ER

Season 15 Episode 22

And In the End...

4
Aired Thursday 10:00 PM Apr 02, 2009 on NBC
AIRED:
9.3
out of 10
User Rating
299 votes
31

EPISODE REVIEWS
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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.moreless

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SUBMIT REVIEW
  • About the episode

    10
    It got great directing.
  • Epic ending to one of the most amazing tv shows

    10
    You know what I loved most about this epi is that they played the intro theme song one more time. In all the time i've watched ER they have never shown you a full view of the hospital. I loved it. Everyone wrote their own opinion about who should have come back for this epi and who got more air time blah. I thought it was a perfect ending and it left you with a feeling of continuity for all of the characters. If you have a creative imagination like I have thinking about what comes next for everyone is easy. lol :).moreless
  • Goodbye my best friend..... ER

    10
    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.moreless
  • 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.moreless

    10
    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.moreless
  • Final episode was just tieing loose ends and reverting back to how they started...Great show!!!!!

    10
    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!!!moreless
Laura Innes

Laura Innes

Dr. Kerry Weaver

Sherry Stringfield

Sherry Stringfield

Dr. Susan Lewis

David Lyons

David Lyons

Dr. Simon Brenner

Alex Kingston

Alex Kingston

Dr. Elizabeth Corday

Parminder Nagra

Parminder Nagra

Dr. Neela Rasgotra

John Stamos

John Stamos

Dr. Tony Gates

Alexis Bledel

Alexis Bledel

Dr. Julia Wise

Guest Star

Ernest Borgnine

Ernest Borgnine

Paul Manning

Guest Star

Cara Buono

Cara Buono

Lisa Salamunovich

Guest Star

Hallee Hirsh

Hallee Hirsh

Rachel Greene

Recurring Role

Thandie Newton

Thandie Newton

Makemba "Kem" Likasu

Recurring Role

Dominic Janes

Dominic Janes

Alex Taggart

Recurring Role

Trivia, Notes, Quotes and Allusions

FILTER BY TYPE

  • TRIVIA (6)

  • QUOTES (17)

    • Banfield: What is that?
      Morris: Meatlover's special. You want a piece?
      Banfield: You'd better call a cardiologist and schedule your first angioplasty.

    • Morris: (about the weather) Global warming? A couple of scientists should spend April in Chicago.

    • Brenner: People need help and you know how to help them.
      Wise: And if I can't help them?
      Brenner: You do the best you can. Then you go home, get some sleep, and come back the next day and you help the next one.

    • Carter: (at the opening) I don't want to try your patience by rambling on too long, but I hope you'll bear with me for a moment while I talk about why we chose the name The Joshua Carter Center. My wife and I had a son, and we named him Joshua. And he died. And it seems so senseless... That we... My wife and I, we've struggled to find some sort of meaning in it. And in the aftermath of our small tragedy, we realized that we could make a difference in other people's lives, other people experiencing their own small tragedies. And that made, somehow, the loss of Joshua bearable. (pause) Thank you so much for coming.

    • Carter: Kinda quiet today, huh.
      Frank: (sarcastically) Yeah, I'm thinking of pulling out a crossword puzzle just to fill the time.
      Carter: I just had lunch with Susan Lewis and Kerry Weaver.
      Frank: Really? How is the old dragon lady?

    • Tony: (about her birthday) Are you going to do anything special?
      Sam: Like what?
      Tony: I don't know; get a tattoo, go skydiving, hang out with your friends.

    • Chaz: Isn't this a nurse's job?
      Haleh: And why God created med students...

    • Tracy: I saw a rat over there by the dumpsters. I thought it was a cat at first.
      Gates: Call Jerry. I'll have
      maintenance bring down a couple of extra traps.
      Tracy: More like a couple of shotguns. That thing was the size of a beaver.

    • 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!

    • (Neela can be seen on the computer screen in a video conference)
      Carter: How's the teaching going?
      Neela: Oh, I've got mostly R3s. Very polite. They follow me around like ducklings.
      Carter: I'm sure they're in awe of the depth of your surgical brilliance.
      Brenner: It's either that, or your exceptional beauty.
      Neela: I think they may just be stupid.

    • (Morris joins the video conference with Neela)
      Morris: How's life on the bayou?
      Neela:(she gives a short laugh) The bayou is like, a hundred miles away, Morris.

    • Banfield: (as they are walking away from a curtain area) Gates, is it my imagination, or is Dr. Carter, who is not on duty, by the way, in Trauma 1 with a patient demonstrating IV placement to a college student?!
      Gates: What?
      Banfield: Never mind. (she approaches Jerry at the admit desk) Jerry, why is Dr. Carter performing medical procedures on our patients?
      Jerry: Uh, because he's a doctor?

    • (out in the ambulance bay, while he, the paramedics, and a nurse quickly wheel in a burn victim)
      Carter: (to Rachel) Dr. Greene. (he holds her gaze as he passes her, then says with a hint of a smile) Coming?
      (she smiles back, with a look of amazement, and hurries after them into the ER)

    • Carter: (to Rachel) So, hey, you want to come see what a real doctor does for a living?
      Susan: Oh, yes! A doctor in an underfunded, over-utilized insane asylum that passes for an urban medical center.
      Rachel: I'm in!

    • (about the Carter Center)
      Weaver: Wow! I, I can't believe you were actually able to pull this off!
      Carter: You had doubts?
      Weaver: No. (wryly) I, I was pretty sure you were going to fail.

  • NOTES (8)

  • ALLUSIONS (2)

    • 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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