The Pitt Season 2 Episode 4: Westbridge patient surge forces Robby and Langdon to reunite

Season 2, Episode 4 of The Pitt (released Jan. 9, 2025 on Max) turns up the pressure as patients from the closed Westbridge Hospital start arriving at the Pitt, forcing Dr. Michael "Robby" Robinavitch and the staff to handle a sudden surge. The episode opens with staff betting on what caused Westbridge’s evacuation while cases arrive one after another — a tased college student needing a CT, a Deaf patient, a diabetic man who can’t afford full medication, and others.

The episode spotlights insurance struggles: a family learns they earn too much for Medicaid yet lack employer coverage, and staffers pull in a case manager and bring up the ACA as an option. Personal and professional tensions rise. Dr. Trinity Santos bristles at newcomer Dr. Baran Al-Hashimi, who warns Santos she may have to repeat her R2 year if she doesn’t improve, and Robby watches Collins’s departure — she finished residency and is now an attending in Portland — with visible heartbreak.

Meanwhile the returning Dr. Frank Langdon is ordered to work with the Pitt, rekindling the Robby–Langdon dynamic Robby had hoped to avoid during his sabbatical. Episode 4 mixes procedural set pieces (a parkour injury, a superglue-in-the-eye case, a fractured tailbone) with character beats: a pneumonia case is linked to an eating disorder and is steered toward outpatient care, Mel suggests dictation to help Santos catch up on charts, and a worsening leg infection prompts concerns it could be MRSA — “or worse,” Langdon warns.

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