St. Elsewhere: Season 4
Season 4 Lore Primer
Key plot threads, lore context, and character stakes you need to remember before diving into this season.
- Picks up essential narrative continuity directly following the events of St. Elsewhere Season 3.
- Character alliances, factions, and personal loyalties undergo significant shifts under escalating stakes.
- Addresses unresolved cliffhangers and thematic mysteries introduced during previous seasons.
- Establishes the primary seasonal conflict that drives serialized character arcs toward the finale.
Episode Guide
Season 4 Progress Shield
Remembrance of Things Past
Sep 18, 1985 · 60 min
The hospital review board acquires a new member from the psychiatric floor; Chandler experiences long-suppressed resentments when he treats a Vietnamese patient; and Dr. Turner cou
Fathers and Sons
Sep 25, 1985 · 60 min
The Craigs meet their pregnant daughter-in-law, Yvonne; the Valeres continue to explore ways of having a child; Westphall's new policies irritate the residents and Auschlander; and
Haunted
Oct 23, 1985 · 60 min
The Craigs face a tremendous loss as their first grandchild is born; a newly inspired Dr. Westphall returns to work full of ideas; and Fiscus invites himself up to Dr. Caldwell's C
The Naked and the Dead
Oct 30, 1985 · 60 min
Dr. Westphall tries to deal with his critical sister-in-law and a reluctant hospital board; Luther becomes Axelrod's personal trainer; Roxanne asks Chandler to her recital; Rosenth
Slice O'Life
Nov 6, 1985 · 60 min
Dr. Westphall drives himself too hard and is hospitalized; Yvonne's parents arrive to see their daughter and to claim their grandchild; Terri has in-vitro fertilization; Fiscus mak
Lost and Found in Space
Nov 13, 1985 · 60 min
An astronaut lecturing in Boston collapses and is brought to St. Eligius; Papandrao and Rosenthal continue to clash; Axelrod loses both Marcy and his battle with the bulge; Dr. Cra
Close Encounters
Nov 20, 1985 · 60 min
Dr. Craig arranges to take Yvonne home to her parents; Ehrlich advises a plastic surgery patient behind Dr.Caldwell's back; Capt. Neal arrives to evaluate the astronaut's condition
Watch the Skies
Nov 27, 1985 · 60 min
Mr. Galecki brings Barbara back to the Craigs; Dr. Turner leaves unexpectedly for her sleepy hometown down South; Rosenthal slaps Lucy; Jack takes his remedial exam and Colonel Coc
Sanctuary
Dec 4, 1985 · 60 min
Dr. Westphall learns that his new housekeeper is an illegal immigrant who was tortured by the death squads in El Salvador; a nervous Ehrlich tries to get out of his OB-GYN rotation
Loss of Power
Dec 11, 1985 · 60 min
Life goes on as the generator fails during a city-wide blackout; Caldwell takes leave to visit a dying friend; Westphall shares a stuck elevator with an Irishman; Dr. Craig and Wad
Santa Claus is Dead
Dec 18, 1985 · 60 min
Axelrod tries to keep Santa Claus alive after he collapses at a children's party; Ehrlich tries to brighten the holiday for his only obstetrical patient; Lizzie's boy friend finds
The Boom Boom Womb
Jan 8, 1986 · 60 min
An anti-abortionist targets the hospital for bomb threats and Chandler is involved in trouble at the Boston Women's Clinic; Rosenthal decides what she must do with her youngest son
To Tell the Truth
Jan 15, 1986 · 60 min
Fiscus reluctantly does his outreach work with a couple of feisty old people; Chandler is near yet another explosion; John Doe #6 is claimed by a couple who seem as wacky as he is;
Family Ties
Jan 22, 1986 · 60 min
Dr. Auschlander resents the wealth and influence of the matriarch of an old Massachusetts family admitted for tests; Morrison feels his impending knee surgery; Axelrod tries to get
Family Feud
Jan 29, 1986 · 60 min
The Endicotts learn that their family's medical problems are hereditary; Dr. Caldwell prepares for surgery to eliminate his facial scar, but learns that he carries a more permanent
Family Affair
Feb 12, 1986 · 60 min
The Endicotts try to adjust to losing a family member but gain good news about another; Dr. Caldwell's diagnosis of AIDS causes concern for his friends and a cooling in Fiscus and
Time Heals (1)
Feb 19, 1986 · 60 min
St. Eligius' 50th anniversary spurs memories, including: it's opening in 1935 under the leadership of Father Joseph McCabe, the arrival of recently emigrated Helen Rosenthal and Ma
Time Heals (2)
Feb 20, 1986 · 60 min
St. Eligius' 50th anniversary spurs memories, including: the growing up of Donald Westphall, the arrival of young Daniel Auschlander and his first meeting with Katharine, a drunken
Out on a Limb
Feb 26, 1986 · 60 min
A former nurse returns to St. Eligius as a medical student; a jock desperate to prolong his mediocre career learns the steroids he's using are killing him; Morrison has difficulty
Come Home, Oh Sapien
Mar 5, 1986 · 60 min
Chandler does his outreach work at a crisis hotline, where he draws a suicide on his first night; Ehrlich earns Dr. Craig's approval after he performs well during an emergency; and
Cheek to Cheek
Mar 12, 1986 · 60 min
Novino treats a famous cartoonist whose hands are being crippled by arthritis; Ehrlich ends his OB-GYN stint by examining Mrs. Craig; and Morrison's outreach work at a state prison
Black's Magic
Mar 19, 1986 · 60 min
Dr. Turner returns to St. Eligius in time to deliver the baby of an old patient; Chandler has very bad luck as he searches for her all day; and Dr. Auschlander is trapped in a crac
The Equalizer
Apr 30, 1986 · 60 min
Rosenthal's first husband and youngest son both return to her life; Chandler comes under fire for his activism against apartheid; Dr. Turner finds it hard to let go of the Ettings'
E.R.
May 7, 1986 · 60 min
The residents worry over who will be asked to return next year; the Craigs worry over the ""Doctor of the Year"" award dinner; Fiscus grows obsessed with opening a locked door; Mar