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ER
NBC (Ended 2009)
Episode Guide > Season 15, Episode 22

ER: And In the End...

 

Episode Score

 
9.3 Superb
252 votes

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Air Date

Thursday April 2, 2009

Production Code

15022

Episode Summary

Series Finale: ER ends its 15 year run with a two hour episode. Gates works on a young teen suffering from alcohol poisoning after playing a drinking game. Old friends come show their support when a new medical facility for the underprivileged is opened. Sam receives a special gift for her birthday. Carter and a new intern try to save a mother in labor with twins.

  •  
    10 Perfect

    It made me cry. A show which i haven't watch for about 7/8 years made me cry. I wish i'd never stopped watching it. A fantastic episode, not to dramatic but eventful none the less. Job well done. hide show

    Dr. Tony Gates treats a teenage girl in a coma with alcohol poisoning after she played drinking games with her friends. Gates calls the police when he discovers that the parents of the girl's friend supplied the alcohol, and has the friend's father arrested. Later, the girl's parents arrive, and request she be transferred to Mercy Hospital. Before she can be transferred, the girl finally awakens, but just thrashes around, and is sent for a new CT to diagnose possible brain damage.

    Dr. Julia Wise new to County General, treats a homosexual HIV-positive patient who has severe breathing difficulties. It is discovered he has terminal cancer. With the support of his partner, he decides not to seek treatment, as he has already outlived most of his friends who died at the height of the AIDS epidemic in the 1980s.

    An elderly patient named Beverly is brought in by a fire engine with a broken wrist, and comments on Dr. Archie Morris' "soft and strong" hands. She is later claimed by her daughter, as she had wandered off before her accident. She returns later, having wandered off again but otherwise not further injured.

    A married couple comes in with the woman going into labor with twins, and John Carter and Simon Brenner handle the delivery. During the delivery of the second baby, complications set in. It turns out she has an inverted uterus, and requires an emergency caesarean section. The second baby comes out requiring intensive care, and the mother ultimately dies in surgery trying to fix the complications.

    Mark Greene's daughter Rachel is visiting the hospital as a prospective medical student, and is interviewing for a spot in the teaching program. She is interviewed primarily by Catherine Banfield who confides to Carter afterward that she made it through the first cut. Carter shows her around after her interview, giving her a few pointers she will need if/when she is accepted into a medical school.

    Carter opens his clinic for the underprivileged, with Peter Benton and his son Reese Kerry Weaver and Susan Lewis among the guests. He named the facility after his lost son, Joshua. After the event, he has an awkward reunion with Kem who is briefly in town. He also has drinks with his old friends plus Elizabeth Corday who brought Rachel to Chicago for her med school interview. Benton and Corday linger together after everyone else go their separate ways.

    Marjorie Manning a previous elderly multiple sclerosis patient, comes in with her husband suffering sepsis and pulmonary edema. Mr. Manning is initially unwilling to let Marjorie go, but with guidance from Dr. Gates, he finally accepts the inevitable. Before Marjorie dies, her daughter arrives, and confides in Samantha Taggart her regrets over her relationship with her mother. This leads Samantha to call her own mother.

    It turns out it is Samantha's birthday. Her son Alex reveals her present: a vintage Ford Mustang restored by Alex and Tony, who both decided upon bright red as its color over cobalt blue.

    A young woman and her new mother-in-law both come in, in separate ambulances, with minor injuries sustained in a drunken brawl at their wedding reception, and continue arguing all the way into the treatment rooms. The groom later arrives, and is promptly torn between tending to his mother and his new bride.

    The episode ends with the beginning of a disaster protocol: an industrial explosion, with a minimum of eight casualties. Dr. Carter is again pressed into service to assist. Dr. Morris is ordered by Dr. Banfield to triage patients as they arrive. The first patient was thrown 20 feet, and is diagnosed as a possible lacerated spleen or liver, to be sent straight to the OR. The second patient has a compound leg fracture with no circulatory impairment, which Dr. Banfield takes herself for an orthopedic consult. The third patient was electrocuted, and flatlined on the way in, declared DOA. The fourth patient has smoke inhalation, relatively minor burns and a pneumothroax, and is set up for a chest tube. The fifth patient had his left arm blown off below the elbow, with nothing left to save; Dr. Gates takes him in to repair the damage. Dr. Morris gives the sixth patient to Dr. Carter: third-degree burns over 90% coverage. As he runs the patient in, Dr. Carter asks Rachel to tag along, which she does enthusiastically. As Morris continues to triage patients, the original theme song plays and the scene pans out, revealing the entire hospital for the first time.

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  •  
    10 Perfect

    Not mind-blowing which is what made it such a brilliant ending. hide show

    I have to start with how happy I was to see the old opening credits playing...I was so annoyed when they got rid of them. That music just says ER straight away. The episode was just great...it was our last viewing of them but they were not ending...things would continue at County. I liked seeing characters like Weaver and Susan back, Corday and Benton added some humour.

    The minute that girl came on screen I thought 'I've seen her' then it turns out to be Rachel, Mark's daughter. Really cool twist and idea. I thought Alexis Bledel was great as Julia...I liked her reaction the dead mother. That was pretty harsh of the writers...to kill the mother after she had twins. So not a huge pile to talk about...Sam/Gates look to be getting back together...Carter opening his medical centre and there's a new Dr. Greene.

    The show has remained strong for 15 years and it ended well. Sure it's been rocky but it'll be remember very well. Goodbye ER.

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  •  
    10 Perfect

    Goodbye my best friend..... ER hide show

    In this episode of ER, the following happens. We open this last ever episode of ER on a Monday morning at 4:00am. And of course we are straight away thrown into the ER drama. Then comes the thing I have been hoping/praying for, the ER credits are back!
    We also soon learn that it is Sam's birthday. Then we see Susan and Kerry being shown around the Joshua Carter Centre by Carter himself. Possible new interns are shown round the ER by Pratt's brother, Chaz, and we see that one of them is Rachel, the late (and great) Mark Greene's daughter. A pregnant woman is brought into the ER. She has been in a car accident and is in labour, she is having twins. Soon one of her baby's, a girl, is delivered in the ER and it isn't long before the next one is on its way. Rachel introduces herself to Frank and as soon as she mentions who she is, he starts to look upset, almost as if he is about to start crying. Soon the 2nd baby is born, another girl, but she isn't doing as well as her sister. Then the mother starts getting worse and everything turns into a game of touch and go. They manage to stabilise the mother and soon she and the twins are taken to the OB wing of the hospital. As everyone is moved, the husband/father just stands in the room, and starts at all of his wife's blood on the floor. Soon word gets round about Rachel being in the hospital, and so Carter goes to see her. When they met, we learn that she is now 22 and that Elizabeth is in Chicago with her. So carter invites them to the opening of the Centre. She goes in for her interview and we see that Banfield is doing the interviews. We also see that Alex and Gates are working on a car for Sam. As the Carter Centre opens, we see that everyone is there, and then Kem shows up. Carter also tells the story of why the Centre is named the Joshua Carter Centre. Carter sees that Kem is there and he makes his way through the crowds to go and speak to her. When an intern goes to check on the twin's mother, we learn that she died. Alex turns up at the ER and takes his mother outside and gives her his surprise present, a red Mustang. At first is worried where Alex got the car from (possibly believing that he has stolen it), but she soon learn the truth from gates and is beyond happy with her present. Elizabeth and Rachel don't make it to the opening but they join the old gang for drinks. Soon they all disband, but Carter, Susan and Rachel all head into the ER. As a patient dies, we see Gates and Sam reuniting. We see Carter and Gates playing basketball, just like in the good old days. The hospital soon gets a call that there has been an industrial explosion nearby and that the casualties are only a few minutes out. And so it is all hands on deck. Everyone is outside as they waiting for the ambulances to start arriving. As ambulances start rolling in, there isn't enough room for them all and so they end up in the street, with ambulances. As the cameras move out, we see the County as a whole, and the famous music starts playing. Then the tears start rolling down my face, this is the last ever ER. And what a great ending to an amazing show.

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  •  
    8.5 Great

    A slightly above average series finale for one of the greatest medical dramas or any drama really in the history of television. Kind of sad to see it go. hide show

    ER in my opinion is the greatest medical drama ever, and basically influenced a handful of the medical dramas on television such as Grey's Anatomy, Private Practice, House and those other medical programs on cable television. Sure there different but you can't tell me that they weren't looking at ER's success during it's peak when creating these shows? ER isn't the originator of the Medical Drama, there were shows before it but it was so original, so fresh, and so much more exciting.The way the show merged together the trauma scenes, along with patient sob stories, work place conflict, and the doctors personal lives is just brilliant. So to the finale, well basically if you want to know what happened in the finale, not much really. In a throwback to the first episode we watch a day in the hospital as Tony Gates takes care of an girl who is dying of alcohol poisoning due to a drinking game, and a new intern getting herself associated with the ER lifestyle. In the beginning of the episode we briefly see Carter talking with Susan Lewis and Weaver about starting a Carter Foundation, and how he donated most of the Carter family money. So basically the final episode focuses on a shift of all the main characters including Morris, Gates, Banfield, Sam, Frank and Jerry alternating shifts in the hospital. We do follow one intern played Alexis Bledel playing an intern. There is a nice scene of Carter, and Brenner teaming up to help deliver a pregnant woman. So basically the only thing that really happens is that Mark Greene's daughter tries to get a match at County, and Carter opens his foundation and gets emotional, his wife Kem shows up and she's still kind of depressed and the state of their relationship is unknown. So Carter, Weaver, Benton, Lewis, encounter Corday (She's in town as well) and Greene's daughter all stop by at a bar. After having a good time, Carter asks anybody if they want to come to the ER with him, only Lewis goes and Weaver heads home, Benton has a nice moment with Corday where they realize how the paths of their careers have gone. It really makes me realize how much the show misses the presence of Eric La Salle, Alex Kingston, and don't forget the other characters. It's also nice to see Benton's a pretty cool guy. So Carter returns to county, goofs off with Greene's daughter and at the end of the episode he shoots hoops and encounter Gates. They talk briefly in a kind of Anthony Edwards/Clooney way with Carter the Anthony Edwards mold and Gates kind of the Clooney like maverick, as they start to form a kind of relationship. So anyway while Morris, Gates,Sam, the interns and nurses are goofing off (notice Susan mysteriously left) they get a call for an emergency and all the doctors step outside waiting for the calm before the storm. So they get the victims and Moriss, Gates, Banfield, and Carter all step into action and Carter asks Greene's daughter (still there) if she's coming, a nod to the first episode as they head to County and the scene zooms out to show the entire hospital and the train line above it. Ironically I never heard the train ever in the series. So my opinion? Nothing really happened. Nothing like the ER getting shut down or something, and no Clooney, or Goran Visnjic. Not to mention is it me or did Carter ever talk to Greene's daughter in Season 8 whatsoever? Kind of funny he got chummy with her. One of the negatives of the episode is that it mostly focused on Gates despite this, I like ER so much and the finale in a way was bittersweet but perfect. Not a big finale where everybody leaves forever, nope the finale just goes to show that the characters still will continue work. Though for Carter his life really didn't turn out happy oddly enough.

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    10 Perfect

    Final episode was just tieing loose ends and reverting back to how they started...Great show!!!!! hide show

    The finaly episode was awsome. if you have seen it since the beginning from the pilot you would realize the meaning behind of alot of what was going on in the final episode. Like the beginning when nurse came and woke up Dr. Morris. in the pilot she was waking up Dr Greene the same way and treating the same kind of alent. and the ending when Carter said "are you coming Dr Greene?" to Dr Greene s daughter. just all around good writing and i though exciting..i enjoyed it and i applud for 15 great seasons..im going to miss it!!!

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Episode Cast and Crew

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  • In this episode we find out that Susan is no longer with Chuck, and that she is dating again. []
  • The way Carter teaches Rachel how to do an IV is the exact same way Dr. Benton taught him in the pilot episode, "24 Hours." []
  • An early scene in this episode mirrored the way the pilot episode, "24 Hours," opened, with Nurse Lydia Wright waking up a doctor in Exam Room 8; Dr. Greene in the pilot and Dr. Morris in this episode. []
  • This episode won an Emmy Award for Directing (Rod Holcomb). In addition, Ernest Borgnine was nominated for Outstanding Guest Actor in a Drama Series for his portrayal of Paul Manning. After 15 years on the air, ER garnered 22 Emmy Awards along with 123 nominations. []
  • This episode takes place during a 24 hour time period, just like the pilot episode, aptly titled “24 Hours." []
  • This two-hour episode was preceded by the “ER Retrospective," a one hour special presentation. []
More Notes
  • Carter: The ill begotten gains of my Carter forefathers put to good use.
    Kerry: Redemption?
    Carter: Maybe so.
    Susan: Your grandma would be so proud.
    Carter: Grandfather's rolling over in his grave. He thought the Carter fortune would last longer than the pyramids.
    Susan: You spent it all?
    Carter: No, but most of it.
    Kerry: You've done a great thing here, John. Truly great. []
  • Frank: Can I help you?
    Rachel: You don't remember me?
    Frank: Should I?
    Rachel God, it's amazing how little has changed around here... My dad used to be on staff.
    Frank: Mmm hmm.
    Rachel Mark Greene. I'm his daughter, Rachel. []
  • (Morris's shift has ended and he is trying to leave)
    Sanchez: Dr. Morris...
    Morris: No, no, no! Get away from me or I'll hit you.
    Sanchez: The, the kid...
    Morris: I mean it! Right in the face! []
More Quotes

Allusions

  • According to a Fox News.com report from April 02, 2009, one of the story lines in this episode was inspired by the death of producer John Wells's 17-year-old niece, Shelby Lyn Allen, of Redding, California. She died of alcohol poisoning in December 2008. []
  • Three different crew members were honored in this episode: the patient with AIDS who was having trouble breathing was named Mr. Gandhi, most likely in homage to "Gandhi" Bob Arrollo, the key makeup artist on ER until his death in 2002; the father of the newborn twins was named Chris Salamunovich, a second assistant director who died in 1999 (the Season 6 episode "Leave It to Weaver" was dedicated to his memory, and his name was on one of the name plaques up on the wall that we first saw in this season's "The Book of Abby"); and while Carter was first talking to Kem at the dedication ceremony, a man interrupts them saying he wants to introduce Carter to Wendy Spence, named for long-time ER producer Wendy Spence Rosato. []
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