Fiscus pulls one last prank on Gideon before turning thirty; Morrison and Novino compete to deliver the 100,000th baby at St. Eligius; Dr. Craig puts on the boxing gloves again; and Lucy walks the Freedom Trail with a dying man.

Axelrod's cousin Pee-Wee checks in and checks out Novino; Fiscus tries to help his father deal with his stroke; Mr. Spooner takes his first post surgery steps with the media in full attendance; and Dr. Auschlander considers his future medical treatment.

A man claiming to be the true inventor of the Craig 9000 kidnaps Ehrlich; AIDS patient Brett Johnston's rib injuries have led to pneumonia and he is now determined to break with his lover; Dr. Kiem helps Amy Jeffries, a lonely St. Eligius neighbor; Griffin treats a driven young broker determined to make a million before he dies; Lucy worries that she might be pregnant; Helen returns to work; the company that owns the hospital finds itself sued for infringement and Mrs. Spooner ends her husband's suffering.

Mr. Bevine returns for foreskin reconstruction; Dr. Auschlander seeks an alternative for a fellow cancer patient; Novino frets over Pee-Wee and tests Lucy, who has trouble telling Victor the news; Fiscus returns to work. but has trouble putting his father's death behind him; Morrison's false confidence as `Dr. Adam Logan' evaporates when Pete is rejected by an exclusive private school.

Judge Farnham checks into the hospital with an inoperable cancer (and asking for Floyd the Barber); Rosenthal takes Bobby Caldwell's death very hard; Dr. Craig searches for a date for a skating rink opening; Dr. Kiem is in the middle when she saves the life of a young black man shot by a Vietnamese gang member; Griffin befriends the new chaplain, who's a descendant of the hospital founder, Father McCabe; Novino and Luther compete on the ER simulator and Ehrlich tries to find his elusive parents.

Morrison counsels a family about genetic testing and Huntington's disease; Rosenthal's drug problem causes a death; artist Alex Corey does a shocking piece of performance art; the Craigs proceed with their divorce and the hospital undergoes a name change.

Phil returns from a training course at the Weigert home office; someone takes a shot at Dr. Gideon; Dr. Craig loses Flash during a rescue attempt by animal activists; the new security cameras upset Rosenthal, who continues to lose control; Novino tries to correct a misdiagnosis made 60 years ago, and a show is performed in the children's ward.

Fiscus can't understand his nihilistic cystic fibrosis patient or her punk friends; Dr. Gideon suspends Dr. Craig because of the Spooner malpractice suit; Ehrlich and Lucy are unable to console each other when she miscarries; and Rosenthal admits herself to the chemical dependency unit.

Dr. Craig, Ellen, Lizzie and Novino drive to Peterborough, New Hampshire to visit Dr. Westphall on his birthday; Ellen tries to deal with changes to her hometown; Novino stirs up a lady carpenter; Lizzie finally expresses her resentment; and Dr. Craig almost destroys his friendship with Dr. Westphall.

Wade and Kiley liberate their psyches during a study of OR infection vectors; Dr. Auschlander meets the son he never knew; Morrison and Novino grow closer as they work in the ICU; and Rosenthal adjusts to life in the chemical dependency unit.

Ehrlich stands up to Dr. Craig's verbal missiles; Griffin fails in an attempt to pass along spiritual support; Axelrod faces emergency heart surgery as a patient; Rosenthal finds it hard to face her children during family therapy; and Luther uses Penny's video equipment to record Dr. Gideon.

Brett Johnston's parents come to visit; even in death Axelrod doesn't get any respect; Rosenthal waits for her release while her roommate runs away; Luther proposes to Penny; and Dr. Craig returns to St. Eligius to do a multiple transplant.

An ebullient Novino pursues Morrison; Fiscus tries to revitalize his mother's life; Rosenthal returns to duty; Wade tries to help a dying child deal with her bitterly divided parents; Griffin tests positive for AIDS; Dr. Turner returns and helps Chandler come to a decision about his future; and the Oseranskys return to take Lucy to the ""Doctor of the Year"" dinner, which ends in a flaming disaster.

The Craigs' reconciliation faces its first test; Drs. Auschlander and Gideon struggle together to save St. Eligius when Weigert decides to get out; Novino pushes Morrison to decide between her and Joanne; Griffin places his future in God's hands; Ehrlich returns from his odyssey; and Fiscus' last E.R. patient is a lady from the opera... But is it really over? The jaw-dropping climax culminates in a blue-collared dad placing his young autistic son Tommy Westphall's miniature St. Eligius snow globe on the living room TV set, having summoned him to dinner. ""St. Elsewhere's"" entire six-year saga had all been a figment of little Tommy's imagination!