Karen's Magnificent Chicago Hope Episode Guide

Season 4


4X1:Guns 'n' Roses

4X2:The Incredible Adventures of Baron Von Munchausen...by Proxy

4X3:Brain Salad Surgery


This is one of the best CH episodes ever! You might think, alright, the whole cast singing, Aaron's dream, it all sounds kind of ridiculous, right? Well, that's what I thought before I saw the episode, but really, it's a lot of fun. Mandy Patinkin appears in a guest appearance as Dr. Jeffery Geiger.
This episode is about Aaron Shutt. The episode begins with him having a very bad day, which turns much much worse once he has an aneurysm. He has to have brain surgery, so the hospital calls in a famous neurosurgeon who was taught by Shutt, Dr. Potters, to perform the operation. Throughout the ordeal, Aaron has multiple hallucinations of the cast singing various songs including: "I think I'm Going out of My Head", "Luck be a Lady", and several others. Overall, it's surprisingly enjoyable.

4X4:Sympathy for the Devil

4X5:...And the Hand Played On

4X6:The Lung and the Restless


This episode is perhaps one of the most interesting and revealing episodes of the season. It does not have any outstanding events in it, but overall it is very well done.
The episode begins with Billy revealing to Diane that he has been accepted to go on a "floating hospital", in which he is to give medical aid to the impoverished in Central America. Diane, however, has other things on her mind, as she realizes that she is pregnant, but does not tell Billy. In the end, she does reveal her pregnancy to Billy, but to her surprise, he decides that he is still going to go away on the floating hospital. Also in this episode, Jack McNeil discovers that he has a "hole" where gambling used to be for him. He fixes a miniature model for one of his patients but is dismayed when she does not marvel at his talent for miniature-making. Austin treats a boy who needs a lung transplant and finally gets a lung from his sister who has Down's Syndrome. Lastly, Dennis reveals to Aaron that he is gay.
As I stated before, a lot of things are discovered in the episode, like Dennis being gay and Diane's pregnancy. The whole part with McNeil is very amusing, and Austin's story is touching at times.

4X7:White Trash


In this episode, Diane and Dennis are treating a girl who has given birth to a baby but then threw it in a dumpster. Diane expresses her utter disgust for what the girl has done while Dennis tries to remain rational. At the end of the episode, Diane reveals to Dennis that she is pregnant.

4X8:Wingin' It

4X9:Cabin Fever

4X10:All in the Family

4X11:On Golden Pons

4X12:Broken Hearts


Philips "old flame" Stephanie Sirone returns when her son Luke is admitted to the hospital. Diet medication endangers the life of a pregnant woman, whom Kate later must perform heart surgery on. Another woman, Christine Druckhamer will not believe Diane, Keith and Aaron, who tell her that she is not pregnant. The relationship develops between Jack and Lisa and Jack decides to leave Karen Wilder behind. Kate is haunted by demons after killing Eli and wants to talk to Diane about it, but Diane tells Kate that the three of them all need to deal with it separately. At the end of the episode, Lisa is afraid to go out to her car in the dark by herself, and Jack walks with her.

4X13:Memento Mori

Pregnant Diane feels unattractive. Catera is asked by a nun to examine a young girl with apparent stigmata. Aaron admits the young girl into psych. An old friend of Kate's father, Walter, is in the hospital and Sarah visits him. Kate thinks that he needs surgery, but a new computer program tells her that surgery would be the worst possible thing for him. She decides to believe the computer, but later realizes that surgery is what Walter needs and must perform it after Walter has a thoracic aneurysm. Billy wants to organize a staff retreat when he feels tension between staff members. When the girl with stigmata kneels naked to worship and offer herself to Aaron, he tries in vain to find a way to communicate with her and find out why. When a massive power outage befalls Chicago, Sarah gets stuck in an elevator with Cacaci's son, Jack McNeil, Julio, an orderly, and a dead body. Jack eventually teaches the two children to live their lives rather than worry about death. Wilkes runs into a drunk Scottish electrician who is too drunk to fix the hospital's generator and needs Wilkes help to fix it. Philip's window caves in during the storm, throwing him to the floor (my sister, who happened to be watching, said that his fall was pathetic and fake-looking).
Through conversation, Wilkes learns that the electrician's wife left him, so Keith tells the man to apologize and do everything he can to make their marriage work again (Keith knows from experience). When the girl with Stigmata disappears, Aaron searches for her, and finally finds her behind a curtain. She wants him to give her confession, so he does. When she reveals that her mother made her have an abortion, Aaron "forgives" her. It turns out that her mother was a heroin addict who pushed her into prostitution.
Kate's surgery on Walter is successful and afterwards, she and Sarah discuss faith. Sarah decides that although her mother does not necessarily believe in heaven, Sarah herself wants to.
At the end of the episode, Lisa asks Jack about his Catholicity, and he reveals that he has the faith that he'll make it to the end of each day and he'll be alright. The episode ends with the two of them making snow angels.

4X14:Psychodrama

This episode is a tribute to Alfred Hitchcock and is in black and white. Philip thinks that he's seen a murder and wants it investigated. Danny gives Kate a bird which later gets loose in the hospital and defecates in a patients open chest cavity, along with causing many other problems in the hospital. Jack's criminal brother Sean comes to the hospital and meets Lisa. Diane goes in serach of her birth mother, but instead of finding her, finds another strange woman who is pretending to be Diane's mother. At the end of the episode, Diane is upset to learn that her birth mother is dead. Kate reveals to Aaron that she and Danny are seeing each other, but of course, Aaron already knew about their relationship.

4X15:The Tie that Binds

4X16:The Things We do for Love

4X17:Liver, Hold the Onions

Billy gets himself and Diane kicked out of lamaze class. A mother and two sons come into CH after having been poisoned by mushrooms that they picked for spagetti sauce. The father and husband must choose which of his sons is to receive a liver transplant from him. Billy tries to find liver transplants for the mother and the other son, but one of the sons rejects his new liver.
Aaron treats a woman who mutilates herself and has personality disorders. Through hypnotherapy, she reveals that her father abused her. Her father later visits Aaron and accuses him of planting ideas in his daughter's head.
The funniest part of this episode is when Kate and Joe Cacaci are sent to a sensitivity seminar. Cacaci really gets into it, but Kate hates it. Back at the hospital, Cacaci reveals to Kate that he's a failure in love because he's been married 5 times and he and his current wife, Melody, are bickering. Kate has to console him in the elevator - very amusing.

4X18:Waging Bull


This episode does not take place at the hospital. In fact, the setting is Las Vegas, where Doctors Watters, Wilkes, Shutt, and McNeil are for a series of medical seminars. This episode does have several funny moments, like when Watters, Wilkes and Shutt continually get lost, when Shutt discovers that Wilkes sleeps in the nude, and when Wilkes gets Englebert Humperdink to sing for Aaron. On the other hand, the main purpose for this eppy is to develop Jack's character. Jack meets up with an old friend, now a teenage boxer, and decides to watch him fight. The boy loses his boxing match, and later on collapses in the shower. His quick death is unsettling for Jack, to say the very least. After that, he soon turns to gambling and sex to satisfy his anger and sorrow. His gambling addiction continues as he loses thousands of dollars and then tries to gamble with some teeangers outside of the casino. They steal his money and stab him, leaving him in the street alone. This is an interesting episode, because it depicts Jack in a boxing ring himself, to show that he is losing control. Pretty cool, pretty thought-provoking.

4X19:Objects are closer than they Appear

4X20:Deliverance

4X21:Bridge Over Troubled Watters

4X22:Risky Business

4X23:Absent Without Leave

4X24:Physician, Heal Thyself


Season One Episode Guide
Season Two Episode Guide
Season Three Episode Guide
Season Five Episode Guide 1