You're in the bay. Once you get over to the bed,
we'll give you the story. Everything's going
to happen super fast. Welcome to the emergency
room. Hey guys this right here is going to be
an unpopular episode It's going to be my opinion
on the major hit show The Pit. I don't like it.
It has nothing to do with the realism and the
depiction of the E .R. They do that very well.
They call out the right drugs. They call out
the right doses for the right reason. My whole
issue with the pit. Are the political undertones?
that they let kind of take center stage of the
show. This is going to have some spoilers, so
just kind of beware. So one of the issues that
I think is completely unrealistic is in the second
season again, if you haven't seen any of the
episodes and you want to, then this might not
be the episode for you and you might want to
stop. But one of the issues. Is they have a guy
that's in DKA and He wants to refuse care because
he's afraid he's not going to be able to afford
it now My stint in the ER is Compared to some
people who've been working it for 30 30 years
40 years I Have seen thousands of patients and
not one of them has ever walked out of care because
they are afraid to not be able to afford the
bill. Not a single one. Is that a statistical
anomaly? Or maybe it's not an issue. But the
way that the episode was was the guy was in DKA.
He was afraid he wasn't going to pick up. He
wasn't going to be able to afford the bill. So
he was wanting to leave AMA. That's unrealistic.
At least in my year, I have yet to have anyone
say I can't afford the bill, so I'm just going
to go. That's not the case. If anything, it's
the complete opposite. Another one, this is where
the unpopular opinion is going to come from.
I am a libertarian politically. OK, I don't align
with the Democratic Party and I don't align with
the Republican Party. And so if you are listening
to this and you are from like the Netherlands
or, you know, Canada or the UK or Egypt, because
I have listeners all over the world, the Democratic
Party is the liberal party. And then the the
Republican Party is the conservative party. And
then you have us kind of like in the middle.
That's just kind of like anti -government altogether.
And that's kind of like where I sit. I believe
that the American people are taxed too much at
the federal government is too big and ineffective.
And they squander our tax dollars inefficiently
and. I believe that if they audit the federal
government, like they do the U .S. citizen, then
I believe a lot of those people in office would
be in jail, just like they throw tax evaders
in prison. I think a lot of them would be in
prison, too. That's just my political opinion
now. That's not the political opinion I want
to talk about. The political opinion that I want
to talk about is that the pit in both seasons.
depicted patient on nurse violence is that an
issue absolutely are they depicting it right
probably but the way that they're going about
it is not the right way in my opinion it was
either last year the year before an ER nurse
or an ICU nurse got their ship beat by a patient
And she wound up like a broken arm, broken leg
or like a broken orbital. It goes like a broken
arm or leg and a broken orbital. And she wound
up in the ICU for like a week or two because
he beat the shit out of her. And a nurse practitioner
broke the story on social media and then all
your social media influenced nurses like scrub
hacks and nurse stank and. like Nurse Travis.
I don't know if Nurse Stank did anything about
it, but Nurse Travis, I think, said something
about it. I know that a scrub hacks and something
about it. They all kind of came on social media
and were kind of voicing their outrage and as
you should write in. So nurses are in a shit
situation because we get a lot of lip service
with no follow through. And so Get like these
people that are like we're gonna do this do that
do this do that now This happened in Florida,
I think and so oh They're lost because I don't
live there but in the late 90s early 2000s the
Texas legislature passed a law to make it a felony
if you assault a health care worker while they
are currently engaged in the act of providing
health care services. Now that sounds good, right?
That's great. You just committed a felony. The
issue is that there's no DA to carry out the
charge or to pick up the charges. So in season
one of the pit, Dana gets hit in the nose and
by this character named Doug Driscoll. And then
in the second season, Emma, the new grad gets
put in the chokehold on the show. And by a guy
that's drunk and high off cocaine. And so the
show makes you feel good in the way of McKay,
the doctor McKay goes in and is like, you just
committed a felony. You're going to jail. Makes
you feel good right as a viewer as a nurse it
makes you feel real good knowing that a doctor's
going in there and being like you're going to
jail and the sad reality is he might spend an
hour or two in jail just for booking and then
he'll see a magistrate he'll make he'll make
bail and then he'll be back out on the street
and Then probably just get time served and probably
like a year or maybe even less than that on probation
You know, I guess gonna be the extent of it.
That's the realism of it. Okay now Is it good
that they're bringing it to light? Absolutely.
It's an amazing concept for them to be like this
is an issue but there needs to be a better way
of depicting it and then showing where the Change
actually lies So again, this is where the political
nurse kind of comes through. One, I don't understand
patient on nurse violence. I don't because health
care is a choice. If you don't like the care
that I'm providing or your care or your provider
is providing, then you can go. You can literally
walk out and go to a different hospital. The
nurses are gonna say you have to sign a form.
The physicians are gonna say you have to sign
a form. I'm here to tell you, you don't have
to sign a fucking thing. You can literally just
get up out of your bed and walk out. Let them
take the IV out of your arm and just go, right?
Or you can sign the paper if you want. You can
do that too if you want. Healthcare is a choice
and I'm here to advocate for you to enforce your
choice to leave. So again for me, I don't understand
Patient on nurse violence because it's a choice.
You can choose to stay there or not You if you
want a black doctor and you got a white doctor
then go down the street and find a black doctor
That's if that's what you want to do. That's
what you can do No one's here to stop you if
you want, you know black nurse or a white nurse
or whatever. Just say, hey, I would rather have
them, you know, or leave. I don't understand
it. I don't I truly don't understand it at all.
And so the pit shows Dana getting punched and
then this girl getting put in a choke hold. And
that's the violence now, the nurse violence is
is a very difficult concept for the hospitals
to handle because it's a multifaceted issue.
So I want to predicate this with the hospitals
are funded by a federal organization called the
Centers of Medicaid, Medicare Services, CMS for
short. Okay. And CMS will only pay 16 cents one
six cents on the dollar for care provided by
the hospital in that is if if I'm not mistaken
if your H cap scores are five out of five perfect
care if you are not getting five out of five
then your percentage of that 16 cents is going
to drop drastically for every star that you lose.
And so if you are a two star facility, you might
be getting paid four cents on the dollar or two
cents on the dollar for care provided. And so
if you're getting four cents on the dollar, then
your care. that you the nurse are providing is
done at a 94 percent discount. And you, the nurse,
might not care. You're like, I get paid either
way. But that affects your pay in the way of
if the hospital is not making money, you're not
making money. And that's where you're going to
be getting these 20 dollar salaries for being
an RN for 20 years. You know. And if you don't
like that, then keep listening. So that's how
the hospitals are getting paid. And then you
have your insured people. And this is the reason
why hospitals really like and really want insured
people in their in their facilities and really
kind of cater to those people. Either it's a
either it's blatant or not so blatant. Because.
Because of the CMS issue and not getting paid
the hospitals to keep making budget to keep paying
you the nurse that wants the $50 an hour salary,
they have to increase the charge on medications.
And that's where you start to get the $400 acetaminophen,
you know, $400 for some fucking Tylenol. Would
you ever in your wildest dreams pay $400 for
some Tylenol? No, you wouldn't. But that's what
the hospitals are charging, because that's what
they have to charge, because like the people
that come through the ER and other places aren't
paying and then their insurance that they don't
they're uninsured. And so they have to get that
16 cents on the dollar to be able to make budget.
And because the federal government says if you
want CMS and you want to be in business, you
have to follow our rules. Then you have a hospital
down here in Texas, Houston, that's notoriously
known for not accepting insured patients. And
so to avoid EMTALA violations, what they'll do
is when EMS brings in these patients that are
uninsured or are going to cause problems, they'll
just have EMS stand on the wall. and not give
the patient a bed or a chair to sit in. They'll
just stay on the stretcher for hours and hours
and hours on end. And the hospital is highly
sought after by to work in by nurses. They love
working there. It starts with an M. And yeah,
because they love working there because it's
a good environment to work at and the ratios
are good and everything else. But it's also because
man, like the vast majority of their patients
are insured and they are willing to say, no,
I'm not taking this insured patient. Sit on the
wall. If you don't want to stand there all night
and your numbers get hit because you're EMS and
you have to. Work on your you know turn around
times then you can go to a different facility
Because we're not rejecting your care. We're
just saying that you can't we're not gonna sit
them We're not gonna take them off the stretcher.
You're just gonna stand on the wall until you
get tired of standing And then they'll leave
and go to a different facility. So it's not technically
an EMTALA violation So that's the kind of a loophole.
They're getting around That's what word on the
street is. I'm not saying that's what's happening.
But that's what the word on the street is. That's
what the rumor is. And it makes sense. You know,
so if it is what they're doing, then they're
not technically breaking the law, but it's a
shit way to do business. And it's working for
them. So where the okay, so there's that there's
that aspect of it. And here's the other aspect
of it is that's the predicating part of the of
the issue. Now another aspect of this issue that
the hospital really has to battle is if you're
a magnet facility or not If you're a magnet facility
90 % of your nursing staff have to be BS ins
and if I'm not mistaken, I think it's the AC
and I think it's a subsidiary of the ANA the
American Nurses Association they came out back
in like the 80s 90s That said that BS ends provide
the best care and they created this magnet status
and There's a nice little paycheck that comes
with being magnet recognized or magnet accredited
and like one of the criteria because there's
like multiple criteria you have to meet but one
of the glaring ones and one of the easier ones
to fill is that like 90 % of your nurses have
to be BSNs. And and I think that that's a crock
of shit. You know, I'm willing to bet that if
you were to redo that study, you would find that
that is not the case. And unless you're going
to go through and cherry pick your your nurses.
So, um, yeah, they came out back in like the
80s 90s, maybe maybe early 2000s. I can't remember
which basically saying that BSN provide the best
care and my criteria of that is that 90 % of
your nursing staff have to be BSN BSN's and then
you have to have high nurse satisfaction scores.
And so there's one aspect of the hospital. And
then the other aspect of it is going to be the
district attorney to pick up the charges. And
so we'll go to the BSM part of the first, you
know, you get these nurses that are supposed
to be, you know, providing the best care. These
magnet facilities will go out of their way to
ensure that these nurses are 100 % satisfied.
And that's where the hospital is kind of in a
tussle, you know, because if you side with the
nurses and you say you patient family member,
your patient can't be here, then the survey.
CMS funding is going to get reflected on that
and you're going to get a bad age cap score.
And then if you side with the patient and you
say you nurse should do better, then your nursing
satisfaction is going to go down and your magnet
accreditation becomes, you know, starts to become
jeopardized. So the shitty response that the
hospitals. have found a good way to get around
is lip servicing the nurses saying we're going
to do this this and this this will never happen
again and then on the other hand they will do
something completely different with the patient
and patient families and so nothing ever gets
done nothing ever changes and so that right there
is one side of it now let's talk about the political
side of it I can't remember if I said this at
the beginning of the episode, but to predicate
this, I'm not political. I'm a libertarian. Um,
I'm not democratic. I'm not Republican. You know,
my party like never, never wins, never even makes
it to the, to the poll. Believe in a smaller
government, no taxes and you know, a bigger municipal
government, like a local government. But there
are people who who have the mentality of I'm
going to vote blue no matter who in the of the
other side of it that's going to vote like that
holds the mentality that I'm going to vote red
till I'm dead. So you have those two opposing
sides. And so those are that is not necessarily
the issue. The issue is whenever You know, the
patient assaults the nurse. It's a felony, at
least here in Texas. OK. Now, the way the criminal
justice system works is that the police are the
gatekeepers of your freedom. And so in reality,
you know, the place to fight your case is not
on the street. It is in the courtroom. And so
that's another aspect of the pit that I don't
like. Is in the second season. They have this
immigration. They have ice enter the hospital.
And I side very wholeheartedly with Robbie, the
doctor, the main character, the doctor. He holds
the idea of ice being in the hospital is not
good, you know, because it's going to draw a
lot of unwanted attention and it's going to cause
a lot of problems. He does not let his political
stance be known in the show. His ultimate objective
is provide the care for the patient, dispose
them, which happens to be an ice pack and discharge.
Get ice out of the building as fast as possible
because it's going to cause a lot of problems.
And so I agree with that. Right. The immigration
stance should not enter health care whatsoever.
But Where the pit really you know goes wrong
with that is they have a nurse that tries to
intervene with a federal operation So I'm going
to say this just like I told every prisoner that
I have supervised in every Inmate that I've ever
supervised when I was in the criminal justice
system because I have a Nursing is not my first
career field the street is not where you fight
your case the courtroom is and so when you start
to interfere with a federal investigation in
a federal operation you are putting your safety
and freedom in jeopardy the moment you start
to do that if you want to fight your stance either
do it at the polls or do it in the courtroom
on the street in the hospital is not the place
to do so. Do I agree with it? It doesn't matter.
It doesn't matter because the moment you start
to interfere with a federal operation or any
sort of legal operation, you are putting your
safety and freedom in jeopardy. And you are now
handing that over to the officer and hoping that
they act right by you because they have the right
to use lethal force against you. You do not have
that right to use it against them. OK, so just
be aware of that. If you want to go and fight
ice on the street all day, just know that you
are putting yourself in a lot of danger. because
you are interfering with a federal operation
and an investigation, okay? It doesn't matter
what I believe. I'm looking out for you and your
safety, okay? Do I think it's right or wrong?
It doesn't matter. It doesn't matter. If you
don't agree with it, then you need to vote a
different way, okay? Um, so they, um, have a
nurse try to interfere with a federal investigation
and he fucked around and found out, you know,
and I'm sure that that of course is another political
undertone that I don't agree with with the pit
leave politics out of the fucking hospital because
people come there to seek care. They It doesn't
matter if they're extremely democratic or extremely
Republican and fascist, or they're extremely
democratic and communist. It doesn't fucking
matter. The hospital is a neutral ground. It's
a neutral ground in war, and it should be a neutral
ground in the United States. The United States
and NATO allies, we should not be bombing hospitals
and health care centers. And I know that if the
United States were to do that, It would be a
war crime. So that does not reflect my opinion
on what's going on with, you know, Israel and
Palestine. No, it doesn't. Because I also hold
the view of war is war. And so it's not war because
everyone comes home. It's not war because it's
clean and nice and pretty. So it's just a result
of failed diplomacy, in my opinion. And that's
coming from a man of war I've been to war have
come back and I wasn't just pushing papers and
war either like I was actually You know doing
war stuff So Keep politics out of the fucking
hospital. They do not belong in the hospital
sick people belong in the hospital So there's
that aspect of it that I don't agree with the
pit Then the bid the big one again talking about
this patient on nurse violence It's a And then
you have the like I already talked about the
nurse side of it with the administration and
their satisfaction and the other side of it is
a You can have all the the laws in the world
passed, you know to protect nurses But if you
don't have a district attorney that's going to
pick up the charges and actually force them then
it does no good the words on the paper than the
paper that it's printed on. So you have to find
a district attorney that's going to be willing
to pick up the charges for these people that
are assaulting nurses. Now, these statistics
on it, I don't know. I haven't run research study
on it and I don't think I'm going to. But from
what I've seen, from what I've seen, that nurse
that I was talking about earlier, They got a
broken orbital and a broken arm. The guy that
hit her and beat her, he stole a car and drove
down the wrong side of the highway in Florida,
I believe. And so he was naturally going to be
deemed a mental health case. And I think he just
got like time served, you know. So all of that
ruckus that the nursing influencers were causing
was for not. You know, the lady got her ass beat
for not because you have a DA that's not willing
to press charges against mental health. And like,
because the DA is an elected position, it's hard
to find someone that's going to pick up the charges
that's for mental health, because that's easy
ammunition for the other side. It's very easy
for the opposing the opponent. on the election
year to be like, look, he put all these sick
mental health people in prison and jail, and
I'm not going to do that. I'm rough on mental
health and like I care for the sick people and
all that stuff. And so it looks bad. So no district
attorney is going to willingly charge these mental
health patients with a serious crime unless they
absolutely kill someone. And so that's kind of
like where we are and then sadly enough i think
even if they kill someone if they were to kill
that nurse i don't think he would've got any
time. Because again like they are so afraid to
lose their their government position that they're
willing to be okay with letting stuff like that
slide. And so. It doesn't matter how you vote.
It doesn't matter. You need to find a district
attorney that's going to pick up charges and
actually enforce those charges on people who
are assaulting these nurses. And I would say
that probably the majority of them have some
sort of mental health issue. And I say that if
you have mental health and you decide to break
a break law, then you need to go straight to
fucking jail. And that's that might a lot of
you might be like, well, you're just hard on
mental health, too. Well, I might be. But if
my classmates are listening to this and you've
made it this far, then, you know, surprise. I
hold a Ph .D. in psychology and. You know like
just because you're mentally ill does not give
you the right to go around and hit and abuse
You know other other people It doesn't give you
that right and then when the district attorneys
and the police and all these people Refuse to
press charges on them. That's what that's what
they're telling them is like it's okay for you
to go and abuse other people And that's not the
case You know these people that are mentally
ill you know, and they're not, they're not seeking
treatment for that mental illness, then they're
on the street, you know, and so they wind up
with drug addictions and alcoholism and homelessness
and everything else, you know, and, and my, my
only argument to that is, you know, like these
homeless people, man, like they're not homeless
because they are just in our string of bad luck.
They're homeless because a, you enable them in
MB. because they can't stay clean. They can't
sober up and they don't want to get a job. You
know, so they would much rather just be on the
street. And if they don't make it to the homeless
shelter in time, they'll just go to the hospital
and say, I want to kill myself. And then they'll
get a free sandwich, some scrubs and, you know,
a bed to sleep on. You know, then that's that's
their life, you know. And so. That's kind of
like where we are. And so my my idea is, you
know, if you're going to go around and abuse
people, then you take your ass to jail. So. That
right there is another aspect of the nurse, the
nurse violence issue, right? The workplace violence
issue is that you get these people, you know,
that the district attorney is choosing not to
prosecute. And until they start prosecuting.
The the offenders that are perpetuating violence
on nurses while they are performing care, then
nothing will change. Nothing will. No matter
how many likes, shares, follows that you get
will change that until you change the way you
vote and change to put someone who's willing
to take that hit and start putting these people
in jail. And enforcing the law, because until
that happens, you're going to get your ass beat.
And you're going to continuously get your ass
beat. And you're going to look at the hospital
to do something different. And because they don't
want to take a hit on their age cap scores, they're
going to tell you they're putting metal detectors
in place. They're going to tell you they're going
to get security involved. And they may or may
not do that. But guess what? If you sit there
and you enter a patient's room and they are not
agreeing with what they say and they hop and
knock the shit out of you, you can call security.
But guess what? You still got hit. So it doesn't
matter how much security you have, you still
got hit and they will throw that person out of
the hospital. And guess what? They'll be right
back the next day before you even clock in. And
it will be your luck. You're going to get them
again as a patient. So that's the that's the
reality of it. That's the truth of it. And until
you change who you put in office in regards to
the D .A. And I'm just strictly talking about
the district attorney. I'm not talking about
the way you vote politically or anything like
that. I'm saying you need to find a district
attorney who is going to enforce the law on these
mental health patients that are abusing nurses,
because I would I would argue and say without
running an official statistical study that a
good chunk of these patients that are abusing
nurses have a mental health background. And if
I'm wrong, I'll be gladly to, you know, post
in a public apology and say I'm sorry. But that's
what I'm seeing in my E .R. That's what I'm seeing
on these these these TV shows. That's what I'm
seeing is that these people are not of their
own recognizance and they're going around abusing
health care workers. That's my experience. That's
what I'm seeing. So this episode is a little
bit longer than I wanted it to be. But those
are some of the political undertones about the
pit that is causing me to not watch the third
season. Like I'll I'll finish out the second
season. I'll finish it out. But I think that's
the last season I'm going to watch because I
want to be entertained, man. I don't want someone's
political opinions shoved down my throat. I don't.
I just want to watch TV to escape reality, not
to kind of watch it. You know, so that's my opinion,
man. Um, I believe, yeah, you know, if it's a
problem, you know, there's, there's enough voices
in the world, at least in the United States,
there's enough people voicing their opinion and
giving these issues a voice. The TV doesn't need
to do it for them. We live in a, in a country
where everyone takes advantage of that, uh, that
freedom of speech and they do it very well. And,
uh, we give them a platform and they use it.
So. Again, I don't like I'm not I'm not blue,
yellow. And my party is so small that it's nonexistent.
But. But that's that's the reality of it, man.
If you want change in that aspect, don't look
to the hospital to do it, because all they're
going to do is do what's best for them. You better
start looking at the people that wear the suits
and ties that you vote for and. I'm not saying
you need to look at the governor, but you definitely
need to be looking at the district attorney.
The district attorney is in charge of what they
pick up and the people that they put in behind
bars, whether that be the jail, whether that
be the prison. You know, it's up to them. The
police gatekeep or the gatekeepers of that freedom.
It's up to the district attorney or not to enforce
those decisions. And you're going to have to
find a district attorney. that is willing to
be like, yeah, I'm sitting here and I'm saying
it's not OK for people with mental illness to
abuse and attack other citizens of the US because
you if you're holding office, you're to protect
everyone, not just one subset of people. That's
what the ADA is for to voice their concerns over
that group of people. I don't need the government.
To protect one group of people. I need the government
to protect the population and then let other
Organizations voice, you know protections for
the smaller section of people. That's my opinion
Because Because it's not working because if it
worked the way that people want it to work then
we wouldn't have this issue so This is my opinion
if I know it's not popular But in my heart of
hearts, I believe I truly believe that's the
way to fix it is to fix to fix the DA Get a district
attorney that's willing to do that the the unpopular
work and then you might see You know this nurse
violence start to take a dip for the good and
that's what we all want So yeah, just keep politics
out of the hospital man, like I take care of
everyone equally You treat me good. I treat you
good You treat me like an ass. I'll treat you
like an ass. It doesn't matter if you're Democratic
or Republican, communist or fascist. It doesn't
matter. You know, if you're a good person and
you treat me right, I'll treat you right. You
treat me wrong. I'll treat you. You know, I'm
here to match whatever whatever energy you want
to put out. All right. All right, guys, that's
the own a popular opinion. That's the reason
why I don't like the pit. That's the reason why
I'm not going to watch the third season. Don't
be lucky if I finished the second one. I don't
know. All right guys. This is uh, this is running
on like 40 minutes So let me cut this right here.
Peace