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A Hole In the Heart

Ambush: ER LIVE
Something New
Friendly Fire
When the Bough Breaks
Good Touch, Bad Touch
Ground Zero
Fathers and Sons
Freak Show
Obstruction Of Justice
Do You See What I See?
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Sharp Relief
Carter's Choice
Family Practice
Exodus
My Brother's Keeper
A Bloody Mess
Gut Reaction
Shades Of Gray
Of Past Regret and Future Fear
Suffer the Little Children
A Hole In the Heart

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Episode 091 "A Hole In the Heart"
Original Air Date: May 14, 1998
Written by: Lydia Woodward
Directed by: Lesli Linka Glatter
Guest Cast:
  • Carrie Snodgress - Mrs. Lang
  • Erica Gimpel - Adele
  • David Brisbin - Alexander Babcock
  • Tara Chocol - Vicki McNeal
  • Gina Mastrogiacomo - Ms. Myra
  • Roger Robinson - Mr. Wass
  • Michael Buchman Silver - Dr. Myers
  • Kenneth Tigar - Dr. Keinholz
  • Michael Rispoli - Victor Nable
  • James LeGros - Dr. Max Rosher
  • Brian Lester - Paramedic Dumar
  • J.P. Hubbell - Audia
  • Rick Alviti - Junior Elvis
  • Alice Amter - Dr. Miriam Nagarwala
  • Catie Dinsmoor - Amy Nable
  • Kristy Dinsmoor - Amy Nable
  • Page Leong - Gloria
  • Pete Wilcox - Over-the-Hill Elvis


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Doug and Kerry go up with Josh McNeal, the baby that he was rapid detoxing, to the NICU. Dr. Alexander Babcock, a pediatric anesthesiologist is there and seems to support the treatment and does not see it as Kerry does.  Benton seems to have been embarassed by Elizabeth on their date last night.  She drank too much and requested a song.  Weaver and Greene stay overnight in the ER to see how the baby does.  Mark talks to Carol on the roof about her involvement in the procedure.  He tells her that he understands that she was just following doctor's orders, but she says she did it voluntarily, just as Doug did.  She does not want him to cover for her actions.  Peter takes Reese to day care at the hospital.  The worker there tells Peter that she thinks that Reese is not responding as the other children do.  Peter doesn't seem to notice a problem.  He thinks that he is just adjusting to the new environment.  Carol and Jeanie take care of a man who tried to kill himself.  His name is Mr. Nable and he tells them that it was just an accident and it won't happen again.  They call psych to take a look at him anyways.  Kerry is on her way up to see Anspaugh about Doug and some other things, but Doug has beat her to it.  Anspaugh has already gotten Doug's side of the story and thinks that it was a brave thing that he did for the baby, but he does not condone the way he went about it.  Kerry talks to Anspaugh about wanting to be named permanent Chief of Emergency Medicine since Morganstern resigned.  He bursts her bubble by telling her that they will do a national search to fill the position.  That is the procedure for such as that.  He tells her that her involvement with the Ellis West and Synergix fiasco will not help her.  Carol finds Doug sleeping inside the N.I.C.U. with baby Josh.  It is time to take him off of the respirator.  Dr. Meyers tells Jeanie and Carol that they can not admit the suicidal man because he seems to not be a harm to himself or anyone else.  Two Elvis Impersonators are brought in after a skydiving accident.  Kerry and Mark take care of the old Elvis and Jeanie and Anna tend to the younger one.  Carter takes care of a man who is in a coma. His name is Mr. Lang and his wife tells Carter that he has a brain stem gliobastoma.  He was treated with radiation, but it didn't help.  The doctor had told them that they would have more time.  Josh McNeal's mom Vicki comes to see him.  She is happy for her baby and wants the same done for her.  Benton calls an audiologist to check out Reese's hearing.  Elizabeth learns that Romano is not going to sponsor her next year.  She is worried about not being able to stay in the United States.  Anspaugh tells her that it is too late for the hospital to find someone else to sponsor her fellowship.  Carter learns that his coma patient has a tumor that is causing his cranial pressure and coma.  Lydia tells Carter that a vile of percocet is missing and to be on the lookout.  Carter speaks to Anna about it, referring to Max, and she tells him that it is not him who took it.  She trusts him and resents the accusation.  Kerry is tired of the way nobody respects policies, so she quits as Acting Chief of the ER.  Baby Josh is doing well, but Mark tells Doug that he is still disappointed in the way he lied about it to him.  Max talks with Anna about staying in Chicago. He  tells her that usually when he makes a recommendation for a clinic, they ask him to run it.  He tells her that he usually turns it down, but this time he could be convinced to say yes.  A car alarm continues to go off and it is annoying Jerry.  Mr. Nable is back and sitting in chairs.  He is covered in blood and she is worried that he has hurt himself.  He tells her that it is his car alarm that keeps going off.  She sees that he has a gun on him.  She yells for Mark and Doug to go to his car.  They find three people shot inside of it.  It is his wife and two kids.  Everyone runs out in the rain to assist.  They all have been shot, but they are alive.  He tells Carol that he ran out of bullets and was not able to shoot himself.  His daughter, Amy, is responsive.  Kerry is taking care of her.  Corday and Peter are tending to the mother, she is alert.  Mark is with the son, Steven.  He is not responding and has a hole in his heart.  They take him to surgery.  Jeanie is with the father and he tells her that his wife was going to take the kids away from him.

Reviewed by Tony Conner on 10-23-2000

NBC Review

FRIENDS AND FAMILY AT CENTER OF SEASON FINALE -- Repercussions from Dr. Ross' (George Clooney) treatment of a drug-addicted baby complicate his personal and professional relationships. Nurse Hathaway's (Julianna Margulies) instincts regarding a patient who attempted suicide turn out to be tragically correct. Dr. Greene (Anthony Edwards) treats two Elvis impersonators injured in a parachuting accident. Dr. Weaver (Laura Innes) is angered when hospital politics stand in the way of patient care and her own ambitions. While Dr. Corday (Alex Kingston) is concerned with the future of her fellowship, Dr. Benton (Eriq La Salle) is faced with a new worry regarding his son. After helping the wife of a coma patient with a difficult decision, Dr. Carter (Noah Wyle) confronts Dr. Del Amico (Maria Bello) with his suspicions regarding Dr. Rosher (guest star James LeGros, 'The Myth of Fingerprints'). Gloria Reuben also stars.

TV Guide Review

4finale.jpg (77436 bytes) fourfinale.jpg (49152 bytes)May 14, 1998: A Hole in the Heart: Ross and Hathaway are continuing their controversial and unauthorized efforts to aid a 7-month-old boy born addicted to heroin. But when the procedure is discovered, it could lead to their terminations. Meanwhile, Corday is stunned to receive a brusque letter from Romano concerning her sponsorship; Carter suspects Del Amico's boyfriend when drugs are stolen; and a despondent patient shocks the staff with an unusually vicious and violent act.

TNT Review

Past treatment of a drug-addicted baby complicates Ross' life; hospital politics anger Weaver; Benton worries about his son; Carter confronts Del Amico.