03/20/2026
On last night’s episode of HBO’s award-winning drama, “The Pitt," Dr. McKay (Fiona Dourif) brings fourth year medical student Ogilvie along with her on a clinical call outside the hospital, to treat an unhoused patient in the park for a necrotic skin ulcer caused by chronic use of xylazine-adulterated fentanyl or “Tranq.”
McKay, who says she's part of the Street Medicine Team at the fictional Pittsburgh Trauma Medical Center, advises her student that “empathy goes a long way in this job." This is exactly the kind of approach to compassionate care that drives our own real-world Harborview Street Medicine Team (pictured), which launched in December 2024.
The program is one of our Downtown Programs' field based teams, working in partnership with Public Health Seattle King County to meet unhoused patients where they are.
The team includes a registered nurse, mental health practitioner, community health worker, physicians, physician assistant and program coordinator. They provide care all across Seattle, from Ballard to Lake City, from Downtown and Capitol Hill to Beacon Hill.
Their goal is to provide primary care and episodic care in the community. They provide medical and behavioral health services, lab testing, medication dispensing and care for a variety of concerns, including injuries, wounds and infections, behavioral health, substance use disorder and bridge care for chronic diseases.
The program has already seen many successes, including a dramatic reduction in patients' visits to the Emergency Department.
Crucially, as the team engages with patients, they build trust, learn about the patient’s goals and establish a relationship that supports positive reengagement with the healthcare system by having a consistent, trauma-informed presence in patients’ lives.