't based on a real hospital.