A cuore aperto

This series concerned St. Eligius, a hospital in a less fashionable section of Boston, and the day-to-day lives of its staff and patients. The institution had acquired its unfortunate nickname from statements made by doctors at other institutions to the effect that, if patients could not afford treatment in a respectable hospital, they would have to go to "St. Elsewhere." Nevertheless, St. Eligius consistently showed itself to be a place full of concerned and highly skilled medical personnel.

The central character was Donald Westphall, the chief of medicine and also the one in charge of the new residents who came in every year (St. Eligius was, among other things, a noted teaching hospital). He was depicted primarily as a caring, understanding, and reserved (even repressed) individual, but he could also be seen slugging it out occasionally with the administration, his residents, and even his colleagues if the situation required it

The other two "old-timers" who were present throughout the run of the series were Daniel Auschlander, the chief of services, who had already been diagnosed with cancer in the first episode but wouldn't seem to die (though he certainly talked about dying enough) and Mark Craig, the brilliant and extremely pompous heart surgeon who always said exactly what was on his mind to everyone, regardless of the reaction it got. Craig`s favorite target by far was young Victor Ehrlich, a tall, blonde California surfer dude who also happened to be a skilled surgeon. Ehrlich, though, was content to good-naturedly absorb the barrage of insults as best he could and go on learning from the master. (Ehrlich, unfortunately, was only slightly more adept than his mentor in interpersonal relations, and his conversations with other residents frequently ended with them telling him, "You're a pig, Ehrlich," and walking off.)

Other main characters in the sizeable cast included people every part of the hospital, from the residents to the regulars at the nurse's stations to people in custodial services to patients to administrators. As in real life, doctors came and went every couple of years, with some making greater impact than others. Indeed, the "star" of the series, David Birney, was gone after a single season. (It should be noted that, though the bulk of the hospital staff consisted of men, there were also women in highly visible and well-thought out roles as well, or were at times anyway.)

"St. Elsewhere" was much more soap opera-like than "Hill Street Blues," and this effectively drew viewers in and kept them in year after year. In the last seasons, there were radical changes in plotline (the hospital was bought by a large corporation, which brought with it brand-new management styles), and the cast seemed to change more frequently. There were also more episodes that tried to stretch beyond the established formula of the series. One flashback episode, for example, showed the young resident Mark Craig sucking up to HIS mentor, which was a delight to watch. The final episode proved to be the most strange and surreal, and left most longtime viewers dumbfounded.

For me, the series was marred slightly by that fact that, as in previous series created by Bruce Paltrow ("Lou Grant" and "The White Shadow"), the producer's politics too often became an integral part of the series. In practically every episode, it seemed, there would be a conversation between a doctor and a patient`s relative in which the latter would inform the physician about the percentage of Americans affected by some unfair law, or the exact number of cases of such-and-such a societal problem that were reported in the previous four fiscal years. The intent was good; had it occurred less frequently, it would have been far less annoying.

When it appears in syndication, "St. Elsewhere" can easily become an addiction, even if you have seen episodes three or four times already. The writing was at a very high level, the characterizations were three-dimensional and complex, and the medical situations intriguing. One becomes very interested in how the characters deal with their problems, and what twists and turns their lives will take. There is sufficient comedy mixed in with the serious plots to allow the easing of your pain after serious conflicts have arisen, and there are even some inside TV jokes thrown in once in a while for those who can catch them. Yes, there is far too much melodrama sometimes, but even that can be fun.

("St. Elsewhere" is often mentioned in the same breath with "Hill Street Blues." They were both hour-long, big-cast dramas of the 1980s, both with several plots going on at the same time, both were made by the same production company, and both were part of the "revitalization" of NBC, which by the end of the decade was not at all the "joke" network it had been ten years before. "St. Elsewhere" and "Hill Street Blues" were fine programs, though "Hill Street" was easily the best drama of the decade.)

The two part episode that spanned St. Eligius' history from 1935-1985 was the best show ever on TV. The great thing about the show is that you never know if things will wind up good or bad, and the show likes to use your own memory of previous shows rather than beat you over the head with them.

This is a wonderfully scripted, well-acted drama which takes place in the fictional Saint Eligius hospital in Boston. The ensemble cast is perfect, with stellar performances by William Daniels, Ed Flanders, and Norman Lloyd as the long-practicing doctors who hold the hospital together. The series follows the physicians, residents, and staff through their personal and professional lives, with just enough humor and pathos to keep it all interesting. Especially notable is the two-part episode dealing with the 50th anniversary of Saint Eligius. The flashback sequences really tie to the current stories, help fill in blanks and make you understand more fully certain characters' actions and quirks. I highly recommend this series. It is currently being shown on Bravo (cable network). Look for it!

Prior to this show,shows set in hospitals tended to have a "Cahracter first" element to them(i.e. "Ben Casey,M.D.,"Dr.Kildare","Marcus Welby M.D.","Trapper John M.D.")or else had a sort of generic quality of efficiency and heroism(think "Emergency!" of even the soap opera "General Hospital")attached. This show,a stubborn NBC offering okay-ed by legendary head of programming Brandon TArtikoff that managed to stay on the Wednsday at 10 EST/9 CST for the entirety or near entirety of its five year run.

Featuring a collection of renowned veteran actors(Ed Flanders,Norman Lloyd and William DAniels),durable vet character actors(Ed Begley Jr.,Stephen Furst,Christina Pickles,France Nguyen,Alfre Woodward and Bonnie BArtlett)and an eclectic blend of young up-and-comers(Denzel Washington,Mark HArmon,David Morse,Stephen Furst and Howie MAndel. Yes,THAT Howie Mandel),this show would tackle all sorts of once-ignored and taboo subjects such as AIDS,Autism,abortion,rape and The right to die. The show's later seasons would reflect the ratings-challenged series' standing,and would ultimately create a more surreal,less grounded storyline follow-through that would create a conclusion that would NOT sit well with many loyal viewers,among them myself, Still,this show's production,writing and acting would be the ground-layer(word I just made up!)for such dramas as "ER","House" and "Grey's ANatomy". It's tempting to say that a show that's over a quarter-century old and has been off the air for just over twenty years would now be quaint,but I have a funny feeling that many(if not all)of the plot lines and story arcs of this show would carry fair weight now as well. Since it was never that popular in syndication,I would suggest one request to buy this from your friendly Borders or Barnes and Noble or have your local vid store or library rent it out. A lasting legacy of not only smart television but a model of "little shows that could",due to the loyal,stubborn following of dedicated viewers.

From my first attraction to its offbeat name, St. Elsewhere grabbed me like no other show I've ever seen! The characters were more real than most of the people I know! Many other quality shows have followed in its wake, but none quite seem to touch St E !!!

Named for St. Eligius (patron saint of the downtrodden), this fictitious hospital is staffed by a unique group of ultimately good people who really do want to help the sick and injured. The storyline contains many threads and themes and allows the viewer a uniquely compassionate and often humorous look at human foible seeping through attempted altruism, sometimes with better results than others.

A number of renowned actors either graced this show with appearances, while more regulars' careers were advanced through being on this show. All in all, well worth catching on syndication, wish I had a DVD library of all of the episodes!!!