

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!
One month after St. Eligius was shut down, it is reopened by The Ecumena Corporation and its head of medicine Dr. John Gideon. Meanwhile, Dr. Craig is offered the opportunity to design an artificial heart, which the younger doctors jokingly call the ""Craig 5000.""