ER Doc Drops Truth Bomb on The Pitt’s Blister Outbreak—Here’s What You NEED to Know!

ER Doc Drops Truth Bomb on The Pitt’s Blister Outbreak—Here’s What You NEED to Know!

Ever wonder what happens when your Fourth of July BBQ turns into an emergency room drama? Yeah, me too. Season two of The Pitt continues its intense real-time storytelling, and episode 8, “2:00 P.M.,” throws us headfirst into chaos — think blisters so gruesome they’d make you rethink your drink of choice. As the hospital shifts back to analog systems thanks to a cyber attack, our medical team’s scramble to save lives gets even trickier. Among the chaos, a bizarre rash mystery emerges that’s as shocking as it is sticky… literally. Ready to dive into one of the wildest medical mysteries mixing margaritas, sun, and some seriously nasty blisters? Let’s unpack how reality and TV collide in The Pitt — because sometimes truth really is stranger (and grosser) than fiction. LEARN MORE

Estimated read time4 min read

The following story contains spoilers for The Pitt season 2, episode 8, “2:00 P.M.”


AS SEASON TWO of The Pitt continues its 15-week, 15-episode, 15-real-time-hours-in-a-day rollout, we’re starting to really get into the thick of things. By episode 8, “2:00 P.M.,” we’ve already been through a lot. We’ve been reintroduced to our old characters, understanding their current situations. We’ve met and gotten to know new characters, figuring out quickly what their personalities are like and how they fit into all these different dynamics. We’ve seen patients saved, and we’ve also seen patients sadly beyond saving. The Pitt continues on, and we continue on with it.

Through all of that, it’s still the fourth of July. For many of us, that’s one of the wildest days of the year period—think of all the fireworks going off, BBQs being held, booze being guzzled,et cetera. And now imagine just how wild it is at your nearest city’s emergency room, where doctors and nurses need to assess and care for every single thing that goes wrong. It cannot be easy, and we’re seeing in The Pitt season 2 just how not easy it can be. That’s also not helped by the fact that as of the last episode, The Pitt has shut down its computer systems due to threat of a cyber attack—and, for now, everything has to more or less go analog.

javadi the pitt season 2 episode 8

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All of this comes together, in a way, with one of “2:00 P.M.”‘s most succinct and visceral subplots: A man whose body is covered with a rash and some of the most visceral, icky-looking blisters anyone has ever seen. As our doctors, student doctors, and nurses face a learning curve adjusting to their new analog system, Javadi (Shabana Azeez) and Ogilvie (Lucas Iverson) have a mishap—and both wind up on the case. And, as they’re both shocked and confused by what they see and what the patient tells them, we’re faced with one of the season’s most confusing (and hard to look at) medical mysteries so far.

Javadi and Ogilvie remain perplexed—but luckily their fellow student doctor Joy (Irene Choi) is thinking quickly and keenly. And Dr. Robby (Noah Wyle) helps bring everything together by the end of the hour.

Watch The Pitt Here

An ER Doctor Reacts to those nasty blisters (and the diagnosis of “Lime Dermatitis”) in The Pitt season 2, episode 8

the pitt blisters

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In talking to the patient, Joy quickly figures out something that Javadi and Ogilvie could not—the rash and blisters are the result of Phytophotodermatitis, also known as “lime dermatitis” or “margarita burn.’ In short, The Pitt explains, this is a skin rash due to heavy exposure to both the sun and lime juice. And since the patient told Joy he was outside making Margaritas all day, she quickly figured it out, and Dr. Robby confirmed her suspicion.

This was one of the season’s most memorable medical mysteries to date—in part because of how visceral and shocking the rash was, and also because it was, at the end of the day for our characters, such a simple diagnosis to figure out when given all the information. We figured we wanted to hear from an expert on this one, so we once again got in touch with Dr. Robert Glatter, the Assistant Professor of Emergency Medicine at Lenox Hill Hospital, an experienced ER doctor, and a member of the MH Advisory Board to help us break it all down.

Dr. Glatter pointed out that while the condition The Pitt is depicting here is very much a real thing and mostly accurate, there are a few details as to how it’s not quite how things would play out in real life.

“The writers took a bit of liberty in the timeline of the patient’s presentation to the ED, and also erred when the patient stated it was itchy, as opposed to feeling more painful, stinging or burning in nature,” he explains, adding that more traditionally the lime dermatitis follows a pattern where redness and swelling of the infected areas presents itself within 24 to 48 hours, followed by blisters that can resembled second-degree burns and asymptomatic hyperpigmentation that could persist for weeks after that.

“I have personally seen several cases of lime dermatitis, and each time, the history is paramount: a person preparing margaritas, squeezing limes in the hot sun, but presenting to the ED 1-2 days later, not less than 24 hours post lime exposure in the hot sun,” he says.

the pitt blisters

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the pitt season 2 episode 8 blisters

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Dr. Glatter also added that if someone has blisters like those seen in the episode, they should not be opened or popped unless if very painful. “The special effects team did a commendable job, accurately depicting the character and nature of such a phototoxic reaction,” he says.

He also confirmed Dr. Robby’s advice for the patient to make sure he wears lots of strong sunscreen in order to avoid dark scarring.

“It’s vital to wear sunscreen with a high SPF (at least 30-50) to prevent future sun exposure after the rash develops, especially if bullae are present, as Dr Robby correctly stated,” he says. “Sunscreen is vital to apply when the patient goes outside again to prevent further damage and activation of residual lime juice containing psoralen containing compounds.”

Finally, Dr. Glatter praised the way that Javadi and Ogilvie acted in the situation, going to their superiors for help as soon as it was deemed necessary and not wasting any time.

“The medical team, (including the two medical students) approached the situation appropriately, consulting Dr. Robby in a timely fashion, given the risks of misdiagnosing this patient,” he says. “Another medical student had already provided the key history of lime exposure while making margaritas outdoors in the sun—before Dr. Robby even saw the patient with the students.”

Headshot of Evan Romano

Evan is the culture editor for Men’s Health, with bylines in The New York Times, MTV News, Brooklyn Magazine, and VICE. He loves weird movies, watches too much TV, and listens to music more often than he doesn’t.

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