St. Elsewhere

The Last One

Season 6, Ep 22, Aired 5/25/88
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  • Episode Description
  • The Craigs' reconciliation faces its first test; Drs. Auschlander and Gideon struggle together to save St. Eligius when Weigert decides to get out; Novino pushes Morrison to decide between her and Joanne; Griffin places his future in God's hands; Ehrlich returns from his odyssey; and Fiscus' last E.R. patient is a lady from the opera... But is it really over? The jaw-dropping climax culminates in a blue-collared dad placing his young autistic son Tommy Westphall's miniature St. Eligius snow globe on the living room TV set, having summoned him to dinner. "St. Elsewhere's" entire six-year saga had all been a figment of little Tommy's imagination!moreless

  • Cast & Crew
  • Christina Pickles

    Nurse Helen Rosenthal

  • Ed Begley Jr.

    Dr. Victor Ehrlich

  • Ronny Cox

    Dr. John Gideon [ season 6 ]

  • Bruce Greenwood

    Dr. Seth Griffin (1986-1988)

  • Stephen Furst

    Dr. Elliot Axelrod (1983-1988)

  • Fan Reviews (5)
  • WTF?!

    By peterg14, Jan 07, 2006

  • What an ending!

    By tvqueen1969, Nov 30, 2006

  • St. Eligius existed in the mind of an autistic boy? Here's proof the show should have ended a season earlier.

    By Bichlmaier, May 08, 2006

  • Shakin' that globe......

    By Speckman, Oct 02, 2005

  • It was just my imagination

    By chet1210, Feb 03, 2006

  • Trivia & Quotes
  • Quotes (3)

    • Mark: why didn't you ask me to go along? Ellen: Well,I just assumed you wouldn't go. Mark: Yes, well for the record I would leave Boston, St. Eligus. Move to Cleveland. I mean I have done some more checking. They have a lot of culture there, fine symphony orchestra, the Great Lakes Shakespeare festival. Ellen: The Rock and Roll Hall of Fame. Mark: Yeah, yeah, yeah.

    • Helen: Oh, by the way, congratulations on Ellen's job opportunity. The way she's blossomed this past year, becoming her own person with her own career. You must be very proud. Mark: Why don't you slide back to the valley of the dolls?

    • Fiscus: Dr. Fiscus. Viking: Neil Duban. Fiscus: If your going to dress like a viking, make it Frank Tarkenton.

    Notes (3)

    • Among the patients admitted to the Emergency Room this episode is a hefty opera singer who has lost her voice. Wayne Fiscus's career at St. Eligius comes to an end when the fat lady sings.

    • During the end credits, you can see Mimsie the MTM Cat hooked up to life support. During the MTM logo sequence, she goes flatline and dies. This is also due to Mimsie's old-age demise the same year.

    • Fiscus briefly references the long-gone Drs. Ben Samuels, Hugh Beale and Annie Cavanero.

    Trivia (1)

    • Although St. Elsewhere is famous for its cast turnover, a large number of characters appeared on the first episode and right through to the last. They are Dr. Daniel Auschlander (Norman Lloyd), Dr. Mark Craig (William Daniels), Dr. Victor Ehrlich (Ed Begley Jr.), Dr. Wayne Fiscus (Howie Mandel), Luther Hawkins (Eric Laneuville), Dr. Jack Morrison (David Morse), Nurse Lucy Papandrao (Jennifer Savidge) and Nurse Helen Rosenthal (Christina Pickles). Dr. Donald Westphall (Ed Flanders) also appeared in the first and last episodes, but he was not a regular cast member in the sixth season.

    Allusions (2)

    • Valley of the Dolls During a conversation between Mark & Helen discussing how she had just come out of treatment for her dependency on drugs, a Reference is made to the Valley of the Dolls, a book which was later made into a movie.

    • Inside jokes to other TV series finales --and episodes where characters are written out-- abound, including The Fugitive (chasing a one armed-man who is a patient of "Dr. Kimble"), M*A*S*H (Novino is performing an autopsy the man whose plane crashed into St. Eligius, one "Henry Blake"), and a reenactment of the group hug scene in the finale of The Mary Tyler Show, complete with the group shuffling over to get a tissue.

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