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05x19 - Rites of Passage

Episode transcripts for the TV show, "St. Elsewhere". Aired: October 26, 1982 – May 25, 1988.*
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Set at the fictional St. Eligius Hospital, a decaying urban teaching hospital in Boston's South End neighborhood.

05x19 - Rites of Passage

Post by bunniefuu »

I'm looking for Dr. Westphall. He's expecting me.

Down the hall, that way.

Second door on the left.

Thank you.

Come in.

George?

Here I am, back in the house McCabe built.

You look great.

Ryan, this is Dr. Westphall.

He and I were best friends when we were growing up.

Hi, pal.

I'm worried Donald.

Ryan's been feeling lousy the last couple of weeks.

Coughing, peeing a lot, boy, out of sorts.

Yeah, I know.

I talked briefly with your doctor.

Let's have a look at you, pal.

You're in a little funk, are we?

Yeah, a little.

Hospital.

Yeah.

Open your mouth, will you?

You thirsty all the time?

Okay, well, let's check in and do some tests, all right?

Don't worry, George.

Have a seat.

Somebody will be down to get you, eventually.

Why don't you just put that speech on tape?

What are you up to, anyway?



This the kind of material you were doing
before you got shot?

Drug center rehab, your sense of humor too huh?

Off the dope, back to the old Julie McPhail.

I thought you were getting patient histories.

This looks like a college transcript to.

Tulane?
- Can you keep a secret?

No - I'll tell you anyway. I'm changing a grade.

- I got an incomplete in Iilroy's English class.
- You've been out of school for 10 years

you've got a medical degree what the hell's the difference?

Well ever since my near demise

I've been tying up some loose ends
and the occasional nurse.

This Scarlet I has been
gnawing at my craw for the last few years.

Not anymore.

Excuse me.

What can I do for you?

I'm in labor and I'm in management.

Could you tell Dr. Morrison I'm here?

Mrs. Tillman, Melissa Tillman.

Would you page Dr. Morrison to admitting?

Please.

Hello.

Hi.

Oh, I think I better sit down.

Get her upstairs stat and be sure she's well taken care of.

Why?

What's it to you?

That woman's having my baby.

Okay, hop out.

Lizzie, you always put them on.

Do you want some help?

No.

Okay, I'll be back in a while to take some blood.

From your neck.

Eh, a little old.

I'd do that.

I'll do that in a second.

Bring any comics?

No.

Useless.

Any hot-looking sisters gonna be visiting?

All mine are ugly.

Shame.

What's wrong with you?

Don't know.

Ditto.

Something in my arm.

You're slicing Marcus open tomorrow.

Heart surgery.

Imagine that.

Some dack touching your bare heart.

What's wrong with you?

Shh.

He's a m*rder*r.

Doctor.

Great.

These pajamas have holes in them.

Call the nurse.

How?

Push that button over there.

There's a code all right who's the wise guy him.

Ehrlich is supposed to assist me on a
valve replacement in 20 minutes.

Have you seen him?

He called earlier today, this morning.

In fact, he said he had to go out of town unexpectedly.

For the knick-knack paddywhack,
give the dog a bone, this old man came rolling home.

Daniel, I have been thinking about the hospital being sold.

Don't know why, but these old nursery
rhymes have been running through my head all morning.

Now that Boston
General has passed... Knick-knack paddywhack?

What were the poems intended to mean?

Instead of waiting for the city to palm us
off on god knows who, we should be

actively looking for a buyer that we can live with.

Oh, I agree.

Some group with a large cash flow,
rooted in humanitarian goals.

An organization that has withstood
crusades, reformations, inquisitions.

Yes, well, while you're talking to the
Elks Club, I want to pursue my own angle.

Hickory dickory dock, the mouse
ran up the clock, the clock struck one, the mouse ran down.

Why?

Maybe he got tired of talking to you.

The square root of 64 minus the square
of 2 plus 6 divided by 2, and the angle of the dangle is 5.

I hate homework.

Took a lot of blood.

Yeah, with local vampires, they take it from everyone.

And what's your name?

What's your name?

Ryan.

Elvis.

My mom freaked over Elvis Presley.

I don't mind being named after him because
I hear before he was a fat greaser,

he got lots of women.

Elvis?

I'm Dr. Novino.

Here to take you down to your bone skin.

Wow.

Into the wheelchair.

You've got ravishing eyes.

Great starting.

Dog.

Hey, what's your name?

Geez, I'm so out of touch, you know.

I have no idea what you've been doing or anything.

After the Navy, I started a construction outfit.

I lost that business and a couple others along the way.

Now I'm a ground foreman for a big contractor in the city.

So how was it you managed to keep your hair?

Lucky, I guess.

Been married long?

Second time.

You?

My wife died.

Haven't been able to find anyone else.

Plenty of those around.

Just got a look.

Kids?

Yep, two.

Daughter and son.

How old's your boy?

Tom, he's ten.

No, he's eleven.

It's about the same age you
and I were when we stole an old man Melton's pocket watch.

Ha, ha, ha, ha, yeah.

Yeah.

I can see him now laying up in that barber
chair with a towel over his fat face.

Perfect setup, wasn't it?

You distracted Sean, and I lifted that
pocket watch right out of his vest pocket.

Got away clean.

God, it was beautiful, wasn't it?

I mean, it was all solid gold and gray,
and that long gold fob on it, and you and

I sat there for hours staring at the damn thing.

Thought we'd get caught if we pawned it.

And then we buried it in an old coffee can out in the park.

Our time capsule.

Hospital, our secret.

Dr. Westphall, I have these lab reports for you.

Can it wait, Elliot?

I thought you might want to see this.

Okay, thank you, Elliot.

Yes, sir.

Big man, St. Eligius.

Something wrong?

Ryan's lab reports.

It's what I suspected when you brought him in, George.

I don't want you to panic.

Your boy has diabetes.

Diabetes.

Still don't remember me?

Sorry.

I visited you on the day you were artificially inseminated.

I left you a savings bond?

Oh, yeah.

My husband and I could never figure out why.

Well, it's hospital policy.

Every hundredth patient gets a share of America.

What did the ultrasound show?

Melissa, you and the baby are going to be fine.

But... But?

What?

You went into false labor.

I'd like to keep you for another day or two.

How dilated is the cervix?

Sometimes, false labor can trigger the real thing.

Oh, no.

There's nothing to worry about.

Can I see you in the hallway?

Sure.

I'll be right back.

Somehow I knew you'd say that.

I looked in the chart and her records, and
I didn't see your name associated with this case anywhere.

My involvement with the Tillmans is confidential.

Come on, Fiscus, the truth.

Wayno!

Beat it, Elliot.

Yeah, I just laid down.

Get out.

Okay.

Nine months ago, I was engaged to be married.

That's not important.

Caldwell had just gotten A*DS.

I had my semen freeze-dried for posterity,
left it in the sperm bank.

Oh, yeah, I remember.

By mistake, it got inseminated.

And Mrs. Tillman.

Yep.

Ever since I died, I've had this amorphous memory
of talking to the mirror about things I hadn't done yet.

Having a child.

You've got a family.

You take it for granted.

But I'm not even close to being married now.

And the next time I die, I'm afraid it's
going to be forever.

So this child may be my only legacy.

Powerful stuff.

You understand my crisis?

No, I'm talking about your protein.

Huh?

Mrs. Tillman.

She's going to have twins.

That hurt?

I guess you'll get a couple
of months in a juvenile detention center for this, huh?

You know, when I was 14, I was running for student council.

Council, trying out for the cross-country team.

Never mind.

You robbed a liquor store?

Yeah.

What are they going to do to you?

Nothing.

I'd be scared.

Figures.

Can I ask you another question?

No.

Get in bed, son.

Ryan, we have to talk.

The bone scan will help us locate the
source of your infection.

What do you listen to on that thing?

The classics.

Beethoven?

Mozart?

Beastie Boys.

Listen, you just lie there and don't move, okay?

Once the radioactive dye has been absorbed by your bones,
then and someone will be here to take you down for a scan.

And then I'll meet you in a few hours.

Once you're finished, okay?

Do you have a deal where if a kid finds
out that he's really sick, he can get what he wants most?

Yes, we have a grand a dream program.

Good.

Under the B, nine.

I don't have time for all this.

Nonsense, you paid your buck.

Monsignor Dock, you're director of medical
operations for the Archdiocese.

You've got to be able to help us.

Under the N, 33.

Church built our hospital.

I can't fathom you'd let it fall into the wrong hands.

We sold it to the city.

What could be worse than that?

Made a pretty penny, too.

I'm trying to patch together a quilt, a consortium, if you
will, of all the religious leaders of the area.

To get them to put
pressure on their denominations to come through with large.

...

denominations.

Under the O, 69.

Can I count on you, Monsignor?

You don't have a prayer.

I've been raising money for the Catholic
Church for 40 years now.

I come back here every week where I began,
raising nickels and dimes.

Frankly, Dr. Auschlander, the charitable
climate has become so complex.

What with the new tax reforms and the
severe drop in the church's enrollment.

I'm sorry.

I just can't help you out.

Our hospital was named after one of your saints.

How will he feel looking looking down from
heaven when the place is converted into condos for yuppies.

You know, I remember attending the
original dedication ceremonies.

You think there's life in the old gal yet, huh?

Absolutely, but what's more important is we can't take
the risk of finding out if I'm wrong.

I-19.

I'll talk to the cardinal.

Bingo.

Well, it's a start.

No, I win.

This is what a syringe looks like.

How long will that take the shots?

The rest of your life.

Do you get used to it?

Yeah, after a while.

What I want you to do now is practice, all right?

Now pretend this is your thigh.

You put the needle in quickly.

It's like that.

Pull the plunger.

Make sure there's no blood in there.

There.

Then you push the plunger all the way
down, pull the needle out.

That's it.

What if I don't have the shots?

Ryan, diabetes is a very dangerous disease
unless you take these treatments.

I won't be able to.

Plenty of time.

There's no rush.

Come on, give it a try, tiger.

I'll see you later.

Damn it, Donald.

Georgie's gonna be fine.

We stabilize his blood sugar.

Doctor, as soon as we can teach him how to give
himself those Insulin injections, you can take him home.

My baby boy.

Look, why don't we go out and have a beer later?

Someday, alright?

On me.

That's a good idea.

I'll call a wife.

I know how to drive a car.

Uh-huh.

Okay, have a good day.

See you, Carol.

See you.

Okay, lights out, show's over.

And you, get some sleep.

It'll be over tomorrow.

Okay, good night.

And I mean it.

I think Carol's into me.

What you doing, right, Brett?

Prayers.

Kidding.

No.

No.

Who do you pray for?

My parents, my brothers and sisters, and our dog.

Who comes first?

What do you mean?

When you say, God bless so-and-so, who comes first?

I don't know.

Mom, I guess.

You mean you love her the most?

No.

Why don't you come first?

Just us.

Well, Mom would have to come first.

She and I are the only people in our family.

If I prayed, it would be for myself.

What about your family?

Never knew.

You know, foster kid.

I could pray for Carol to come in here
tonight, pull off her clothes.

Couldn't you imagine her naked?

That's not what prayers are for.

Who says?

For other people.

I'll say one for you.

Henry's gotta be around here someplace.

I'm gonna go find him.

And they wheeled me into extra solace room
with enormous machine like Star Trek so

cool I'm gonna see what it was god bless
everyone this is dumb it's cold and I'm

hungry four five let's go have dinner seven eight 8, 9, 10.

Ten paces from the oak tree.

No, George, it was five paces.

Fine, fine.

You dig there, I'll dig here.

We planned to dig up this time capsule
again when we were old.

I guess we qualified.

Ryan, poor kid.

Think he'll make it to our age?

Sure he will.

Look, George, diabetes is a serious
disease, but it's controllable.

It doesn't have to destroy the quality of Ryan's life.

What if the cops come?

We're defacing public property.

You certainly haven't changed.

Start digging.

You always were fearless.

I remember you jumping between those
subway tracks, catching rats.

And those postcards?

Fresh from Paris, France.

Always took care of my downy boy, didn't I?

I was always afraid of going to hell.

Well, the McCabe's the one who had you
believing in damnation.

You know, all I really want to do right
now is go to dinner.

Center, shut up and start digging.

Rats.

We let the new owners exterminate them.

No, I'm looking for an X-ray of a hand,
a kid, Michael Skelton.

These here?

All these first year students never put
anything back where it belongs.

That's strange.

What?

Supposed to be an X-ray of a teen.

Yeah?

Growth plates are closed, bones in the
wrists are I got a 14-year-old kid with a 17-year-old hand.

Mr. Tillman?

Yes?

I'm Dr. Fiscus.

I'd like to do an examination.

Is there a problem?

He's the one that's been bothering you.

I just have some questions.

Has she been smoking, taking drugs, drinking coffee?

Listen, pal, Dr. Morrison knows those answers.

We're not irresponsible people.

Heartbeats are strong.

You have any idea how difficult it's been
for us to reach this point?

Point, frustration, humiliation.

They're kicking.

We've used up our life savings on this one
roll of the dice.

Oh, man.

You come hovering around here uninvited.

You're not our doctor.

You're not our family.

Okay, that's it.

Stop it, Frank.

Get away from my wife.

Not my new crown.

I'll be right back.

Do you think.

She saw us?

If she did, she would have screamed.

Come on, let's get back to work.

I'm a head of a hospital, for Pete's sake.

How's this gonna look?

Bad.

Very bad.

But at least we won't have Father McCabe
to haunt our souls.

You know, he came to the hospital a couple months ago.

You know, I could never understand the
fascination he held for you.

Sitting in that confessional, claustrophobic,
breathing in his drunken breath and stinking clothes.

Who could respect that?

George, I can't believe you're still teed off at me.

What?

For confessing what we did to Nolte.

Wait a minute, I'm not still teed off.

Look, after we stole his watch,
I had to tell someone, all right?

I wanted Father McCabe to absolve me of that sin.

In return for that, he made you a doctor.

That's stupid.

Yeah, I think you're right.

I think it was five paces.

From that point on, he looked at me as if
I was scum, because I wouldn't go to his

lousy confessional, get on my knees, and beg his blessing.

Hey, Peters!

Coffee the globe photo of the two of us VE
day yep tooth oh yeah my brother Larry's I

knocked it out in a snowball fight
remember Frankie Frisch wonder how much

that's worth that's all wait wait what do
you mean that's all what happened to the

old man Elton's pocket watch I know it's I
know it's not there.

Well, I know it's not there.

Where the hell is it?

Uh, George, I never had the guts to tell
you that, uh, after I confessed,

Father McCabe and I came over here and we
dug up the capsule and we gave the watch back to Knowlton.

You stupid b*stard.

You always wear a goody two shoes.

News.

Four, five, one, two, three, four, five.

What happened, Abby?

One, two, three, four, five.

Mommy!

I thought I'd find Henry someplace.

He was shot when we knocked over the liquor store.

Look.

Two.

Together, Lucy and Ehrlich.

I tell you, they eloped.

That's a couple.

I mean, Lucy's hard enough to deal with,
but having Ehrlich as her husband?

Then again, the way things are
going, their marriage will probably last a million years.

I really.

Didn't think we'd meet this way.

I thought you'd enjoy seeing our medical complex.

In Newburgh, New York.

Just 45 minutes in the corporate jet.

Wish I could come back there, but we need
a co-pilot, and I enjoy taking the stick.

Don't worry about me.

Feel free to move about the cabin.

Now, I understand you want us to buy a hospital.

St. Eligius.

Dumb.

Yes, well, uh, my thinking was that a health maintenance

organization like
yours could operate St. Eligius very profitably.

The Magna Fujiyama Network isn't looking
for I assure you, in purchasing St.

Eligius, you'll be acquiring top-notch
medical personnel, including myself.

And you'd be serving a community solely in need.

Do you know what medicine is, Dr. Craig?

Sure.

A big ticket.

Starts before you're born and is there when you die.

And that means money.

Millions of dollars a day.

Demand never dries up.

I think the key is efficiency.

And the key to efficiency is throwing out
what isn't working.

We'd have to make some major changes.

Well, we're a team at St. Eligius.

You'd be a wise choice to head to hospital.

When do you think you can make your final decision?

Better take your seat.

We're heading for some turbulence.

Nice jet.

Want to see what this baby can do?

Uh, no.

Hang on.

On.

Hi.

We got your bone scan back.

Shows a small infection in the bone in your arm.

Should be fine.

We just need to do what they call a biopsy.

Make a small cut, take a sample of bone, find out
what kind of drugs we need to use to fight the infection.

Patient.

I called your mom and told her she's
coming to see you this evening.

I'll come by later to take you down for the biopsy, okay?

You really missed it.

She's got some... Who cares?

What's your problem?

Finished.

I'm gonna die.

I know it.

Put the seat up here.

You're back.

What's wrong with it?

No, you've returned.

I'm out.

Yeah, I'm not feeling too well myself.

I bought Boomer some lunch, then he got
beeped to go deliver some twins,

so I had to finish both meals myself.

What?

Hey, I'm not going to let a 335 tuna casserole go begging.

No, the twins.

Did you happen to catch a name?

Oh, I don't know.

Pillman, Dillman.

I didn't catch a name.

Hey, sh**t.

Finish that out for me, will you?

Marcus coming back today?

Afraid not.

Put him in another room?

Mm-hmm.

Where?

We'll go see him.

You can't.

It's off limits.

Just lying.

Where'd they move him?

Maybe he goes somewhere else after surgery.

Like Henry.

Marcus is dead.

No way.

She didn't say Marcus was dead.

I didn't say he was alive either doing.

Great honey come on 15 more seconds and
you're out of it Melissa watch the fetal

monitor watch the monitor and see you're
almost finished I can't take the pain

anymore sure you can sure you can come on
we're almost there all right now you're

finished take your cleansing breath baby's
heart rate is accelerating Fiscus get him

out of here come on hey where the hell are
you going we're miles away from delivery I'll be right back.

You were close to medical history.

You were going to be the first doctor to be
sued for malpractice by a patient he never treated.

I know I can't tell the children why I care so much.

I just want to make sure my children are fine.

In here.

Give me the ID.

Huh?

The ID.

Until these babies are born, you are a civilian.

Come on.

You're not acting like a doctor.

Why should you be treated like one?

Give me the belt.

Hi.

Very good.

Alright, now it's time for the real thing.

Don't be afraid.

How you doing?

I don't know.

I ain't a doctor.

Yeah, you ain't a lot of things.

Like 14.

See, I can tell by your x-rays.

Case.

So, how old are you?





Don't turn me in.

Why'd you lie?

I had to tell the cops I'm underage.

They find out I'm 17, they'll put me on
trial for felony as an adult.

Not a kid.

I don't want to go to jail.

You should have thought about that before
you robbed that liquor store.

Please, don't tell anybody.

Just give me a break.

You're gonna have to take the
responsibility for yourself sometime.

Please.

You can't always claim you're a kid.

Expect to get off scot-free.

I can't.

I know it's scary, but give it a chance.

Relax.

You'll be all right.

No.

Leave me alone.

Are.

You all right?

No.

What's the matter?

Cancer.

I'm filled with cancer.

Cancer.

I see.

I'm a dead man.

People who have cancer don't always die from it.

Well, I got it real bad.

You can't give up.

No matter how tough the fight,
hope is still our greatest weapon against the disease.

I have cancer, too.

You do?

Cancer of the liver.

Where's yours?

It started in my arm.

And then it must have spread.

Red.

To there.

My Murphy.

p*nis?

Last night when I was sleeping,
white stuff leaked out of me.

I don't want to die.

Did you have a dream last night?

About a sexual encounter, perhaps?

A what?

Something about a woman.

Kind of?

In my guess.

Yes, based on dim memory, is that you
had a nocturnal emission, otherwise known as a wet dream.

Is that anything like cancer?

Not in the least.

The start of something bigger and much better.

Your sexual awakening.

The hormonal springtime, a vital part of puberty.

You became aroused by the dream, and your body
responded to the feeling of pleasure by having an orgasm.

The white stuff was of sperm.

Wow.

Does that explain things?

I guess so.

This is only the beginning.

Welcome to manhood.

Thanks.

Well then, now let's get you back to your room.

I really wish I could cure my cancer as easily.

Jack?

Some bad news for you.

Nick.

What is wrong with this country?

Can't the system protect innocent people?

So much for justice.

What am I going to do?

Helen, any coffee?

Decaf.

Great.

Barbara Doris.

Lost my marbles.

Well, everyone feels stressed from time to time.

Hide out in here as long as you want.

Oh, no, no, no.



My best Aggie, George Deaton, beat me out
of it cheating at keepsies.

He always had the upper hand.

After the fire that k*lled my family,
Pop and I moved into the Deaton apartment.

Department.

George and I always shared the same
room for the same bed a year and always in trouble together.

Yeah.

Kids need the opportunity to mess up.

You know, we tell them to learn from us, but they can't.

They have to make their own mistakes.

Yeah.

Well, let's see, my conscience started to emerge, right?

Always had that streak of morality in me.

And, uh, well, it was Father McCabe who
really put a fire to it.

But that never happened to George.

So I had to decide between what my sense of right
was and, uh, My blood brother, and he felt I betrayed him.

He said, I love that guy, and I hurt him.

I'd like to make things up with
him, but I don't suppose it'd make any difference, would it?

Marcy and I are finally beginning to
understand one another.

Take a real crisis and several pounds of chocolate, but
next time you see a friend, tell him how you feel.

Glad he's gone.

On.

You know, with that kind of tobacco
consumption, he's not going to see the baby's graduation.

Why do men give out stogies anyway?

No one smokes anymore.

Did I tell you I was going to have twins?

Twice.

Used to be everything was up in the air until game day.

But now with amnios and sonograms, it's a lot less mystery.

I always wanted to be a
father and play third base for the I know my time's passed.

And besides, they got bogs for at least a generation.

My kids will be next.

Yeah.

Teach them to keep their head down for
ground ba*ls, hit inside curves.

It's a boy, Captain Walker.

It's a boy.

Hey, all right.

Congratulations.

So who do I celebrate with?

I hope Marcus isn't here.

Come here.

I wonder.

What his life being did.

I told him not to carry a g*n.

Oh.

All of a sudden, the guy in the liquor
store is pulling the g*n.

And then he fires.

And Henry fires.

There's Henry.

And he's lying in a pool of blood,
twitching, making these noises.

He's my friend.

Ah, Daniel, I've been looking all over for you.

As I have for you.

How'd your meeting go?

Promising.

Nursing.

Yours?

Hopeful, I think.

What's your plan?

I'm sure yours is better.

No, no.

You first.

I'd rather not.

Me neither.

Fine.

Then to hell with you.

Hi.

Can I take Ryan home?

Well, his lab tests are looking better and
blood sugar's leveled out.

Doesn't seem
to show any adverse effects from the Insulin, so

as long as you stay close to a family doctor, he's all
yours.

In summer, we used to come
back by this hospital on the way home from Fenway, remember?

Exhausted from all that hollering.

Yeah, we felt we'd been part of something.

Good days.

Friendships are rare, you know.

Never had one like ours.

Nope, neither have I.

You know, we ought to plan to get together
every now and then.

Okay, good.

Old times.

Yeah, sure.

Sounds good to me.

I'll call.

Deb, you call.

Whichever.

Terrific.

Take care, Donnie.

Yep.

Oh, hey, Dr. Fiscus, wait up.

I'd like to have a word with you.

Melissa and the kids, they're doing fine.

Oh, that's nice.

I'm sorry I punched you yesterday.

Dr. Morrison told me the reason for your stupid behavior.

When we found out we couldn't have kids, it was my fault.

That hits a man where he lives.

It's so hard accepting someone else,
father of your children.

But you did us an extraordinary favor.

And I'll be grateful to you forever.

But I can't live my life wondering if you're standing
in the dark looking through the bushes of the babies.

I need your word you won't ever try to see them.

I promise.

Well, then come with me.

Come on, Rye Crisp.

Jam that baby in.

Two.

Hey, Mike, where are you going?

Leaving the kiddie ward.

Why?

I don't belong here.

I'm 17.

I'm supposed to be an adult.

Henry will never get any older.

Come on.

Give yourself the old spike.

Wait a minute.

You can do it.

It's gonna hurt.

Gotta grow up.

Look, I'll scream for you, alright?

Push the stuff in.

Right, man!

You can do this solo!

Wicked!

No problem.

Meet Darcy Tillman.

And Kyle Tillman.

This is... C.J.

Tillman.

Patrick.

A few months ago I was shot.

Almost never opened my eyes.

And when I did, all I saw was a dead world.

People discarded like trash on the
streets, friends grown bitter and strung

out on drugs, the ER overflowing and under
financial pressure to cut back.

My last hope became as negative as the world around me.

Now I'm beginning to see I was given a second chance
at life so that I could participate, add, not subtract.

Tinker to Evers, It's a chance.

Wow.

TORONTO 2015 PAN AM,

PARAPAN AM GAMES.