From the moment “The Pitt” introduces Noah Wyle’s Dr. Michael “Robby” Robinavitch to his presumably temporary replacement, Dr. Baran Al-Hashimi (Sepideh Moafi), we can see that a shift already guaranteed to be tough is going to be even harder to gut out than he thought. Al-Hashimi’s competence is not in question, to be clear. She immediately comes off as a magisterial diagnostician and adept leader with bold plans to modernize the Pittsburgh Trauma Medical Hospital’s emergency care experience. But Robby knows that next to nothing at The Pitt goes by the numbers. The trauma center is overburdened and under-resourced, forcing Robby and his fellow attending physicians to encourage their residents and interns to think creatively without losing empathy for their patients. They get all kinds, from well-to-do couples toting their toy pooches in the same designer bag as their medications, to criminally neglected unhoused people. Wyle and his co-star Katherine LaNasa, along with the show itself, earned their Emmys the hard way – which is to say, they took a conceit that doubting viewers believe …