The actress and wife of showrunner Tom Fontana passed away from cancer at age 63 on August 7.
The St. Elsewhere Experience is saddened to report the passing of actress Sagan Lewis, who played Dr. Jacqueline Wade on St. Elsewhere on all six seasons of the show.
Jackie and Sagan were personal favourites of mine. I love that they expanded her role over the course of the series. I also once found a discussion thread somewhere where two women discovered they were both named Sagan after Sagan Lewis. I wonder how many more there are?
Lewis was 63, and last year re-married her ex, St. Elsewhere writer/producer/showrunner Tom Fontana. Our prayers are with her family and friends at this time of mourning.
Mrs. Hufnagel checks out of St. Eligius one last time, and William Daniels picks up an Emmy.
"Cretan" Nurse Lucy Papandrao (Jennifer Savidge) tries to fix
the bed for Mrs. Hufnagel (Florence Halop).
In Edward Copeland's 30th anniversary retrospective, this section covers the show's most memorable recurring character, the acid-tongued patient who just wouldn't go away, Mrs. Hufnagel (Florence Halop). The show's writers had come to love writing the "Hufnagel Spot" in each episode, delighting in spinning out insult after insult at the expense of the show's main characters.
At this point, she's been re-admitted at least six times, each time with a more serious ailment. But the show's medical adviser insisted that in real life, a patient spending that much time at a hospital would have one of two fates: either she'd get better and be gone for good, or she'd succumb to her illness(es), and be gone for good. Left to the whims of St. Elsewhere's writers, the choice was clear.
In "Murder, She Rote", Mrs Hufnagel is recovering from open-heart surgery to repair an aneurysm. She buzzes the nurses' station, where Nurse Lucy Papandrao (Jennifer Savidge) is loath to answer yet another call from the abrasive patient. Hufnagel had been trying to adjust the bed so she could sit up, but like most things at St. Eligius, the bed malfunctioned. In her annoyance, she addresses Lucy as "cretin," but then covers by claiming she was referring to Nurse Papandrao's ethnicity, as her descendants hailed from the Isle of Crete. After calling the Greeks "a distrustful lot" and getting a shot in at Aristotle Onassis, Mrs. Hufnagel does something uncharacteristic: she thanks Lucy for the help.
Her bed has malfunctioned again, this time at the foot end, when Dr. Victor Ehrlich (Ed Begley, Jr.) arrives to check up on the post-op patient. You know she's not doing well when she mistakes the pale blond doctor for his colleague, Dr. Philip Chandler (Denzel Washington), and says her chest feels "like Buddy Rich's snare drum." Victor needs to check her potassium levels, but Hufnagel refuses to be pricked with a needle, and then confuses her doctor for a former regular customer at the diner she owned with her husband (called Flo & Eddie's). She complains about the food, which she claims is causing the bubbles in her head (like Lawrence Welk). Ehrlich, already late for rounds, loses his last shred of patience and leaves, her potassium levels unchecked.
Luther (Eric Laneuville) finds no pulse, and St. Eligius claims
another victim.
Once again, we see Nurse Papandrao get another buzz from Hufnagel's room, but this time she ignores it. Orderly Luther Hawkins (Eric Laneuville) is making the rounds, collecting garbage. This sets up one of St. Elsewhere's most memorable images -- this time, her bed malfunctioned on both ends, and she's trapped in the folded-up bed. But she's not moving. Luther checks her pulse and her arm goes limp, call button still in hand. Finding no heartbeat, he calls a code.
When we return from the act break, it's official -- after 17 episodes and 40 minutes of resuscitation efforts, Mrs. Hufnagel is dead. On the way to the morgue, Luther informs Dr. Mark Craig (William Daniels) that one of his patients has passed away. When Luther explains that her cardiac arrest may have been triggered when she was swallowed up by the bed, Chief of Services Dr. Daniel Auschlander (Norman Lloyd) can't help but burst into laughter. Dr. Craig doesn't find losing a patient so funny. Director of Medicine Dr. Donald Westphall (Ed Flanders) agrees that the case had been manhandled from the start, but Craig goes a step further -- she "was murdered, same as if she'd been knifed in an alley," and he is determined to see that the guilty parties pay.
In surgery, Dr. Craig tells Ehrlich that he didn't see notes on Hufnagel's chart and informs him that she died ("with a snarl on her face...crushed by her bed like a clam," adds anesthesiologist Dr. Vijay Kochar (Kavi Raz)). Craig doesn't accept Victor's excuses for not cutting through his patient's anxiety and checking her potassium levels, and Craig hasn't ruled out Kochar as a suspect, either. He warns them that they'd better have their alibis together at the mortality conference.
Dr. Mark Craig (William Daniels) doesn't appreciate the
conclusion that Dr. Jacqueline Wade (Sagan Lewis) has
reached.
Dr. Jacqueline Wade (Sagan Lewis) and an unnamed pathologist perform Hufnagel's autopsy, and Jackie admits that for the first time, she doesn't care about a patient dying. She has found what likely caused her cardiac arrest -- the papillary muscle ruptured. When she reminds Dr. Craig that he nicked it during surgery, distracted by Ehrlich whining about cake frosting, he is aghast at the suggestion that he had made such an error. He insists that it must have been a pre-existing defect, and that the post-op notes he dictated after the procedure will reveal the truth (in his mind, that it must have been Wade who did it).
Later in his office, he listens to the tape. After jumping ahead a few times, he hears his own voice say the words he didn't want to hear: "detected small surgical nick on the mitral papillary muscle..." After ducking a phone call and re-listening a couple of times, he pulls the cassette out of the tape recorder and destroys it. He tries to go about his work, but he can't forget what happened.
The mortality conference begins, and Dr. Annie Cavanero (Cynthia Sikes) feels like she's in an Agatha Christie novel where everyone is a suspect. Ehrlich offers remorse for ignoring Mrs. Hufnagel's distress when he last saw her, but Dr. Craig is unusually forgiving (though he does tell Kochar, a frequent target of his abuse, to "book a passage to India"). After Dr. Chandler presents the first case, the matter of Mrs. Hufnagel's death is raised. Mark insists on handling it himself.
Here's the clip of Mrs. Hufnagel's blackly-comic end, Dr. Craig's determination to find who's to blame, and (at the thirteen-minute mark) the mortality conference where he must face the music.
Ladies and gentlemen, your 1985 Emmy winner for Outstanding Lead Actor in a Drama Series, William Daniels.
What I love about this story is that Dr. Craig insisted that he would give hell to whomever was responsible, and despite his ego, he holds true to his word. He may be brutal and demanding, but I have to respect him for eventually fessing up and holding himself to the same standard he holds others.
Some trivia, and by "trivia", and I mean trivial... The case Dr. Chandler presents at the mortality conference refers to the death of one Jeffrey Sagansky, a 32-year-old executive who collapsed in his screening room on Friday night between 8 and 10. I did a bit of research to figure out this joke.
Jeff Altman, Mitsuyo Nemoto and Keiko Masuda, a.k.a. Pink Lady and Jeff. Anyone know which one is Mie and
which one is Kei?
Tartikoff and company had their misses, too (like Manimal, or the decision to cancel Buffalo Bill). One of those weak spots was NBC's 1984-85 Friday night schedule, which featured two new series: the sci-fi fantasy V from 8 to 9, and the violent police action-drama Hunter from 9 to 10. V turned out to be a major flop with critics and viewers--not good when you're making the most expensive series ever produced at the time, at a cost of one million dollars per episode (and yet still filling it out with stock footage).
Hunter had the misfortune of being scheduled against CBS's juggernaut Dallas, but halfway through the year, executive producer Stephen J. Cannell held a private screening of an unaired two-part episode for Tartikoff in an effort to convince him that the show needed more time to attract viewers. The network boss agreed, put the show on hiatus for two months, and brought it back on Saturday nights, where ratings slowly began to climb. The following year, the show was retooled and became even more popular, and it stayed on the air for seven seasons.
I'm guessing the in-joke is that the writers felt that Sagansky's position at NBC became untenable after Cannell convinced Tartikoff that Hunter deserved another chance in a better time slot, coupled with the disaster that was V, or something like that. Things worked out just fine for Sagansky, though; he left to become President of Production and later President of TriStar Entertainment.
One of my goals with this blog is to tell the stories behind these quirky, arcane references. Why? Because I can. Thank you, Internet.
Mrs. Hufnagel offers her opinion of her new doctor, Dr. Mark Craig, and agrees to open heart surgery.
Mrs. Hufnagel (Florence Halop) doesn't think much of
Dr. Mark Craig (William Daniels) and his family life.
In the last post, I mentioned that the encounter between Mrs. Hufnagel (Florence Halop) and Dr. Donald Westphall (Ed Flanders) was a candidate for my favorite Hufnagel scene. One of the other top contenders is this one, where she gives the straight dope to Chief of Surgery and cardiac specialist, Dr. Mark Craig (William Daniels). As fans will remember, Dr. Craig is the most abrasive, arrogant, and short-tempered doctor at St. Eligius. He demands perfection from others, and does not suffer fools gladly. That's what makes it especially delicious when he meets his match in the small, elderly woman with an acid tongue.
In this episode, "Amazing Face", Mrs. Hufnagel meets her new physician in the midst of her attempt to communicate with her dear departed love Murray Robbin in the afterlife through automatic writing. Dr. Craig tries to explain the results of her tests, but she starts in with the personal attacks right away. Once again, the St. Eligius grapevine has provided her with the latest goings-on. "What do you know about communicating with loved ones? Running your own brother out of town the way you did." Four episodes earlier, in "Saving Face", Mark's brother Billy attended the party for the Craigs' 30th anniversary, but Mark embarrassed him in front of everyone, and Billy left in the middle of the night.
Craig tells her that she needs a coronary bypass, but she doesn't want to have surgery. "I've seen the scars you guys make. Andy Warhol might like his, but not this chick." Despite Craig's explanations, she's not interested, not even if he won the Cushing Left Anterior Descending Artery Award, which she discovered by snooping around his office. Craig asks her what she was doing in his office to see the plaster cast of his hands which serves as the trophy. Her response is one of the greatest Hufnagel lines: "I'm surprised they let you keep them, after Eve Leighton's heart went back to Nina."
Dr. Craig reacts to a comment that landed below the belt.
I love William Daniels's subtle eyebrow acting.
Early in season two, Mark had a cardiac patient who needed a heart transplant, Eve Leighton (Marian Mercer). When a donor heart finally became available, it turned out to be from Nina Morrison (Deborah White), whom we had got to know in season one as the wife of Dr. Jack Morrison (David Morse). She died of a brain injury after a fall in the bathtub. That comment crosses the line for Dr. Craig, who tells her she'd better have the surgery or she'll be talking to Murray Robbin face to face, but not before Hufnagel gets a dig in about his inability to satisfy his wife. (Mark and Ellen Craig's sex life dried up for six months in season two, the result of Mark's guilt over his affair with a visiting Hungarian surgeon in season one.)
Later, Craig complains to Westphall about him dumping "that Hufnagel creature" on him. I've left in the part where Mark comments on the attractiveness of Captain Gloria Neal (Betty White), the old friend of Donald's who made herself available to him a couple of times, most recently as a member of the White House staff in the previous episode, "Red, White, Black and Blue". We then see Mrs. Hufnagel pay a visit to the O.R., where she tells Dr. Craig that she'll go through with the surgery. She takes the initiative to check out a surgical procedure with her own eyes before experiencing it for herself, but gets the heave-ho from Dr. Victor Ehrlich (Ed Begley, Jr.).
Dr. Victor Ehrlich (Ed Begley, Jr.) complains about the
preferential treatment he feels is being given to Dr. Jacqueline
Wade (Sagan Lewis).
Knowing that Hufnagel will be going under the knife, budding surgeons Dr. Ehrlich and Dr. Jacqueline Wade (Sagan Lewis), who would normally be clamoring for the opportunity to assist Dr. Craig in surgery, do their best to make the case that the other is more deserving of the privilege. It's all for nothing, as Dr. Craig asks them both to participate. During the procedure, Victor complains that Jackie is getting to do everything at his expense. He's still sore about growing up as a middle child, and feels that favoritism is at play. Dr. Craig gets annoyed with Ehrlich (as he usually does), and in his distraction, he makes a cut that nicks the mitral papillary muscle, as Dr. Wade observes. Victor apologizes for his conduct, but gets in one last insensitive joke.
After surgery, orderly Luther Hawkins (Eric Laneuville) helps Ehrlich and anesthesiologist Dr. Vijay Kochar (Kavi Raz) wheel an unconscious Hufnagel towards her post-op destination, and is delighted to learn that she will be unable to speak for at least a day.
Here's Mrs. Hufnagel in "Amazing Face":
Other observations:
The Cushing Left Anterior Descending Artery Award is an ongoing joke throughout all six seasons of St. Elsewhere. He receives it in the fifth episode of the first season, "Samuels and the Kid", and it gets broken several times throughout the series. I will be tracing those on my next run through the show. It also serves as a crossover point for St. Elsewhere and Chicago Hope, on which Dr. Kathryn Austin (Christine Lahti) won the same award, which is fictional. This page from Thom Holbrook's Crossover and Spinoff Pages tells the story.
The episode titles with the word 'Face' in them are references to the continuing story where plastic surgeon Dr. Bobby Caldwell (Mark Harmon) performs radical surgery on facial fibromatosis patient Andrea Fordham (Ann Hearn), who now must adjust to life as a non-disfigured person.
Dr. Westphall reviews the Hufnagel case and finds her medical care inadequate, but he soon discovers the rest of the story.
Per the patient's wishes, Paramedic Faith Yee (Christina
Kokubo) skips the E.R. and brings Mrs. Hufnagel
(Florence Halop) straight to the ward.
If I had to pick my favorite Mrs. Hufnagel appearance, this one, from the episode, "Red, White, Black and Blue", would be the one of the top contenders. Paramedic Faith Yee (Christina Kokubo) wheels a gurney towards the nurses' station. Dr. Jacqueline Wade (Sagan Lewis) directs her to the E.R., where new admissions are supposed to go, but Faith says that the patient insisted. It's Mrs. Hufnagel (Florence Halop), admitted with symptoms of myocardial infarction, and she wants to skip ahead and go straight to her room. Jackie agrees to admit her. Mrs Hufnagel has clearly learned how to work the system, ensuring she gets the side of the building with optimal radio reception.
Later, Dr. Wade presents the case to the Director of Medical Education, Dr. Donald Westphall (Ed Flanders). After a round of groans and comments from the other residents, Wade describes how the patient has been re-admitted several times, each time with a more serious condition. Westphall reviews Hufnagel's chart and discovers that different doctors had prescribed medications that combined to create a blood clot and cause an aneurysm to form in her heart, and because of the residents' medical mismanagement, the patient is now seriously ill. He chastises them for not caring and ends up taking the case himself.
Drs. Chandler, Ehrlich, Axelrod and Wade (L-R Denzel
Washington, Ed Begley, Jr., Stephen Furst, Sagan Lewis)
realize the seriousness of Mrs. Hufnagel's medical
mistreatment.
When he arrives at Mrs Hufnagel's room, she is in the middle of fielding an obscene phone call, which she plays along with willingly until the caller gets into the "rough stuff." Hufnagel recognizes Westphall as the "high muckety-muck," and when he informs her of his official title, she balks, "you call what goes on here 'medicine'?" He tries to sympathize, but she soon demonstrates her uncanny ability to seize upon someone's insecurities and turn them into the focal point of the conversation. This exchange is worth typing out.
"The one thing that worries me about dying," she explains, "is being alone. See, I've got nobody. I live alone...just like you. I mean, your wife's dead, you got a daughter in college somewhere, and that retarded kid, boy, that's...that's a kick in the shorts. You poor fellow. The thing I can't figure out is how they can let you run a hospital."
"What do you mean?" Westphall asks.
"You're a jinx!"
"Mrs. Hufnagel..." Donald tries to cut in, but is interrupted.
"Come to think of it, this whole place is jinxed. Auschlander's about ready to kick the bucket; Morrison got his degree from a cracker jack box; Rosenthal isn't exactly symmetrical; Ehrlich, he's got bad luck in his genes...and behind those sensible wrinkles in your forehead, your life's a mess."
And that's all Donald can take. He drops her chart off at the nurses' station, and instructs the nurse to notify Dr. Craig that he will be taking over Hufnagel's case.
Other stuff:
Dr. Donald Westphall (Ed Flanders) learns firsthand why
the doctors won't treat Mrs. Hufnagel.
I love the reactions on the doctors' faces as they hear about the illnesses that have befallen Mrs. Hufnagel, and each physician remembers that they were the one who treated her for that particular ailment. Their guilt makes it so much funnier when Westphall gets the Hufnagel treatment himself.
In an episode prior to this one, Donald's daughter Lizzie came back home, wanting to drop out of Vassar, but he sent her back in her own best interest, despite missing her and his autistic son Tommy, whom Donald sent to live in a group home after he became unmanageable. Notice how his face drops when she mentions Lizzie.
"Rosenthal isn't exactly symmetrical" -- Nurse Helen Rosenthal (Christina Pickles) found a lump in her breast in season one, and had a mastectomy.
In case you didn't remember what this exchange was about... Before Jackie presents her case, we hear Wayne talk to Phil about his former girlfriend, Nurse Shirley Daniels (Ellen Bry). "It was weird...Shirley acted like everything was great...she was too up." Shirley is out on bail, facing trial for murdering Dr. Peter White (Terence Knox), the St. Eligius rapist from season two. She wants to plead guilty, proud of what she did. Not long after this scene, she returns to work in the E.R. and pulls a gun on a patient and Dr. Jack Morrison (David Morse). It's not a real gun , but we don't know that until after she pulls the trigger. ("Can't anyone around here take a joke?" she responds before walking out.) She makes one more appearance after that, as a prisoner returning to St. Eligius for medical treatment in season five.
I enjoy how well Faith Yee takes the "Suzie Wong" nickname that Hufnagel has bestowed upon her.
