Ethical Concerns Arise as “The Pitt” Explores Doctor-Patient Boundaries
HBO’s “The Pitt” continues to captivate audiences with its realistic portrayal of emergency room drama, but a developing storyline in season 2 is sparking debate about professional ethics. The series is now delving into the complex and potentially problematic romantic interest between Dr. McKay, played by Fiona Dourif, and a former patient, Brian, portrayed by Lawrence Robinson.
The appeal of “The Pitt” lies in its ability to transport viewers into a world most would prefer to avoid firsthand—the high-stakes environment of an emergency room. However, the show distinguishes itself by presenting its medical professionals not as detached experts, but as fully realized individuals grappling with personal lives and emotions. This humanization is particularly evident in the character of Dr. McKay, a relatable figure as an older resident, single mother, and recovering addict.
Throughout the second season, Dr. McKay has expressed a desire for companionship. This vulnerability led to a flirtatious connection with Brian, who initially sought treatment for an ankle injury. Their interactions, including compliments on her laugh and an invitation to dance, culminated in a tentative date invitation extended by Dr. McKay in episode 4, “10:00 A.M.” However, the proposed meeting time—9:00 P.M.—coincides with the peak of activity in the ER, raising questions about whether the date will even be possible.
To gain expert insight into the ethical implications of this unfolding situation, the show consulted Dr. Robert Glatter, Assistant Professor of Emergency Medicine at Lenox Hill Hospital. His assessment is stark: Dr. McKay’s actions represent a “pretty major ethical lapse.” According to Dr. Glatter, “The fact that Dr. McKay provided care for the patient creates a doctor-patient relationship that is not to be breached.” He further emphasized that the American Medical Association has established clear guidelines prohibiting romantic relationships between physicians and their patients.
While acknowledging the brief nature of some ER encounters, Dr. Glatter asserted that this does not justify socializing or dating with former patients. Such interactions, he explained, “only creates situations which may be problematic in the future, not only ethically but legally.” The inherent power imbalance within the doctor-patient relationship, even if the connection appears consensual, fundamentally compromises ethical boundaries.
This storyline on “The Pitt” presents a compelling contrast to a similar situation explored in Apple TV’s “Shrinking,” where a therapist continued a relationship with a former patient after formally ending treatment. Here, the series is examining the potential consequences of crossing professional lines while a doctor-patient relationship is still active. A parallel narrative involving Dr. Whitaker (Gerran Howell) and the widow of a former patient further underscores the show’s interest in exploring the complexities of emotional connections within the medical context.
Dr. Glatter warned that a romantic relationship between a resident emergency physician and a patient carries significant risks, potentially leading to loss of licensure, criminal prosecution, and harm to the patient. He concluded that such a relationship would likely be detrimental to both parties involved.
The unfolding drama promises to be a central focus as “The Pitt” progresses, offering a nuanced exploration of ethical dilemmas and the personal lives of those working on the front lines of emergency medicine.
