Retro Television Review: St. Elsewhere 1.21 “Baron von Munchausen”


Welcome to Retro Television Reviews, a feature where we review some of our favorite and least favorite shows of the past! On Fridays, I will be reviewing St. Elsewhere, a medical show which ran on NBC from 1982 to 1988.  The show can be found on Hulu and, for purchase, on Prime!

This week’s episode is a much better Dr. Craig episode than last week’s.

Episode 1.21 “Baron von Munchausen”

(Dir by Victor Hsu, originally aired on April 19th, 1983)

Anthony Rizzo (Louis Giambalvo) seems like a nice guy.  He’s admitted to the hospital with complaints of stomach pain and a high fever.  Dr. Morrison can’t find anything wrong with him but he does notice that Rizzo has a lot of scars.  Rizzo explains that he’s had a lot of surgeries over the course of his life and he’s got a story to go with each one of them.  Morrison brings in Ehrlich for a consult.  Ehrlich, who loves to perform surgery, suggests opening Rizzo up and doing an exploratory.  Morrison thinks it’s too early for that,  Rizzo, however, loves the idea.  Rizzo then proceeds to die on the operating table.

Ehrlich is shaken.  Morrison is angry.  However, Westphall and Craig take one look at the case and deduce that Rizzo suffered from Munchausen’s Syndrome.  For whatever reason, he was addicted to going to the hospital and having surgery.  He knew all the tricks, from using a light blub to make it look like he had a fever to pricking his finger with a needle to convince the doctors that there was blood in his urine.  It turns out that he died because of the drugs that he had been taking to help him fake his symptoms.  Both Morrison and Ehrlich are relieved to learn that Rizzo’s death was not their fault.

“So, Ehrlich lost his first patient today,” Craig says to Westphall.  “It won’t be his last.”

This was a good episode for Dr. Craig, especially after all that nonsense last week.  When Westphall finds himself in need of a doctor to speak to a group of inner city medical students, he is horrified to discover that Mark Craig is the only one available.  Craig accepts, saying that Westphall should have asked him earlier.

Westphall’s concerns are justified.  Dr. Craig is opinionated, wealthy, and more than a little prejudiced against …. well, everyone.  “My ancestors came here on the Mayflower!” Craig is quick to say.  And yet, the students love him, specifically because he doesn’t pretend to be anything that he isn’t.  Unlike Westphall, who tries give an inspiring pep talk, Craig is open about the reality of practicing medicine in what this episode refers to as being “the ghetto.”  When asked if his medical student son will be working in a ghetto clinic, Craig replies, “Why would he?”  Craig gets a standing ovation from the students, which felt like a bit much but whatever.  It was nice, for once, to see the show admitting that Craig’s blunt honesty can sometimes be more effective than Westphall’s noncommittal style of encouragement.

Afterwards, in a wonderfully acted scene, Craig asked Westphall why people don’t seem to like him,  Westphall shrugs and then says that Craig can be arrogant, rude, prejudiced, intolerant of other worldviews …. “Thank you, Donald,” Craig cuts him off.

Meanwhile, back at the hospital, a crazy woman (Micole Mercurio) is sent to the psych ward after threatening to kill Nurse Daniels.  (No, leave Shirley alone!)  Dr. Wendy Armstrong, who is one of the worst characters on this show, promptly discharges the woman and lets her leave the hospital.  “She threatened to kill me!” Shirley says while Wendy shrugs, unconcerned.  Fiscus also proves to be of no help, as he is once again feeling attracted to Kathy Martin.

Finally, Dr. White goes to a drug addict support group and walks out when things get too emotional.  Booo!  Dr. White is even worse than Dr, Armstrong!

This was a good episode.  Next week, the season finale!