Written by Carl Binder / Directed by Chuck Bowman
EXT. SPRINGS CHATEAU AND HEALTH RESORT - ESTABLISHING - DAY ONE
INT. ANDREW'S CLINIC - DAY ONE
ANDREW is at his desk, updating patient charts. He looks tired,
pale and clammy -- obviously not feeling well, but trying very hard
to deny it.
He pauses a moment from his work, wipes his forehead and rolls his
head back, trying to loosen the aches and pains he's feeling. He
finds himself staring at the thermometer case on his desk. He hesitates
a moment, then gives in and opens the case. He takes out the thermometer
and places it in his mouth, but as soon as it's in:
A KNOCK at the door breaks the silence. Andrew quickly removes the
thermometer and shoves it back in the case.
He checks the clock on the wall and turns to the door as it opens.
You're early, Mr. Voss. I wasn't expecting you until --
Andrew stops short when he sees BRIAN stepping in, holding a large
(managing a smile)
You're not Mr. Voss.
Hey, Dr. Cook.
Brian notices how pale Andrew is and reacts with concern.
You all right?
I'm fine. Just a little tired. It's been a long week.
Brian nods, then hands over the book.
Ma asked me to bring this medical book back to you. Said thanks
for lettin' her borrow it.
(taking the book)
She woulda brought it back herself, 'cept she had to pick up Colleen
at the train station.
For the weekend. She has to go back to school on Monday.
Well... I'll be sure to stop by after I'm finished here.
All right. See ya.
Brian goes out. Andrew turns back to the thermometer case. He opens
it, starts to reach for the thermometer... but then changes his
mind and closes the case.
(to himself, a mantra)
But clearly he's not, as we:
EXT. STREET NEAR TRAIN STATION - DAY ONE
COLLEEN, dressed for travel, stands by the wagon with MIKE and SULLY,
who listen as she excitedly describes her new classes at college:
"An Introduction to Human Physiology" -- My first course
in pre-medical studies. It's fascinatin'.
That's wonderful, Colleen.
They givin' you a lotta work?
We have an examination every Thursday. Gonna be a lotta memorizin'...
(turns to Mike)
But so far, most of the things we're learnin' I already know from
workin' at the clinic with you.
Helps havin' a doctor in the family.
Sully loads Colleen's suitcase into the wagon and climbs in.
I'll see you back at the Homestead.
See ya, Sully.
Sully rides off as Mike and Colleen start down the street toward
The professor just gave us a new assignment. I'm really excited
What is it?
We're supposed to interview a doctor and ask him what his most memorable
case was, then write a paper describin' the diagnosis, treatment
and outcome of the case.
And since you're a doctor, I'm gonna make you the subject of my
Mike is visibly touched by this.
I'd like that very much, Colleen.
Now all you gotta do is figure out which case was your most memorable.
Mike considers this a moment. It won't be easy.
Mike and Colleen turn to see Andrew approaching, visibly ill and
now having a difficult time hiding it. Colleen's eyes light up when
she sees him...
Are you all right?
Mike, also concerned, steps over and feels his forehead.
You have a fever.
It's still a fever, Andrew. I'd like to examine you, to make sure.
Michaela, I'm a doctor. I think I'd be able to tell --
That you're pale and sweating and running a fever, which means you're
Andrew looks to Colleen, sees her concerned expression.
Now please ... let me examine you.
He then turns back to Mike and nods, conceding. As Mike and Colleen
lead him to the clinic:
END OF TEASER
INT. CLINIC - DAY ONE
Mike finishes examining Andrew, listening to his breathing with
her stethoscope. Colleen watches from nearby.
Some chills, minor muscle pains, headache...
The usual symptoms, Michaela. If you ask me, it's just a catarrh.
Mike finishes, puts her stethoscope away.
Andrew hops off the table, begins putting his coat back on.
And the normal treatment for a catarrh is bed-rest.
Unfortunately, my duties at the hotel clinic won't allow that.
As your doctor, I'm afraid I'd have to insist.
Andrew pauses, giving her a look -- his doctor?
If you don't rest, your body won't heal, and we wouldn't want this
catarrh developing into something worse, would we?
(after a beat)
No. We wouldn't.
Mike takes his coat from him.
You can stay here, in one of the recovery rooms. That way we can
monitor you, and make sure you get the rest you need.
Andrew heaves a sigh of resignation and nods.
INT. RECOVERY ROOM - DAY ONE
Andrew, now in bedclothes, settles into the bed as Colleen fluffs
the pillows behind him, then pours him a glass of water. Colleen's
just filled Andrew in on her assignment from college.
Most memorable case?
Then we have to write a paper describin' the diagnosis, treatment
Has Michaela decided which case that is?
Not yet. She's gonna have to give it some thought.
I'm sure she's seen her share of memorable cases out here.
Yeah. There's been a lot of them.
(thinks a moment)
Some really strange ones, too.
Really? Such as?
Well... one time there was this man who everyone thought was dead.
Only he wasn't.
(off Andrew's confused look)
See, first Jake found him in the barbershop...
+CLIP 1 - (207) - "HALLOWEEN"
Jake and Loren find Tom Poston dead in the barber chair.
But when they went to get Dr. Mike...
Jake brings Mike in only to discover Tom gone.
Then Hank, and even Matthew found the same man, dead...
We see Hank discover Tom, then Matthew discover Tom at the cafe.
And each time he disappeared. Dr. Mike thought it was a Halloween
Mike gets angry when Tom is not at the cafe.
Then, on Halloween night...
Tom (after winning the costume contest), whips off his mask, scaring
the people. He then passes out. Cut to Mike examining him, telling
him he suffers from cataplexy.
+BACK TO SCENE
as Andrew listens, intrigued.
Then there was John the Engineer.
John the Engineer?
+CLIP 2 - (308) - "HALLOWEEN II"
We see John's face in close-up, as Mike and Sully stare down at
He was in a train wreck, and his face got burned real bad. Dr. Mike
wanted to help him, so she asked if she could try an experimental
treatment on him...
We see Mike prepare for surgery, drawing graft lines on John's face.
Cut to the recovery, as John sees his reflection in the mirror.
It took a long time, but after everythin' healed, the difference
End on shot of John with his face healed.
+BACK TO SCENE
That's remarkable. Reconstructive surgery is incredibly difficult,
even for a city hospital. How she manages with her limited medical
resources is nothing short of miraculous.
She had even less when she first came to Colorado Springs. But even
back then she did some incredible things...
+CLIP 3 - PILOT
Mike opens the door, and Sully and two Cheyenne braves bring in
the wounded Black Kettle. Mike performs an emergency tracheotomy
on him, saving his life.
Dr. Mike saved Chief Black Kettle's life. And to thank her, he gave
her her Indian name...
Black Kettle speaks, and Sully translates, telling Mike that her
Cheyenne name is "Medicine Woman." Mike is moved by the
+BACK TO SCENE
Andrew is also moved.
Andrew thinks a moment.
After five years, I would think Michaela's treated just about everyone
in town by now.
'Course, some folks are more prone to gettin' sick than others.
+CLIP 4 - MONTAGE OF THE MANY AILMENTS OF HORACE
1. PILOT - Mike pulls a clump of wax from Horace's ear.
2. (111) "HAPPY BIRTHDAY" - Mike treats a blister on Horace's
3. (205) "THE INCIDENT" - Mike pulls an arrow out of Horace's
4. (316) "END OF THE WORLD" - Mike and Hank perform an
appendectomy on Horace.
5. (428) "WHEN A CHILD IS BORN, PART 2" - Preston asks
if it's Horace's appendix that's causing the problem, and Andrew
says no, gallstones.
6. (414) "TIN STAR" - Horace speaks at the town meeting,
telling everyone that he knows what it's like to be shot -- "And
let me tell you, it hurts."
+BACK TO SCENE
as Andrew chuckles at this. Then another thought hits him:
What about Preston? Has Michaela ever treated him?
+CLIP 5 - (412) "FIFI'S FIRST CHRISTMAS"
Preston wakes up on the examination table, covered only by a sheet.
Mike comes in, tells him he has a kidney stone. End with Preston
running out of the clinic with only the sheet wrapped around him.
+BACK TO SCENE
Andrew laughs again, but then suddenly stops short, wincing in pain.
Colleen sees this and reacts with concern.
Andrew? What's wrong?
Nothing... it's nothing.
Is your headache gettin' worse?
He doesn't answer her, which tells her that the answer is yes. Colleen
reaches over and feels his forehead, her concern suddenly increasing.
You're burnin' up.
It shouldn't be going up. I drank some of that willow bark tea.
Mike comes in. Colleen turns to her.
He's gettin' worse.
Mike steps over to the bed, feels Andrew's forehead.
Your fever's climbing.
(turns to Colleen)
Colleen, will you prepare some more tea?
How could it go up so fast?
I don't know.
I'm afraid this is something more than a simple catarrh.
Andrew reacts, looking worried now. Mike takes a cloth and dabs
the sweat from his brow as we:
END OF ACT ONE
INT. RECOVERY ROOM - LATE AFTERNOON - DAY ONE
Mike [prepares a cup of hot tea for Andrew, who shifts uncomfortably
how's your headache?
Like knives. There's pain in my abdomen now as well.
Andrew shakes his head.
My uncle removed my appendix two years ago.
Mike steps over and gently palpates Andrew's abdomen.
Your spleen --
Is enlarged, I know.
Mike hands him the cup of tea.
Here. Hopefully this will lower your fever and help with the pain.
Andrew props himself up and drinks the tea slowly.
I asked her to ride out to Becky's to pick up Katie for me.
Andrew nods. His worry and frustration showing.
I don't understand it. I thought perhaps it's influenza, but the
symptoms presented themselves so rapidly...
Mike sits back -- she's baffled as well.
Well, the first thing we need to do is get your fever down.
(re: the tea)
Andrew drinks some more, his apprehension growing. Mike sees this
and tries to reassure him:
I'm sure you'll be fine.
Andrew nods, wanting to believe this, but still clearly worried.
He tries to mask his anxiety by shifting the discussion away from
I guess you've had your share of mysterious illnesses recently.
The outbreak here at the clinic...
The malpractice case...
(thinks a moment)
There've been many more...
+CLIP 6 - (203) - "SANCTUARY"
Dorothy is put in jail.
When Dorothy's husband died, at first everyone thought Dorothy had
murdered him. But I believed that she was innocent, and set out
to prove it...
Mike does the autopsy on Marcus Jennings and discovers that he died
+CLIP 7 - (317) - "THINGS MY FATHER NEVER GAVE ME"
Mike treats a Chinese worker.
There was another time, when several Chinese workers who were helping
Robert E suddenly took ill...
Another worker is ill, and Mike has Horace wire for information.
No one knew how or why they were getting sick, until...
Horace brings in the telegram. Cut to Mike explaining that the toxin
was lead poisoning from contaminated cookies the workers ate.
+CLIP 8 - (208/209) - "WHERE THE HEART IS"
Elizabeth lies in bed, very ill.
There was even a time when my mother became ill. I went back to
Boston to be with her, and found myself disagreeing with her doctor's
Mike argues that Elizabeth is not suffering from cancer, but from
hepatitis. Dr. Hanson dismisses her diagnosis, but Mike privately
talks her mother into taking her tea treatment. Cut to Elizabeth
feeling well, and giving Mike the credit.
+BACK TO SCENE
as Mike grows somber, remembering another case...
And then there's Anthony...
+CLIP 9 - (413) - "CHANGE OF HEART"
Anthony has an attack. Grace and Robert E ask Mike what's wrong
with him, and Mike says she doesn't know. She operates on Anthony,
tells Grace and Robert E that he made it, but...
+BACK TO SCENE
I have yet to discover what his sickness is. It comes and goes.
Mike and Andrew fall silent a moment. Colleen steps up to the doorway
in time to hear:
But we'll continue to search for answers.
A doctor never gives up on a patient.
The resolve in Mike's eyes reassures Andrew. He manages a weak nod,
then notices Colleen at the door. Mike turns to her.
Colleen, I didn't expect you to come back. Where's Katie?
I took her home. Brian and Sully are watchin' her.
Colleen looks back at Andrew, sees the obvious discomfort he's in.
Is the tea helpin' any?
Andrew shakes his head "no," then looks to Mike.
The pain's spreading... more distal now. Like athralgia.
Pain in the joints.
Mostly in the wrists and ankles.
(shakes his head)
Let's have a look.
Mike reaches over and pulls the blanket back to examine his hands.
She slides up his sleeve and suddenly freezes, reacting with concern
when she sees his wrist and hand (even the palm) covered with tiny
red bumps. Andrew and Colleen also see it and react.
Mike shakes her head -- the mystery is now solved, but her concern
continues to build.
No. You have what's known as Spotted Fever. Sometimes called the
I've never heard of it.
It occurs mainly in the wilderness -- forested areas away from the
larger cities. And most occurrences happen in the spring.
How'd he get it?
We're not quite sure of the cause... but some believe it's transmitted
by the bite of a tick.
Andrew reacts, puzzled.
Will he be all right?
Mike looks back at Andrew -- she has to be honest with him.
The rash will probably spread, and the pain and fever may increase.
But you're young and strong. Hopefully, within a week it should
pass, and you should recover.
Andrew quiets a moment, reading the uncertain look on Mike's face.
But there's a chance I may not.
Mike doesn't answer. Colleen looks at her, the fear increasing as
END OF ACT TWO
INT. RECOVERY ROOM - NIGHT ONE
It's late. A very tired Colleen takes the thermometer from Andrew's
mouth and reads it, as Mike finishes giving him an injection. Andrew's
condition has worsened -- he's in and out of consciousness, in a
state of delirium.
Fever's holdin' at 104.
Let's hope it doesn't go any higher.
I've given you an injection of morphine for the pain. We're monitoring
your fever. It's leveled off, but if it goes up again, we'll give
you an ice bath.
Andrew manages a weak nod, and then he's out again. Colleen looks
up at Mike.
How long will he be like this?
If there are no complications, the fever could break in a few days.
Mike hesitates a beat, not knowing how to break this news to her
There's a chance of developing meningitis. I'll have to keep a close
eye on him.
Colleen looks back at Andrew, begins wiping his forehead with a
cloth. Mike watches her a moment, then speaks:
It's getting late, Colleen. You should go home.
I wanna stay here and help you look after him.
You need to get some rest.
(looks back at Andrew)
It's like you said -- a doctor never gives up on a patient.
Mike pulls a chair over and sits beside her.
That's true. You never stop caring.
But you must also never stop being a doctor.
Colleen looks at her, confused by this.
It's important to care, Colleen... but we must also try to maintain
a professional detachment, to not become too emotionally involved
with a patient.
Mike falls silent a moment, realizing the many times she's struggled
Unfortunately, it's easier said than done...
+CLIP 10 - (102) - "THE VISITOR"
Robert E is burned at the forge. Mike treats him, sees the whip
marks on his back. Off her look of concern...
+CLIP 11 - (424) - "LAST CHANCE"
Sully brings in Cloud Dancing, who was stabbed. An exhausted Mike
operates on him, then tells Sully he lost a lot of blood. Sully
says they should do a transfusion, volunteers to give blood.
Cut to transfusion, and Mike, despite being pregnant, refuses to
+CLIP 12 - (303/399) - "LADIES NIGHT"
Mike discovers a growth on Dorothy's breast. Dorothy says it's nothing.
Cut to Mike telling Dorothy that she's concerned, since Loren told
her that Dorothy's mother died of a similar growth. Dorothy's upset
that Mike talked to Loren. Cut to Mike giving Dorothy options, talk
of percentages. Dorothy says I'm no percentage. Dorothy agrees to
operation. Cut to final scene, where Mike stays with Dorothy as
she looks at herself in the mirror.
+BACK TO SCENE
as Colleen stares down at Andrew, coming to the conclusion:
I think when you care for a patient as a doctor and friend, it can
only help 'em get better in the end.
It doesn't always turn out that way, Colleen...
+CLIP 13 - (315) - "PIKE'S PEACE"
After Mike learns that Sam has leukemia, she refuses to leave her
side, wanting to help her medically. Sam tells Mike that she can
stay with her only as her friend, not her doctor.
+CLIP 14 - (218) - "LIFE AND DEATH"
Mike gives Dorothy's son, Tommy, an injection of morphine. The next
day he asks for more, obviously addicted. Cut to Tommy breaking
into the homestead (to get more morphine), and Mike shooting him.
Mike tries to help him, but ends up having to amputate his leg.
+CLIP 15 - (404) - "BROTHER'S KEEPER"
Matthew carries Ingrid into the homestead and Mike goes to work
on her. Cut to Jon bringing Ingrid to the clinic, and Jake declaring
that she has rabies. Ingrid writhes in pain as her condition worsens.
End with Matthew asking Mike if Ingrid will die, and Mike saying
+CLIP 16 - PILOT
Mike struggles to save Charlotte, who's dying from a rattlesnake
bite. She asks Mike to look after her kids, and Mike promises she
+BACK TO SCENE
as Colleen quiets, remembering this terrible event. Mike puts a
tender hand on her shoulder. After a moment, Colleen looks down
at Andrew, then back up at Mike.
Still... I'm stayin' right here.
Colleen, Andrew's condition might be like this for days.
I know. And if I have to miss school, I will.
(resumes wiping Andrew's brow)
I'm gonna do everythin' I can to help him through this.
She looks up at Mike, her resolve building.
That's what you'd do.
Mike falls silent, realizing this to be true. She stares down at
her daughter a moment, realizing the depth of feeling Colleen has
Mike gives her a quiet nod, and Colleen turns back to Andrew, continuing
to wipe his brow as we:
END OF ACT THREE
EXT. CLINIC PORCH - DAY TWO
It's a few days later. A weary Mike sits with Sully on the bench
in front of the clinic.
He's been in and out of consciousness for two days now. His fever's
dropped a bit, but it's still dangerously high.
Colleen still up there with him?
She hasn't left his side. I wired her college yesterday, explained
the situation. Hopefully they'll let her make up the work she's
Mike quiets a moment, troubled.
I wish she'd get some rest. There's not much else she can do to
'Cept be there for him.
(off Mike's look)
Sometimes that's the best medicine you can ask for...
+CLIP 17 - (223) - "MAN IN THE MOON"
Hank wakes in clinic, and Mike and others tell him what happened.
He refuses her help. He's then discovered unconscious. Mike tells
Myra there's not much she can do to help, and Myra tells her that
sometimes you have to really want them to get better, and they will.
End with Mike baring her soul to unconscious Hank, who then wakes
+CLIP 18 - (408) - "PROMISES, PROMISES"
Mike tells Dorothy about Loren's stroke, and that he's in a coma.
Dorothy asks what she can do, and Mike tells her to say a prayer
and sit with him, that he'll know she's there. Cut to Dorothy, Mike
and Colleen at Loren's bedside when he wakes up.
+CLIP 19 - (114) - "THE OPERATION"
Mike examines Brian after his fall, determines everything is all
right. Cut to Brian losing his sight, and Mike reacting with fear.
She operates on his skull to relieve pressure. Mike and family stay
by Brian's side after the operation. End with Mike waking and discovering
Brian gone. She finds him on bridge, looking at schoolhouse.
+CLIP 20 - (110) - "RUNNING GHOST"
Cloud Dancing brings in a badly beaten Sully. Mike treats him, but
discovers Sully is paralyzed. With her and the family's help, he
regains the use of his legs.
+BACK TO SCENE
as Mike gives Sully a smile.
You're right. Sometimes it takes more than just medicine.
Ma! Come quick!
Mike and Sully hurry into the clinic.
INT. RECOVERY ROOM - DAY TWO
Mike and Sully enter to discover Colleen at Andrew's bedside...
only now he's awake. Mike moves to him.
His fever's down. 100.
How are you feeling?
Can you touch your chin to your chest?
No stiffness or pain in your neck?
He shakes his head no. Mike is greatly relieved.
(back to Andrew)
Well, Dr. Cook, it appears you've made it through the worst of it.
It'll take some time to get your strength back, but you're going
to be just fine.
Mike smiles, turns to Colleen.
Andrew looks to Colleen, who smiles, suddenly self-conscious. Mike
and Sully exchange a look, then quietly step out, leaving the two
Andrew looks up at Colleen.
(not a question)
You've been here all this time.
Just wanted to help you get better.
Andrew reaches out, gently takes her hand in his.
Thank you, Colleen.
The two share a look, the connection between them never stronger.
INT. CLINIC - MOMENTS LATER - DAY TWO
Mike and Sully turn to Colleen as she comes in, plopping down heavily
in a chair.
I think it's time you took a nap.
I think you're right.
Mike steps over to her, puts her hand on Colleen's shoulder.
I'm very proud of you, Colleen.
You're gonna make a fine doctor.
Brian enters, holding a telegram.
Ma, telegram just come for you.
He hands it to Mike, who reads it.
(to Colleen, as she reads)
It's from your college. They're allowing you to make up the work
you've missed. And your physiology professor has given you an extension
on your assignment.
You figure out what your most memorable case was, yet?
No. I'm still thinking. There've been so many.
As Mike resumes pondering this question, we hear KATIE CRY from
Katie's up from her nap. Brian, would you mind getting her?
Brian goes out as Mike continues to think. And then it hits her:
Mike breaks into a wide smile.
+CLIP 21 - (428) - "WHEN A CHILD IS BORN, PART 2
Mike coaches Sully as she gives birth to Katie in the woods. End
on Sully holding up the newborn baby, then handing her to Mike.
+BACK TO SCENE
as Brian brings in KATIE and hands her to Mike. Mike turns to Colleen.
She was my most memorable case.
Mike kisses Katie as Sully steps over and puts his arm around her.
Mike smiles up at him.
Every doctor should be so lucky.
+CLOSE ON COLLEEN
as she watches her mother hold Katie in her arms. Colleen smiles
at them, suddenly filled with a sense of great pride and hope for
all things that lie ahead, as we slowly:
END OF ACT FOUR