Wiki Headlines
We've switched servers and will be updating the old code over the next couple months, meaning that several things might break. Please report issues here.

main index




Topical Tropes

Other Categories

TV Tropes Org
Series: St. Elsewhere
Airing on NBC from 1982-88, St. Elsewhere was the first prime-time Medical Drama in almost a decade to use continuity for Character Development. It would be a model for many shows that followed it, including ER.

It was about the staff, and to a lesser extent the patients, in the rundown Boston teaching hospital St. Eligius (nicknamed "St. Elsewhere"). The show was Soap Operatic at times with frequent doses of Black Comedy, and had numerous Very Special Episodes. It ran for six seasons, appeared to have strong continuity for the most part, was written well enough for the most part that people got attached to the characters, had crossed over with numerous other network properties (most notably sister series Homicide Life On The Street), and it was both popular and critically acclaimed while it was running. It was truly Must-See TV.

...Well, until the controversial Grand Finale. At the end, as the camera zoomed out to show snow falling on St. Eligius, America discovered the horrible truth about the events they had witnessed over the past six years. This final scene continues to enjoy debate to this day, thanks mostly to the proliferation of crossovers both Elsewhere and Homicide enjoyed.

As a result, St. Elsewhere is now remembered as the definitive All Just a Dream series, although it can also be seen as breaking the fourth wall (with the snow globe containing the hospital representing the television set containing all the fictional events, as a metaphorical way to finish the story).

This show contains examples of:

  • Absentee Actor: Dr. Chandler goes to training in Missouri shortly after being promoted to Chief Resident to accomodate Denzel Washington's movie work.
  • Accidental Public Confession: a Type 3 example, when Roberta tells the page nurse about her marital problems with Victor, not realizing she had just turned the hospital's PA mic on while looking for a pencil.
  • All There Is to Know About "The Crying Game"
  • And Starring: William Daniels gets an "and starring as Dr. Mark Craig" credit in the open.
    • Subverted, however, during the final season, in which he's given top billing following the departure of Ed Flanders.
  • Annoying Patient: Mrs. Hufnagel manages to insult, belittle, annoy or offend every single prominent character.
  • Anyone Can Die: Not even Santa Claus and Mimsie, MTM Enterprises' adorable kitten mascot, are safe.
  • Ascended Extra: Dr. Jackie Wade (Sagan Lewis) goes from a character with one line in the pilot to recurring character in the same season before getting promoted to the opening titles in Season 6.
    • Lucy Papandrao (Jennifer Savidge) has a similar arc: she's an uncredited nurse in the pilot's OR scene who appears as a recurring character the same season, with more prominent appearances in the following years
  • Bar Brawl: in the episode "Remembrance of Things Past" between Chandler, Fiscus, Caldwell, Erlich, and some rude drunks. Includes a Bar Slide.
  • Bear Trap Bed
  • Billing Displacement: Denzel Washington is front and center on the DVD box, despite being a supporting player.
  • Break the Cutie: Poor Cathy Martin. After being raped twice and beaten by Peter White, she is irrevocably broken.
  • Break the Haughty: Dr. Craig. His son dies, his artificial heart patient regrets his surgery and then dies, he punches a mirror and injures his hand, leaving him unable to operate, and his wife leaves him and begins an affair with another man. They eventually reconcile. Oh, and in one episode, he's mistaken for being homeless.
  • Brick Joke: Throughout Season 5, Dr. Auschlander makes reference to a news, sport, or cultural event in his conversations with other doctors, with the references going back three years each subsequent episode. By the end of the season, the references are close to the time Auschlander was born. Not coincidentally, his mental state has also degraded to the point where he is like a helpless child.
    • This was done so subtly in the scripts, Norman Lloyd didn't even catch on until the producers told him.
  • Bunny-Ears Lawyer: The nymphomaniac Hospital Hottie, pathologist Dr. Cathy Martin.
  • Butt Monkey: Boomer Morrison, literally.
    • Let's see, his wife dies tragically, his toddler son disappears (but eventually is found), he gets raped during a prison riot by the husband of a former patient in an especially brutal Call Back to Season 1, and then later said rapist escapes prison, stalks Boomer, and finally takes him and his new wife and kids hostage, only to be saved when Boomer's son, who's around six by now, shoots the rapist dead.
  • The Bus Came Back: Shirley Daniels, twice.
  • Bus Crash: Bobby Caldwell's (off-screen) death from AIDS in season six's "Heaven's Skate".
  • Call Back: Early in Season 1, a sociopathic domestic terrorist detonates a bomb in a bank, killing and wounding many, including the bomber. The causalities are brought to St. Eligius, including the bomber. The husband of one of the victims comes to the hospital, and after his wife dies ends up wandering around aimlessly throughout the episode. Finally, when the time comes to transfer the bomber to the US Marshals, the distraught husband appears out of nowhere and shoots the bomber dead. Roll credits. Now, flash forward several seasons. Boomer Morrison is volunteering at a prison clinic, where he ends up treating the husband who's been serving hard time for murdering the bomber. Somehow during the episode, a prison riot breaks out, Boomer ends up being taken hostage by the husband who then proceeds to make with the prison rape. It's stuff like this that makes the show memorable for its continuity.
  • Catch Phrase: Dr. Craig. "Oh, for crying out loud!". And, occasionally, "This is all you're fault, Ellen".
  • Celebrity Paradox: Sort of. In the Season 2 episode "Hello and Goodbye", Morrison takes his son to "the bar that inspired Cheers", but then in the Season 3 episode "Cheers", Dr. Craig and Dr. Westphall visit the bar from Cheers where they interact with the characters from the show!
  • Character Development: Many characters went through this as the show went on, most notably Victor Ehrlich (who matures enough to marry nurse Lucy Papandrao in the last season) and Luther Hawkins (who becomes a protege of sorts to Dr. Auschlander, and ends up becoming a physicians' assistant by series end).
  • Christmas Episode: A particularly heartwrenching one following the death of the Craigs' son, which is also the one where they actually kill off Santa Claus himself!
  • Chuck Cunningham Syndrome: Dr. Ben Samuels and Dr. Annie Cavanero disappear without explanation.
  • CPR (Clean, Pretty, Reliable): Sometimes played straight, but often averted.
  • Cloudcuckoolander: Dr. Cathy Martin.
  • Cross Over: The show had connections with a number of other shows and had minor crossovers with others...including Cheers, of all things.
  • Cuckoo Nest: Either a subversion, or a really hardcore example.
  • Demoted to Extra: Joan Halloran (Nancy Stafford), an administrator brought in by the City of Boston to improve efficiency at the hospital, goes from a regular character in the opening credits in season 2 and having major clashes with Drs. Westphall, Auschlander, and Craig, as well as having a romance arc with Bobby Caldwell, to a recurring character in season 3. Halloran's screen time would continue to be reduced until she ultimately got Put on a Bus after Stafford left to play Michelle Thomas on Matlock.
  • Digging Yourself Deeper: Erlich is an expert at this trope.
  • Downer Ending: The finale's reveal that it was an "All Just a Dream" Mind Screw, although that evidently wasn't enough since the credits make it worse by killing Mimsie, the kitten mascot. You Bastard. note 
  • Dr. Jerk: Dr. Craig and Dr. Erlich.
  • Drugs Are Bad: Dr. Peter White. Also, Helen Rosenthal went into drug rehab due to an addiction to prescription pain killers.
  • The Eighties
  • Everybody Smokes: Especially in the early episodes. Patients smoke in their rooms and doctors smoke in the hallways, and it's all quite jarring for a modern audience.
    • Even series regular Dr Mark Craig finds it disturbing.
  • Every Episode Ending: Every episode ends with the picture freezing on the last few seconds of action.
  • Face-Heel Turn: Dr. White.
  • Funny Background Event: When Westphall leaves the hospital temporarily in the season 4 premiere, a frazzled Lucy Papandrao tells one of the characters she feels like screaming. When the character has a conversation with another doctor, Lucy is seen behind them in the nurse's lounge, screaming.
  • Furry Fandom: The Birdman of St. Elsewhere is probably the Ur Example in mainstream media. Ironically, he's written with considerably more nuance and sensitivity than most people who think they're animals are written on TV today, now that furry fandom is more widely known and heavily associated with squickiness. The show still used him mostly for laughs, although it avoided making viewers look down their nose at him; so when the Birdman decides he can fly away from the hospital by jumping off the roof...nobody's laughing.
  • Gainax Ending: One of the most famous examples; the whole show was just the imagination of an autistic kid. What.
  • Gratuitous Rape: Dr. Morrison couldn't catch a break.
  • Gone Horribly Right: Dr. Craig's artificial heart patient ended up feeling like a freak, with a side of What Have I Become?.
  • Hahvahd Yahd In My Cah
  • Heroic Sacrifice: While he's being treated for a massive heart attack that almost killed him, Dr. Elliot Axelrod's room-mate goes into a Code Blue situation. Elliot, despite being on his last legs, gets out of bed to help as he's technically the closest doctor around. The strain and the stress of cause Axelrod to have another heart attack, but even while dying himself he gets the patient's heart restarted.
  • He Who Must Not Be Seen: Dr. Oliver London (Craig's main surgical rival at St. Eligius) and Robert Wade (Dr. Wade's husband).
  • Hollywood Tourette's: One Very Special Episode featured a homeless woman with Tourette's who spewed profanity and racial slurs.
  • Hospital Gurney Scene: All the time.
  • I Have This Friend: Erlich tries this one a lot.
  • Instrumental Theme Tune: Composed by Dave Grusin.
  • Intercontinuity Crossover: Several, which raises some interesting questions...
  • It Is Not Your Time: Wayne Fiscus' near-death experience after being shot by an ER patient.
  • Jerk with a Heart of Gold: Dr. Craig. He's a rude, arrogant, pompous windbag and has an absolutely atrocious bedside manner. But don't ever question whether he cares about the lives he saves.
  • Killed Off for Real: Duh.
    • Main characters who were Killed Off for Real include Dr. White (shot by Shirley Daniels), Nina Morrison's sudden death due to a freak slip-and-fall head injury, Wendy Armstrong's suicide, Mrs. Huffnagel getting eaten by her hospital bed, Elliot Axelrod's heart attack., and Dr. Auschlander's death in the finale.
  • Loads and Loads of Characters: Especially in the first couple of seasons.
  • Logo Joke: The MTM kitten (Mimsie) meows while in a surgical outfit, which is adorable. At the very end of the Grand Finale, while the audience is still reeling from the epic Downer Ending-All Just a Dream Mind Screw of a final scene, she flatlines and dies. You Bastard.
  • Magical Defibrillator: Frequently, but not always.
  • Marijuana Is LSD: When Dr. Auschlander asks Dr. Fiscus to get him some pot to help with the side effects of chemo, Intoxication Ensues.
  • Maybe Magic, Maybe Mundane: Dr. Fiscus' unconscious young patient is accompanied by a middle-aged woman claiming to be his fairy godmother; a miraculous improvement in the boy's condition and the random appearance and disappearance of the woman have Fiscus wondering.
  • Mind Screw: Guess. Go on, guess.
  • Mistaken for Gay: Dr. Craig and Dr. Westphall, along with Dr. Craig and Dr. Erlich.
  • Napoleon Delusion: "John Doe #6", a patient in the psych ward who suffered from amnesia and imagined himself at various times to be different people including Mary Richards, John McEnroe, and Dr. Craig.
  • Near Death Experience: Fiscus has one after getting shot in "After Life".
  • No Good Deed Goes Unpunished: Dr. Westphall sets up a community outreach program, to have the residents perform community service. Dr. Ehrlich goes to work with inner city youths and gets mugged. Dr Chandler goes to work at a women's health clinic, which is bombed by protesters. The next day, a second bomb goes off at St. Eligius, injuring only him, then goes to work for a suicide hotline a girl calls several times wanting to kill herself. The next morning, she calls back and it seems like she's doing better, then Chandler hears a gunshot. Dr. Morrison goes to work at a prison clinic, and is raped by an inmate.
  • Not What It Looks Like: Several times.
  • Phrase Catcher: Especially throughout Season 2. "You're a pig, Ehrlich."
  • Previously On / On the Next: Just about every episode of the first five seasons began with a summary of previous events that were pertinent to the episode, and some added a little snippet of events from that night's episode. In the final season, they switched to a cold open before the credits.
  • Promotion to Opening Titles: Happened to several characters over the years.
  • Put on a Bus: Several characters, but most notably Shirley Daniels and Bobby Caldwell.
  • Rape as Drama: One season had a running story arc about a rapist preying on the hospital. The rapist was series regular Dr. White, who a nurse ends up shooting dead in cold blood.
  • Recycled In Space: Early ads said it was "Hill Street Blues IN A HOSPITAL!"
  • Revenge: Shirley Daniels shoots Dr. White to avenge the rape of Cathy Martin. If you watch the scene carefully, you'll see that she actually shoots him twice...and, appropriately, the first shot isn't to the heart.
  • Running Gag: Season 2 has every major character call Dr. Ehrlich a pig.
  • Sanity Slippage: The residency program, coupled with marital problems, eventually became too much for Dr. White.
  • Schrödinger's Butterfly: Are all the shows this show had crossovers with a part of Tommy Westphall's imagination?
  • Series Continuity Error: In a Season 2 episode, Dr. Westphall tells a family that he doesn't believe in taking comatose patients off of life support, and yet in the Season 4 Whole Episode Flashback "Time Heals", he is shown personally disconnecting his brain-dead wife from life support, which happened several years before the events of the Season 2 episode!
  • Scenery Censor: A few times.
  • Shout-Out: Oh, goodness. (And yes, these only make the final scene even more strange.)
    • Dr. Craig starts singing "Sit Down, John" from 1776 when the Craigs go to Philadelphia.
    • In one episode, Dr. Beale (the psychiatrist) is heard speaking with someone on the phone: "I'm sure your daughter-in-law isn't a witch, Mrs. Stevens... you saw the sofa levitating?"
    • In the morgue: "Patient #4077, Blake, Henry. Cause of death: plane crash."
    • Reference is made to a one-armed patient being sought by a "Dr. Kimble".
    • In the Season 2 episode "After Dark", Shirley Daniels goes to the morgue to get "the report on that Hasselhoff car wreck".
    • Overheard on the hospital PA at least once: "Dr. Howard, Dr. Fine, Dr. Howard..."
    • Byron Stewart plays Warren Coolidge, an orderly. It turns out this is the same character he played on The White Shadow. When Timothy Van Patten guest stars on the episode "Any Portrait in a Storm," they run into each other. Stewart says "Hey Salami!" but Van Patten tells him he must be confusing him with someone else.
    • Before Victor's wedding, as he's having second thoughts due to a mysterious other woman, Dr. Craig tells him, "This is not 1968. It's time you graduate into adulthood. Don't drive over troubled waters with some plastic bimbette " A shout out to The Graduate (William Daniels played Dustin Hoffman's father in the movie), its theme song singers Simon & Garfunkel, and the famous one word of investment advice.
    • When Ellen Craig suggests she goes into grief counseling after a few events re-trigger her pain following her son's death, Mark Craig dismissively tells her "Simon's Broadway bound". Philip Sterling, the actor who played psychiatrist Dr. Simon Weiss, was appearing on stage in Broadway Bound at the time.
  • The Shrink: Dr. Beale in Season 1, Dr. Ridley in Season 2.
  • Slap-Slap-Kiss: Victor Erlich and Lucy Papandrao.
  • Southies
  • Surfer Dude: Erlich's best friend Dogger. Dogger implies that Erlich also fit this trope before he moved to the East Coast.
  • Surgeons Can Do Autopsies If They Want: Unusually for a medical drama, this is mostly averted.
  • Surprise Pregnancy: Happened to an obese woman in "Hearts", and to a severely developmentally-disabled women after she and a similarly-disabled young man get it on. It's kind of hard to believe this show was on network TV.
  • Talking in Your Dreams: In the episode "Sweet Dreams," Morrison has a nightmare where Peter White talks with him from beyond the grave, and creepily confesses that he deserved to be killed.
  • Title Montage
  • That Came Out Wrong: Erlich, all the time.
  • Too Good for This Sinful Earth: Heart transplant patient Eve Leighton.
  • The Troubles: In the Season 2 episode "Under Pressure", two Irish boys (one Catholic, one Protestant) end up in the ER after fighting. One boy's mother references The Troubles by name.
  • Uncle Tomfoolery: Luther, in earlier seasons; Dr. Chandler even called him out on it. Luther eventually got better in later seasons, first becoming a paramedic and then studying to become a physician's assistant.
  • Vanity Plate
  • Very Special Episode
  • Whole Episode Flashback: The Season 4 two-parter "Time Heals", in which we see St. Eligius in its early days, Dr. Auschlander as a young doctor, and Dr. Westphall as an angry young juvenile delinquent. Also features Dr. Craig as an arrogant, sycophantic resident and Helen Rosenthal as a young newlywed.

Round the TwistSeries of the 1980sSapphire And Steel
Saijou no MeiiMedical DramaTeam Medical Dragon
State Of AffairsCreator/NBCStudio 60 on the Sunset Strip
Stella (US)American SeriesStep by Step

alternative title(s): St Elsewhere
TV Tropes by TV Tropes Foundation, LLC is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 Unported License.
Permissions beyond the scope of this license may be available from
Privacy Policy