"St. Elsewhere" The Last One (TV Episode 1988) Poster

(TV Series)

(1988)

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10/10
A Suitable Ending for a Classic Show
jmdanley4 August 2020
I loved St. Elsewhere. This was a series that could make you laugh you butt off, creep you out or terrify you with it's life-threatening situations, and rip out your heart with some of its twists.

The show had a reputation of reflecting television as a whole with loads of inside humor: A reference to the hospital barber named Floyd was summarized with the joke, "He may bury us all." I wonder if Andy Griffith ever saw that one.

But this episode was the tribute episode to all TV endings, with references ranging from "The Mary Tyler Moore Show" to "Dallas." And, no, I won't provide the spoiler to the ending, but when it first aired, it literally stunned the fans. We honestly thought the hospital would be torn down at the end of Season 5, but when NBC decided to give the series one more year, we got the ending we would talk about three decades later as one for the ages.

Granted, much of the series could be like a soap opera, but with wonderful performances by so many previously unknown actors (and many known ones) and writing that could often charm and sometimes disgust you, this finale gave us fans what we really wanted.
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10/10
Something to think about
ClydeCrashcup2 June 2010
Warning: Spoilers
In the penultimate scene, the autistic child stands at the window and turns. While one fully expects a "gripping" "Hollywood" conclusion by having the son speak for the first time, instead, we are given something REAL about which to think. "St. Elsewhere" always demanded more from its viewers than average television and it did not disappoint in its final moments. That the entire series was a fiction of an autistic child's imagination took nothing away from the message of the series. Rather, it enhanced it by adding an element of medical realism for which the show always strived.

No one knows exactly how an autistic child might "think". The writers left us that to ponder... the television series itself was secondary.
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10/10
The end of a fine series
safenoe11 March 2016
Warning: Spoilers
"I survived St Elsewhere" was emblazoned on the baseball cap worn by David Morse's character as this episode and series wrapped up.

I wish I can get my hands on the cap. St Elsewhere was a thoughtful and controversial series that explored a wide range of issues within a public hospital.

The ending is a classic, with Dr Westphall's son playing a key role as he stars into a snow globe, the implication being the whole series was the figment of his vivid imagination.

St Elsewhere lives on and it's great to see this ending standing out as one of the best endings ever for a TV series.
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A different take on the ending
caladon6 August 2021
Warning: Spoilers
I've always had a different take on the final scene. Rather than everything seen on the show being in the mind of Tommy Westphall, I believe that Tommy actually created the final scene in his mind. Watch the final scene. Dr. Westphall and Tommy are in Dr. Auschlander's office. As Dr. Westphall is sitting in the chair and mourning the loss of his close friend, Tommy is looking out the window at the snow. He then glances back at his dad and sees his sadness and grief. So, he decides to create his own reality in which his dad can be happy again. So, St. Eligius and all it's problems (all the problems that have caused his dad sadness over the years) are now locked away in a snow globe where they can no longer cause his dad sadness. He then brings back Dr. Auschlander as his grandpa, because he was such a father figure to his dad; also neither one is a doctor so no more life and death situations / decisions So in his mind, Tommy has created a happy ending for his dad and Dr. Auschlander.
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10/10
Best!
brian1174316 January 2022
The best ending ever. What all other television final episodes are judged against. You really need to have watched the series to appreciate the final

I think only the last episode of Newheart comes close.
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9/10
Flawed but Fun
Hitchcoc6 April 2022
I'm getting old and wanted to go back and experience this show once again (I hadn't seen it since it's original run). I've commented on every episode in some way. Surprised how few people bothered. This final episode was a little draggy and there seemed to be a few sidetracks. There were an awful lot of goodbyes, which is natural. But we become attached to people in these well done series, from MASH to Mary Tyler Moore, and on and on. They become like family. The final season had a lot of bumps but it was probably because they weren't expected to have a sixth season. Anyway, I've said my piece in all those reviews, characters I liked and didn't like, actions that seemed unlike those tolerated in a real hospital. But I'll put it one the shelf. The snow globe thing at the end. Don't try to make us think that this is someone's imagination. So long!
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5/10
Weak episode
yaornw22 June 2020
If ever an episode felt like people were going through the motions, it was this one, and don't get me started on the silly Tommy Westphall ending. Sure it explains the silliness and lack of seriousness with which medical matters were often treated on this show as far as accuracy goes, but to me it was just lame. I thought so when it first aired, I still think so now. The final season really showed the show and characters had worn out and that's too bad. Because the first three seasons were truly spectacular TV.
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