Equality For Everyone

- jack specific facts:

- jack is missing his leg BELOW the knee. around the mid-calf area. his prosthesis is called a transtibial. his specific make/model is unknown. though it looks most like a conventional prosthesis. edit: i’ve been informed his prosthesis is an Enchelon Endolite, not sure what specific model, though it’s a few years old.)

- people with leg prosthetics will often shift their weight on their feet—sometimes almost constantly—to keep their balance. it can also SOMETIMES be called a Trendelenburg gait, and will only worsen over time. but a Trendelenburg gait can also be completely unrelated and different/occurs more at and in the hip area. (thank you to the person who sent in the information about that, it was very helpful !! you can find that here.)

- jack is missing his lower limb which means: he removes it/changes it before bed, showering, swimming, running etc.

- jack/amputees often have a rail or bench specifically made for showering for better accessibility and to keep themselves steady in the shower if they are standing/not wearing a waterproof prosthesis.

- he can sleep with it on, but it’s usually not comfortable & most amputee’s let their limbs air out overnight to reduce swelling, sores/irritation, chafing, etc. it’s feasible that he’d take his limb off right after a shift, and if he doesn’t; be in more pain/uncomfortable with the leg on.

- fluid fluctuates in the limb during the day cause the residual limb to swell/decrease in size, they require the addition or removal of sock “plies” to make sure the limb keeps a snug fit.

- his limb will require daily inspection and massage to check for blisters/keep proper blood flow to the limb.

- also requires daily cleaning of the limb and prosthetic liner to prevent skin breakdown and infection.

- amputation often causes anxiety, depression, and other emotional challenges; it’s reasonable to perceive that jack suffers/has suffered from one or more of these. he goes to therapy canonically.

- phantom pain is a thing !! nerve endings can still fire and cause pain/sensation of a lower limb even after it’s missing. it never goes away. jack has been portrayed with this at the end of pittfest in season 1 !! he absolutely suffers from it, and it’s important to represent !!

facts about prosthetic legs/prosthesis:

- first off; prosthetic vs prosthesis; a prosthetic is the field of study, design, and fitting of the device. a prosthesis is the artificial limb itself.

- the socket is the most critical part; it’s custom molded to fit each person, it connects the prosthesis to to the body.

- the suspension is how the prosthesis is held on; can be put in place by suction, vacuum, or locking pins.

- the pylon in the internal frame or pipe that provides the structural strength.

- modern prosthetic legs feature advanced materials—depending on the amputation level—that’s specialized in knee and ankles.

- temporary prosthetics are given right after amputation, permanent prosthetics are fitted 2-6 months after amputation, when the swelling has gone down.

- all prosthesis are fitted and customized based on each person’s lifestyle and activity level, and physical capabilities; including foot/shoe size.

- a prosthesis and parts usually need replacements over time from wear and tear, even though they are durable. (most last around five years.)

- poor fit can cause blisters, pain, swelling, and skin sores.

- prosthetic weight varies; thermoplastic models often being the lightest.

- amputation often causes anxiety, depression, and other emotional challenges.

- most prosthetics are made of titanium, aluminum, and carbon fiber.

- most regular/everyday prosthetics are not designed to get wet/be submerged and will rust.

- all amputees have to wear a sock or stump shrinker, it prevents swelling in the limb and when the prosthesis is not attached. it’s basically a carbon fiber cup. if the sock does not fit correctly, it can cause restricted blood flow; forcing blood into the distal end and cause more swelling.

- swelling in the residual limb called edema (occurs especially when irritated) can cause the sock and prosthesis to not fit/fit uncomfortably.

- there are special types of prosthesis; including waterproof, adjustable, and microprocessor controlled.

-

different types of below knee prosthesis;

- conventional:

conventional prosthesis are the most traditional prosthetic legs, and are the most common form of below-knee prosthesis. they consist of a plain socket, pylon (the supporting rod), and foot. They are strong and cost-effective, making them a popular option for most users.

a conventional prosthesis is usually constructed from lightweight materials; such as plastic and metal. they are plain with few moving parts, have basic mobility, are ideal for everyday use, and usually cost-effective compared to advanced alternatives.

- endoskeletal prosthetic legs:

endoskeletal prosthetic legs have an internal support-build, usually with a cosmetic outer covering. they are usually made to appear more natural and provide better mobility and comfort.

endoskeletal prosthesis are usually lightweight and flexible, they can be made to look more natural, are usually easier to fit and alter, and are better for individuals who want a more realistic appearance.

- exoskeletal prosthetic legs:

exoskeletal prosthetic legs are usually made of a strong, long-lasting, rigid outer casing, but are not as commonly used today. the prosthesis lacks the internal frame that an endoskeletal prosthetics have. the main structure is instead the rigid outer casing.

exoskeletal prosthesis are usually very hard and long-lasting. they are more damage and wear-resistant. better for those with heavy-duty requirements. are usually less customizable in looks.

- dynamic response prosthetic legs:

also called specialized energy-storing feet, these are created to help more energetic/athletic people move easily. they store energy/movement better when each foot is on the ground release it when each foot is off the ground; making walking and running easier.

a dynamic response prosthesis usually allows for more natural movement, improves walking, can reduce stress on the other leg, and is better for very energetic people; like athletes.

- microprocessor-controlled prosthetic legs:

these legs use more diverse forms of advanced technology to improve mobility and stability within the prosthesis. they usually have sensors that detect movement and can adjust in real-time; they enhance the quality of balance and walking.

microprocessor-controlled prosthesis usually have advanced sensors that respond to changes in movement. they can make you steadier if the ground isn’t flat, put less stress on the joints, are best for active individuals who need movement control, and are rather pricey but still usually efficient.

- waterproof prosthetic legs:

are usually made from materials that are not susceptible to corrosion or wear down. they are intended for people who use their prostheses in aquatic/water filled areas; like pools, or showers.

waterproof prosthesis are made using waterproof materials, can be used in wet conditions, are strong and more resistant to rust, and are best suited for swimmers and water sports athletes.

- adjustable prosthetic legs:

adjustable prosthesis allow a person to change how the socket fits around their limb as needed. they are better for children or those with changing weight/strength.

adjustable prosthesis have an adjustable fit, are a good option for children and people with fluid retention, can provide more support and comfort, and help to prevent discomfort from poor fitting.

- blade prosthetic leg:

a blade prosthesis is a high-performance prosthesis made from carbon fiber, usually designed for running, jumping, and high-intensity sports. similar to a dynamic response prosthesis, but not the same.

blade prosthesis are typically shaped like a “cheetah’s hind leg” to maximize energy return, are lightweight, usually J-shaped, they store energy upon impact and expel to propel the person forward. they act as a type of spring rather than a walking foot. the sole of a running shoe/sneaker can sometimes be glued to the bottom of the blade, as they can be slippery.

- below are pictures of different types of prosthesis:

- conventional prosthesis:

- endoskeletal prosthesis:

- exoskeletal prosthesis:

- dynamic response prosthesis:

- microprocessor-controlled prosthesis:

- waterproof prosthesis:

- adjustable prosthesis:

- blade prosthesis:

- jack’s prosthesis:

if there’s any other questions you have, please let me know and i’ll see if i can figure it out !! i hope this helps some of you and i can’t wait to (hopefully) see more representation of jack’s prosthesis/disability !! i know im going to try my best to include some of this stuff !!

Some basics facts. The Pitt is a show created by R. Scott Gemmill. On IMDb, the writers credited are R. Scott Gemmill, Valerie Chu, Elyssa Gershman, Mel Herbert, Joe Sachs, Simran Baidwan, Noah Wyle, Cynthia Adarkwa, Danny Hogan, & Kirsten Pierre-Geyfman. Chu is credited as executive story editor, which might mean she has a little more say in final decisions. Five of the writers are women, four of those appear to be POC (based on pictures shown of them as a group).

Now, in a writer's room, it's a collaborative effort. Everyone pitches in on the broad strokes, a writer of a singular episode shapes that episode in the specifics, but with feedback from the rest of the writer's room.

With a show with as much diversity as The Pitt, you have to ask "is it racism or is it bad/disappointing writing?" A lot of people are bandying about accusations at a single cog in the machine (Wyle) without acknowledging the massive machinery of production around the show. He doesn't have final say, even if he likely has influence on the story as one writer among many.

What do we know?

Samira Mohan's plot had some good legs on it, but the payoff since the panic attack is uncertain/a little iffy, we do not know if it will be resolved in a satisfying way by s02e15 (I have doubts it will).

Samira Mohan is not leaving emergency medicine, she is looking for fellowships within the field (geriatrics, mentioned by Baran and Robby, ultrasound mentioned by Crus).

Samira Mohan's plot revolved around where she would be next year (planned for New Jersey, mum sent her plans off kilter). Implication it would not be PTMC, but an expressed wish to possibly stay if Jersey is not an option?

Residencies end in June, so July is logically the first month of a "new" residency."

Supriya Ganesh's contract was not renewed for s3.

What we don't know:

What the focus of s3 is. A night shift season (with Ayesha Harris taking on a bigger role, that could be possible) would mean less of the day shift will be present.

How much time has passed between s2 and s3. I've heard mentions of less time than between s1-s2, three months, etc., but nothing is confirmed as far as I know.

When writing fiction with an ensemble cast, limited time, and unique constraints (15 hours of a day), not every plot will get that neat tied up with a bow ending. Not even novels with all the space the author could want always get that right. This is especially true for characters that serve as side-characters or side-plots. Things get cut, things get muddled, and bad plots can be the result. This isn't good, and in my writer's heart I hope all writers try their best to avoid it, but it happens.

Now, I'm not going to bring out the "it's realistic" argument for why "it makes sense" that plots fizz out, because while it is true we rarely get neatly tied up ends in real life, The Pitt is fiction. It is fiction trying to be realistic, but I believe most writers want to do their story justice rather than let it end in a whimper.

What I don't believe is that it is remotely acceptable to immediately go for the kinds of vitriolic accusations towards creators I've seen coming from alleged "fans" of the show. When bandying about words like racism (or misogyny!) you need something more substantial than "my fave wont be in the next season" or "her plot was bad" or even "my fave isn't getting more screentime than the main character" as the reason.

I think a plot is allowed to flop without people bringing in those heavy accusations. I think you need to reexamine your own worldview if your instinctual response to something you don't like happening (in fiction) is to fling an accusation.

This is not me saying the Pitt is unimpeachable, just that you need to give it more thought than the verbal violence I've seen. I only have my perspective as a woman, and the sexism I've seen in the writing has been underpinning the points trying to be made. Deliberately included or hinted at to show the reality the fiction is trying to reflect. Sometimes it lands, sometimes it doesn't, some of it hasn't had a satisfying payoff. None of it has given me the impulse to go fling insults at the people behind writing it, because that would be insane. If someone brings a thought-out, reasoned argument for why something was racist, sexist, or misogynist (and it wasn't built into the writing to make a point), I'll read and engage that in good faith.