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The Pitt – Hour Four (10:00 a.m.) – Review: Learning the Hard Way

Connie Marie by Connie Marie
January 30, 2026
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The Pitt – Hour Four (10:00 a.m.) – Review: Learning the Hard Way
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Last week, the episode left us with the feeling that things were about to get more chaotic, but that hasn’t happened yet. The show continues at a slow pace—for now—though it’s hard not to feel that this calm won’t last much longer. 

Episode Summary

Ogilvie makes a serious mistake, while Whitaker’s sharp instincts save a patient’s life. We discover that Javadi is an internet celebrity, while Mel uncovers a patient’s hidden condition. McKay gets a date with a patient, and Al-Hashimi may have a different kind of interest in Robby. We finally learn what happened to Dr. Collins, and Santos’ residency could be in danger if she fails to meet the responsibilities of being an R2.

Cases of the Week

We learn that Orlando Díaz, a patient with diabetes, does not have health insurance, a situation that deeply worries his wife and daughter. His daughter suggests starting a GoFundMe campaign—an idea that does not sit well with her father. This storyline highlights how health can be compromised by a lack of financial resources, as Orlando admits he has reduced his treatment in order to save money.

“10:00 a.m.” – THE PITT, Pictured: William Guirola as Orlando and Supriya Ganesh as Samira Mohan. Photo: Warrick Page/HBO Max ©2026 Warner Bros. Discovery, Inc. All Rights Reserved.

On a lighter note, McKay treats Mr. Montrose’s tailbone in a very graphic scene—something we’ve come to expect from The Pitt. Meanwhile, Javadi is revealed to be a well-known influencer, “Dr. J,” to the point that a patient who accidentally superglued her eye while applying false lashes insists on being treated by her.

Returning to the drama, Jackson Davis’ sister struggles to believe that her brother—always kind and gentle—was admitted after a violent outburst. Mel, more focused than earlier, digs deeper until she uncovers her patient Felicia’s real condition. After pretending everything is fine, Felicia finally opens up to Mel and Santos about how life difficulties led her to develop an eating disorder.

Highlights

The episode repeatedly returns to the idea that making mistakes is part of everyday life for healthcare workers, especially those still in training. We see this through several examples: Nurse Nolan dropping Joy’s blood sample under a passing gurney; Javadi calling Dr. Jefferson too early for a psychiatric evaluation on an unconscious patient; and Santos being reprimanded by Dr. Al-Hashimi for falling behind on her medical records—an issue that could create serious problems for the hospital. This pressure causes Santos to lash out at Whitaker, likely because she feels overshadowed by her roommate, who just saved Mr. Samba’s life by noticing something no one else caught.

“10:00 a.m.” – THE PITT, Pictured: Noah Wyle as Robby, Fiona Dourif as McKay and Irene Choi as Joy. Photo: Warrick Page/HBO Max ©2026 Warner Bros. Discovery, Inc. All Rights Reserved.

However, the biggest mistake of the week belongs to Ogilvie. In his eagerness to prove himself as the smartest person in the room, he overlooks crucial information about a patient—a man covered in glass after a parkour accident—and later puts the patient’s life at risk while trying to help. Disaster is only avoided thanks to Robby, McKay, and Garcia. Hopefully, this experience gives Ogilvie a new perspective on what it truly means to be a doctor in training.

Flirting also plays a role in this episode. Mel’s focus improves noticeably after a patient flirts with her—even though he turns out to be a criminal on the run—something she openly discusses with Santos. This contrasts with Al-Hashimi’s brief and unclear exchange with Robby about a bet involving the emergency at Westbridge Hospital, which ends with her casually inviting him out for a drink. Whether this is an attempt to smooth things over or something more remains to be seen. It’s also surprising to see her participate in this kind of betting, as she initially seemed too by-the-book for it. Perhaps she’s genuinely trying to fit in.

Finally, after some hesitation, McKay accepts the advances of her patient Brian and subtly invites him to meet after her shift. She deserves a bit of fun and connection, especially considering how limited social opportunities can be for someone who spends most of their life inside the chaos of an ER.

Louie becomes the audience’s spokesperson by asking Whitaker about Dr. Collins, finally revealing why she is no longer part of The Pitt. She accepted a position in Portland to be closer to her family and to pursue adoption. While it’s reassuring to know she’s fulfilling her dream of becoming a mother, the situation clearly has affected Robby. I appreciate when shows acknowledge characters who leave instead of erasing them completely—it feels respectful to the audience, as if these characters are acquaintances whose stories still matter, even if we won’t see them again.

“10:00 a.m.” – THE PITT, Pictured: Gerran Howell as Dennis Whitaker. Photo: Warrick Page/HBO Max ©2026 Warner Bros. Discovery, Inc. All Rights Reserved.

Character of the Week

Dennis Whitaker: Being young and still in training hasn’t stopped Whitaker from consistently proving his value. Kind, focused, and highly attentive to detail, he feels like a natural—and not too distant—successor to Robby.

Final Thoughts

I expected the influx of patients from the other hospital to make this hour more chaotic, but that hasn’t happened yet. Still, the final patient introduced in the episode feels like a warning sign—one that could bring serious trouble in the upcoming hours of this shift.

Leave your comments about the episode below.



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Connie Marie

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