ER
A Hole in the Heart
TV Flash files “A Hole in the Heart” as the last listed hour of season 4 — ER (1994–2009) on NBC, season 4, episode 22, aired 1998-05-14, 60 min.
From the desk
How this hour is filed
This leaf is S04E22: listed hour 91 of 331 in the ER guide, last listed hour of season 4. It aired 1998-05-14 (60 min). The listed hour before it is “Suffer the Little Children” (S04E21). Next is “Day for Knight” (S05E01).

Catalog log
Broadcast listing — not a TV Flash recap.
Greene and Weaver threaten Doug over his unauthorized treatment of Josh McNeal. Dr. Max Rosher ingratiates himself with Anspaugh. Corday receives a letter from Romano informing her that he won't be sponsoring her the following year. A despondent patient shocks Carol with an unusually violent act. Kerry becomes upset when Anspaugh tells her that even though she has been Acting Chief of Emergency Medicine for a year, the hospital still plans a nationwide search for a permanent one. Carter accuses Max of taking some Percocet from a medicine cabinet. Benton arranges a hearing test after a day care worker tells him Reese is not responding to sounds as the other children do.
Viewer FAQ
Where does A Hole in the Heart sit in the ER guide?
S04E22 is listed hour 91 of 331 — last listed hour of season 4, season 4 episode 22.
When did ER S04E22 air?
A Hole in the Heart aired 1998-05-14 and is listed at 60 minutes.
Do I need all fifteen seasons?
No. The first five (1994–99) are the contract and the star-factory peak. Seasons 6–8 still pay debts, including Greene's exit. After that, graze by cast you care about. The 2009 closer works as a building farewell even if you skipped late innings.
In the series
Why this series still plays
For the handheld contract that still governs medical TV: overlapping trauma, a camera that cannot leave, and a star factory that — in the hours that matter — pays a human bill instead of shipping a trailer. Velocity first; the famous exits are footnotes.
The first thing ER does, on September 19, 1994, is refuse to stand still. 24 Hours is not a premiere that introduces characters so much as a thesis about attention: overlapping cases, a camera that behaves like a person who cannot leave, and a county hospital that will still be there when the guest star is a movie. Michael Crichton put a novelist’s procedural brain under Warner Bros. television lights; NBC put it on Thursday. The gossip is Clooney. The text is velocity. If you only remember the exit economics,…
Filed against
- Anthony Edwards as Dr. Mark Greene
Anthony Edwards steadied ER’s early chaos as Dr. Mark Greene, the ethical center amid Steadicam trauma and Clooney-level heat. His quieter authority sold the show’s human stakes when the adrenaline spiked. TV Flash files him as 1990s…
- George Clooney as Dr. Doug Ross
George Clooney played Dr. Doug Ross on ER — the gossip the Steadicam still had to earn, pediatric swagger inside NBC's trauma-bay factory. TV Flash files him as the 1990s medical drama's most famous exit economics, and as television…
- Eriq La Salle as Dr. Peter Benton
Eriq La Salle played Dr. Peter Benton on ER — trauma-bay steel inside NBC's Steadicam moral instrument. Fifteen seasons of County General minted movie stars; Benton was the surgical weather that did not need the trailer. TV Flash files…
- Julianna Margulies as Nurse Carol Hathaway
Julianna Margulies’s Nurse Carol Hathaway is ER’s trauma-bay human voltage — fifteen seasons of County General, a star factory that actually cost something, medical drama learning how to move. Not the attending poster; the nurse as the…
- Noah Wyle as John Carter
Noah Wyle’s John Carter made ER a star factory that still cost something — intern velocity, County General as a moral instrument, and a camera that refused to stand still. NBC Thursday wanted adrenaline. Wyle supplied the student who had…
- Gloria Reuben as Jeanie Boulet
Gloria Reuben played Jeanie Boulet on ER — County General from the physician-assistant line, trauma-bay velocity that did not need a movie-star exit to count. TV Flash files her as 1990s medical-ensemble craft in a star factory that, in…