To say that James Ogilvie (Lucas Iverson) came into The Pitt as a hotshot would be an understatement. As the actor reveals to Parade, he was given scant details on the fourth-year medical student when he auditioned for the role, essentially given "really smart, likes to show how smart he is, can't read a room."And, through more than half of Season 2 of the hit HBO Max medical drama, we've seen that character description come to life. He shows immediately how much of a know-it-all he is when it comes to medical knowledge, having him immediately clash with the similarly brainy Javadi (Shabana Azeez). True, he does get a crash course in the...dirtier side of the job (something Iverson himself experienced when he got shot in the face with a "poop cannon"). But that still can't break his stride, as he even exalts at one point, "I feel like I was born to do this."
?SIGN UP for Parade's Daily newsletter to get the latest pop culture news & celebrity interviews delivered right to your inbox ? What a difference a handful of hours can make. The second half of the season has seemingly been an exercise in Murphy's Law. So far, the Pittsburgh Trauma Medical Center has had its systems go entirely offline, get traffic rerouted from a series of other hospitals, and a devastating water slide accident. And, as Iverson explains, the mounting series of events has left Ogilvie in a surprisingly addled state.
"He's being obliterated by the Pitt," the actor explains. "He thinks he's going to succeed. On paper, he's the person who's going to excel. He comes here ready to dominate. And there's an aggregate of disaster accumulating throughout the day for him, in a way that sort of eviscerates him and leaves him more or less a shell of the person he was at the beginning of the day."And Ogilvie says as much during a rare moment of downtime at the top of Episode 10. Standing on the helipad with Robby (Noah Wyle), waiting to treat those from the water slide accident, he confides in the senior attending. "This place is relentless," he admits. "I’m not sure it’s healthy for anybody." It's a surprisingly pessimistic statement for the opportunistic, optimistic Ogilvie. And it comes right before he's handed a severed leg and thrown back into the fray."When he's up there with Robby, it's so interesting that the one opportunity he gets alone with the attending in a private moment is not to impress," Iverson says. "It's to say, 'I'm struggling. I don't know how you do this.' For such a suck-up to then use that, that precious little time to air his heart, I think, is really interesting and telling of who he actually is."
Related: 7 Gnarly ER Procedures on ‘The Pitt’ Season 2 That Will Make Your Stomach TurnOne of the other key aspects we've seen of Ogilvie's character goes back to his character description: Can't read a room. Throughout the season, we've seen him brusquely regard people who he feels are simply suffering consequences from the life choices he made, whether it was Louie's (Ernest Harden Jr.) alcoholism or Howard's (Craig Ricci Shaynak) obesity. But a beckoning from McKay (Fiona Dourif) seems to begin to change that perspective.The second-year resident pulls Ogilvie away from the havoc of the ED, taking him on a trip across the street. In a rare moment outside of the hospital for The Pitt, the two meet up in the park with Kiki, a drug addict whom McKay has been seeing as part of the street team. As the two begin to treat her intense wounds for Xyalzine usage, we see his demeanor begin to change. Mere minutes ago, he told McKay, "I don't understand how people do that to themselves." Now, after looking addiction straight in the face, he's thinking differently.
"I think I really hated Ogilvie for the first half of the season," Iverson admits. "And what really opened up my heart to him, what gave me better understanding was, I think that there is a purpose for him being in the show beyond just what he serves the story. I think he's representative of a mindset that somewhat exists in our contemporary world, which is that a person is largely responsible for the state of their own life. And so there's a gradual chipping away of that ideology. He applies it to each patient and to himself. 'I'm responsible for making myself excel.' That's sort of a source of why he is the way he is. And then I think he slowly learns that that's not exactly compatible with reality." "It's like a leitmotif throughout the day," he continues. "With Louie's eulogy, when Howard snaps at him, with McKay in the park with Kiki. I think each of these instances is a realization that people are generally just trying their best every day. They're not lazy or lax or stupid.It's people who, with the circumstances that they have in their lives, are constantly making efforts, constantly striving to do what they can to deal with what they're feeling. And I think that realization is enormous for him, and it's a really contemporary topic. What is our obligation to empathy? What role does it serve in society? Who are we without it? Why are we better for it, and why is it so hard to admit that you're wrong if you've been withholding it?"
Related: Shawn Hatosy Teases a Dark Turn for Robby on ‘The Pitt’: ‘There’s a Glimmer in His Eye’ (Exclusive)Unfortunately for Ogilvie, he will get a major — and life-threatening — dose of being wrong soon thereafter. Despite his generally lacking bedside manner, he does seem to get on with Austin Green (Johnny Sneed), an English professor being hospitalized for kidney stones. The two seem to connect, as Ogilvie's father taught English as well, and the treatment seems rather routine. But when he finds him unconscious, we discover he had what's known as a "Triple A" in medical terms: Abdominal Aortic Aneurysm.
"It's one of my favorite moments in the season for him," he says. "I think it's the thing that he has been fearing. Throughout the entire day, he sort of softens, in a way, and allows himself to connect with one patient. And when that one patient starts to decline really rapidly and really suddenly, in a way, it's sort of this perfect storm.""I asked the doctors on set, 'Would an MS for know to check for this?'" he recalls. "And everybody was like, 'I'm not sure a resident would know to check for that.' It's rare, it's niche, and it exists because we have bad communication today with the power being down. It's a stressful day for all of this stuff to be happening. It's so easy to pick one oversight with all the charting that everybody's doing by hand."Despite that, Ogilvie is nearly catatonic as Green is cut open. He even declines the offer to intubate, something he was incredibly eager to do at the beginning of the episode. While his patient is stabilized enough to go up to surgery, it's clear his mood has completely changed from eleven hours ago."It's nobody's fault, per se, that this was missed, certainly not Ogilvie's," Iverson reasons. "But he holds himself to such a high standard, particularly doubled because of his attachment now to this person, where his oversight and a learning moment feels like personal failure. That he has let himself down, that he has let Austin Green down, that he's failing as a doctor. The paralysis he experiences is that of the soul. It's, 'Can I do this? Can I progress forward? I missed a crucial, crucial thing, and it's my fault.'"To that point, Ogilvie decides to go up to surgery with his patient, showcasing simultaneously his connection with Green and his guilt over what was nearly a fatal mistake. Given the limited hours we have left of The Pitt in Season 2, it's unknown when Ogilvie will come back down — or if he'll even come back to the PTMC in the future. But it's a firm reminder to both Ogilvie and the audience that being an emergency doctor is not for the faint of heart.
Related: 'The Pitt' Star Lucas Iverson Reacts to Intense Fan Backlash: 'I’ve Been Surprised — in a Great Way' (Exclusive)
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