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And in the End...

"And In The End..."
ER episode
Episode no. Season 15
Episode 22
Directed by Rod Holcomb
Written by John Wells
Original air date April 2, 2009
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ER (season 15)
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"And in the End..." is the 331st and final episode of the American television series ER. The two-hour episode aired on April 2, 2009 and was preceded by a one-hour retrospective special.

Dr. Tony Gates (John Stamos) treats a teenage girl in a coma with alcohol poisoning after she played drinking games with her friends. Gates calls the police when he discovers that the parents of the girl's friend supplied the alcohol, and has the friend's father arrested. Later, the girl's parents arrive and request she be transferred to Mercy Hospital. Before she can be transferred, the girl finally awakens but just thrashes around and is sent for a new CT to diagnose possible brain damage.

Dr. Julia Wise (Alexis Bledel), new to County General, treats a homosexual HIV-positive patient who has severe breathing difficulties. It is discovered he has terminal cancer. With the support of his partner, he decides not to seek treatment, as he has already outlived most of his friends who died at the height of the AIDS epidemic in the 1980s.

An elderly patient named Beverly (Jeanette Miller) is brought in by a fire engine with a broken wrist, and comments on Dr. Archie Morris' (Scott Grimes) "soft and strong" hands. She is later claimed by her daughter, as she had wandered off before her accident. She returns later, having wandered off again but otherwise not further injured.

A married couple comes in with the woman going into labor with twins, and John Carter (Noah Wyle) and Simon Brenner (David Lyons) handle the delivery. During the delivery of the second baby, complications set in. It is discovered that the mother has an inverted uterus, and requires an emergency caesarean section. The second baby requires intensive care, and the mother ultimately dies as surgeons attempt to fix the complications.


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