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[[quoteright:320:http://static.tvtropes.org/pmwiki/pub/images/ER_Season_12_6411.jpg]]
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* LongRunnerCastTurnover: The series transplanted most of its original cast over the fifteen seasons; while some (Susan Lewis) came back and then went away again, and some of the characters came back in the final season, the final cast was composed of none of the members of the original cast. This even gets lampshaded in the final season. One of the new characters meets one of the original characters and they realize that the staff of the hospital changed so much over the years that they have no common acquaintances. All the people who worked in the hospital when the original character left already stopped working there by the time the new character arrived.
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** "Be Still My Heart" and "All in the Family" in season 6 are just as tear jerking.
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** Benton himself gets a moment like this in the Season 7 finale, where he ignores a patient's repeated assertions that he doesn't want any treatment and is ready to die, to the point where he prepares him for a blood transfusion and surgery once the man passes out. It's pretty bad for a doctor who's been objective almost to a fault to so blatantly ignore and override his patient's wishes like that.
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Changed line(s) 29 (click to see context) from:
** Also in the pilot, Dr. Morgenstern tells Dr. Greene, "You set the tone, Mark. You get the unit through this", referring to Carol's suicide attempt. The departing Carter says the same to Dr. Morris.
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** Also in the pilot, Dr. Morgenstern tells Dr. Greene, "You set the tone, Mark. You get the unit through this", referring to Carol's suicide attempt. The departing [[spoiler:and dying]] Greene later says the same to Carter, and the [[RunningGag departing Carter says the same to Dr. Morris.]]
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* KarmaHoudini: Definitely Jen Greene, arguably [[TheDogBitesBack Mark in season 7 and Sam in season 13]].
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* KarmaHoudini: Definitely Jen Greene, arguably [[TheDogBitesBack Mark in season 7 and Sam in season 13]]. And definitely Kerry WEaver as well. From Season 6 onward, she began to pull numerous duplicitous stunts in order to advance her career and never once incurred punishment for any of them, eventually becoming Chief of Staff.
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* WhatTheHellHero: As fate would have it, the psychopathic [[AbusiveParents abusive father]] that went on a killing spree targeting Dr. Greene's family landed in County General, having been shot by the cops. Dr. Greene personally puts takes him up to surgery. When he codes in the elevator, Greene uses the defibrillator and shocks the air in the killer's plain view. You can see the panic in his eyes as he slowly dies.
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* WhatTheHellHero: As fate would have it, the psychopathic [[AbusiveParents abusive father]] that went on a killing spree targeting Dr. Greene's family landed in County General, having been shot by the cops. Dr. Greene personally puts takes him up to surgery. When he codes in the elevator, Greene uses the defibrillator and shocks the air in the killer's plain view. You can see the panic in his eyes as he slowly dies. Did the man deserve to die? Certainly--at the hands of a judge and jury, ''not'' a doctor betraying his profession.
** Also in the Season 6 finale, when Luka refuses to take his less critically injured patient off a helicopter in favor of Benton's more severely-injured one. Why? As he says to Benton, "Your patient killed people!" Benton tells him that that's not their call to make, to no avail. Sure enough, the man dies because he's unable to reach the hospital in time. In fact, Luka has many moments like this throughout his tenure on the show, tending to treat his AssholeVictim patients with utter contempt rather than remaining objective.
** Also in the Season 6 finale, when Luka refuses to take his less critically injured patient off a helicopter in favor of Benton's more severely-injured one. Why? As he says to Benton, "Your patient killed people!" Benton tells him that that's not their call to make, to no avail. Sure enough, the man dies because he's unable to reach the hospital in time. In fact, Luka has many moments like this throughout his tenure on the show, tending to treat his AssholeVictim patients with utter contempt rather than remaining objective.
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Changed line(s) 150 (click to see context) from:
* WhamEpisode
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* WhamEpisodeWhamEpisode: One of the most notable was also one of the first, "Love's Labour Lost," featuring Dr. Greene trying to save a pregnant woman and her child. [[spoiler: He succeeds with the latter, but not the former.]]
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* WhatTheHellHero: As fate would have it, the psychopathic [[AbusiveParents abusive father]] that went on a killing spree targeting Dr. Greene's family landed in County General, having been shot by the cops. Dr. Greene personally puts takes him up to surgery. When he codes in the elevator, Greene uses the defibrillator and shocks the air in the killer's plain view. You can see the panic in his eyes as he slowly dies.
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* ScarySurpriseParty: a RunningGag where the staff would trick a co-worker into thinking they were needed for a medical emergency, only to happen upon their surprise birthday party.
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* ScarySurpriseParty: a RunningGag where the staff would trick a co-worker into thinking they were needed for a medical emergency, only to happen upon their surprise birthday party.party/welcome back party/going away party/bridal shower/baby shower.
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* BerserkButton: Abused children, for Dr. Doug Ross. Which makes perfect sense, seeing as he was one. FridgeBrilliance kicks in when you realize this is probably why he became a pediatrician in the first place.
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* BerserkButton: Abused children, for Dr. Doug Ross. Which makes perfect sense, seeing as he was one. Even ''more'' FridgeBrilliance kicks in when you realize this is probably why he became a pediatrician in the first place.
** Also in the pilot, Dr. Morgenstern tells Dr. Greene, "You set the tone, Mark. You get the unit through this", referring to Carol's suicide attempt. The departing Carter says the same to Dr. Morris.
** Later in the pilot, Dr. Greene offers some words of encouragement to rookie med student Carter. Carter uses these exact same words with rookie med student Gallant.
** Later in the pilot, Dr. Greene offers some words of encouragement to rookie med student Carter. Carter uses these exact same words with rookie med student Gallant.
* InspirationallyDisadvantaged: Kerry. Despite her disability, she is consistently depicted as an uber-competent doctor. In fact, her abrasive personality (rather than warm and fuzzy) might even make this a subversion.
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* HotMom: Quite a few characters. Carol, Sam, Abby, Corday.
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* HotMom: Quite a few characters. Carol, Sam, Abby, Corday.Elizabeth.
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* BetweenMyLegs: This shot is used when [[http://www.youtube.com/watch?v=1f_WGbwXb70 Abby is taking pictures of Neela]].
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** When treating his infant daughter for a drug overdose, Greene hesitates to do everything that he knows deep down is medically necessary, to the point where Kerry gently, but firmly takes over the case, pointing out that had this been anyone else's child, he would have intubated her immediately, but is reluctant to cause such discomfort to his own.
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* BilingualBonus: In one episode, Luka recited part of Hamlet's "To be or not to be" soliloquy, and lapsed into Croatian after a few lines. Crosses over to ShoutOut also, as Goran Visnjic's biggest role up to that point had been a Croatian production of the play.
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Changed line(s) 92 (click to see context) from:
* NaiveNewcomer
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* NaiveNewcomerNaiveNewcomer: The med students were almost always this.
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* ScarySurpriseParty: a RunningGag where the staff would trick a co-worker into thinking they were needed for a medical emergency, only to happen upon their surprise birthday party.
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** Notably, Carol was actually meant to succeed in her suicide attempt in the pilot, but Crichton and Wells were impressed with Juliana Margolis and kept her on.
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** Notably, Carol was actually meant to succeed in her suicide attempt in the pilot, but Crichton and Wells were impressed with Juliana Margolis Margulies (as were test audiences, who were also intrigued at the hints of a past with Doug Ross) and kept her on.
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* HotMom: Quite a few characters. Sam. Abby. Corday.
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* HotMom: Quite a few characters. Sam. Abby. Carol, Sam, Abby, Corday.
* LastEpisodeThemeReprise: After dropping it for the past several seasons, the original theme song was played over the beginning and end of the final episode.
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** Lampshaded in "All in the Family" when Benton operates on Carter after his stabbing. Benton is so distraught at Carter's condition that he nearly removes a salvageable kidney and has to be talked down by a senior surgeon.
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** Lampshaded in "All in the Family" when Benton operates on Carter after his stabbing. Benton is so distraught at Carter's condition that he nearly removes a salvageable kidney and has to be talked down by a senior surgeon. Meanwhile, Romano insists on trying to revive Lucy, whereas with a patient he had no connection to, he would have been objective enough to acknowledge that she was gone.
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*** Doug rushes to Carol's engagement party to tell her he loves her. She screams at him to leave her alone, and her fiance punches him. *** Mark runs to the train station to catch the departing Susan, only to have her gently rebuff him and leave anyway.
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*** Doug rushes to Carol's engagement party to tell her he loves her. She . .she screams at him to leave her alone, and her fiance punches him. him.
*** Mark runs to the train station to catch the departing Susan, only to have her gently rebuff him and leave anyway.
*** Mark runs to the train station to catch the departing Susan, only to have her gently rebuff him and leave anyway.
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* BerserkButton: Abused children, for Dr. Doug Ross.
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* BerserkButton: Abused children, for Dr. Doug Ross. Which makes perfect sense, seeing as he was one. FridgeBrilliance kicks in when you realize this is probably why he became a pediatrician in the first place.
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** Surgical intern/resident Dale Edson (Season 2 and 3).
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** Naked Finnish air hostess, fresh from the shower, to greet Greene and Ross upon arriving at Ross' apartment in "Do One, Teach One, Kill One."
--> "You know, the Finns are remarkably un-self conscious." Dr. Doug Ross
--> "You know, the Finns are remarkably un-self conscious." Dr. Doug Ross
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*** A dog randomly hit in the hospital parking lot gets mouth-to-mouth from Carter in the first season.
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** ER desk clerk Randi Fronczak's outfits in general. See also Cynthia Hooper (Mariska Hargitay) turning up in the doctor's lounge in nothing but lingerie and a trench coat to seduce Mark Greene.
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* ShoutOut: In the final episode, a patient stated that "I am the Chosen One, I am [[{{Pokemon}} Lugia]]."
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* ShoutOut: In the final episode, a patient stated that "I am the Chosen One, I am [[{{Pokemon}} [[VideoGame/PokemonGoldAndSilver Lugia]]."
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* MeaningfulEcho[=/=]PassingTheTorch: "You set the tone" was a commonly repeated phrase in the series.
** It was first told to Dr. Greene by Dr. Morgenstern in the pilot.
** When Dr. Greene is leaving County [[spoiler: to die from his tumor]] his last words to John Carter was this phrase.
** When Carter was leaving he told this to Morris. Though it did take Morris a few years to be ready to set it, he would become one of the best doctors in the hospital.
** It was first told to Dr. Greene by Dr. Morgenstern in the pilot.
** When Dr. Greene is leaving County [[spoiler: to die from his tumor]] his last words to John Carter was this phrase.
** When Carter was leaving he told this to Morris. Though it did take Morris a few years to be ready to set it, he would become one of the best doctors in the hospital.
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Changed line(s) 97 (click to see context) from:
* RaceForYourLove: At least two notable aversions--(1) Doug rushes to Carol's engagement party to tell her he loves her. She screams at him to leave her alone, and her fiance punches him. (2) Mark runs to the train station to catch the departing Susan, only to have her gently rebuff him and leave anyway. But the best played straight example is of Carol rushing to catch a plane to Seattle in the hopes that it's not too late to reconcile with Doug.
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* RaceForYourLove: RaceForYourLove:
** At least two notableaversions--(1) aversions:
*** Doug rushes to Carol's engagement party to tell her he loves her. She screams at him to leave her alone, and her fiance punches him.(2) *** Mark runs to the train station to catch the departing Susan, only to have her gently rebuff him and leave anyway. But anyway.
** Played straight:
*** Carter buying a ''$9,000'' plane ticket to Japan so that he can get past security and get to the gate to give one last kiss to his departing girlfriend Kem.
*** Carter again racing through the streets of Paris to get to Kem's place and declare his love for her.
*** The bestplayed straight example is of Carol rushing to catch a plane to Seattle in the hopes that it's not too late to reconcile with Doug.
** At least two notable
*** Doug rushes to Carol's engagement party to tell her he loves her. She screams at him to leave her alone, and her fiance punches him.
** Played straight:
*** Carter buying a ''$9,000'' plane ticket to Japan so that he can get past security and get to the gate to give one last kiss to his departing girlfriend Kem.
*** Carter again racing through the streets of Paris to get to Kem's place and declare his love for her.
*** The best
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Changed line(s) 97 (click to see context) from:
* RaceForYourLove: Mark runs to the train station to catch the departing Susan, only to have the trope AVERTED when she gently rebuffs him and leaves anyway. Also, Carol races to catch a plane to Seattle in the hopes that it's not too late to reconcile with Doug.
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* RaceForYourLove: At least two notable aversions--(1) Doug rushes to Carol's engagement party to tell her he loves her. She screams at him to leave her alone, and her fiance punches him. (2) Mark runs to the train station to catch the departing Susan, only to have the trope AVERTED when she her gently rebuffs rebuff him and leaves leave anyway. Also, But the best played straight example is of Carol races rushing to catch a plane to Seattle in the hopes that it's not too late to reconcile with Doug.
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** A in-universe example: The crew cures a homeless girl wo turns out to be on the run from a CureYourGays-institution. A person from the facility shows up to take her back, but Carter refuses to release her... by claiming that she is pregnant.
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** A in-universe example: The crew cures a homeless girl wo who turns out to be on the run from a CureYourGays-institution. A person from the facility shows up to take her back, but Carter refuses to release her... by claiming that she is pregnant.
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** Laura Ceron (Chuny) and Deezer D (Malik) appeared in more episodes than anyone other than Noah Wyle and Laura Innes...all with guest star billing.
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* DemocracyIsFlawed: * Luka Kovac expresses a belief similar to this to John Carter in the first episode of [[AuthorTract the "Doctors Without Borders" arc]].
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* DemocracyIsFlawed: * Luka Kovac expresses a belief similar to this to John Carter in the first episode of [[AuthorTract the "Doctors Without Borders" arc]].
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* DemocracyIsFlawed: * Luka Kovac expresses a belief similar to this to John Carter in the first episode of [[AuthorTract the "Doctors Without Borders" arc]].
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* CreepyCockroach: One episode has a woman who gets a small cockroach removed from her ear. She immediately freaks out and stomps on it.
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* EverythingsCreepierWithCockroaches: One episode has a woman who gets a small cockroach removed from her ear. She immediately freaks out and stomps on it.
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* MagicalDefibrilator: Defibrilators are actually generally portrayed accurately on this show. There was maybe one exception, and it was mentioned that they were desperate and trying everything they could at that time.
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* MagicalDefibrilator: Defibrilators MagicalDefibrillator: Defibrillators are actually generally portrayed accurately on this show. There was maybe one exception, and it was mentioned that they were desperate and trying everything they could at that time.
