The fans had written in demanding a show that showed them the Fugitive's back-story. Stanford Whitmore wrote a script where Kimble, racked with hunger and fever, is taken in by a Puerto Rican hooker who learns about his back-story from his delirious ravings, which became flashbacks to the events of Helen Kimble's murder. Producer Quinn Martin took one look at it and said "A Puerto Rican hooker?" It was changed to a San Francisco airline stewardess who, upset with her boyfriend, is driving while crying and accidentally hits Kimble, thus causing the delirium.
We find out that Helen Kimble wanted to have a baby but not only was their first attempt stillborn but he was so damaged she could not have babies in the future. At home afterwords, Kimble suggested adoption but she was against it, refusing to accept that she couldn't have babies. The argument got so heated Kimble left to clear his mind. He paused by a river and saw a young boy fishing. Then he drove back, almost running over a one-armed man running for him house and went in to find his wife dead. The young fisherman never saw him and neither did anyone else, although they heard the argument. Nobody saw a one-armed man except Kimble.
When the fever breaks and Kimble regains consciousness, he finds the stewardess, (played by the stunningly beautiful Pamela Tiffin), knows his history but won't turn him in because she's guilty about the accident and she believes him. But they still have to deal with her boyfriend, played by Ed Nelson, (he'll will be back in another role in episode 24), who doesn't want Kimble around.
When the movie "The Fugitive" came out in 1993, ABC decided to rebroadcast the final episode, "The Judgement". But they wanted to broadcast an episode that showed the back-story so they showed "The Girl From Little Egypt" rather than the actual premiere, "Fear in a Desert City", which referred to the events of Helen Kimble's death but did not show them.