Written by Eileen Connors and Brannon Braga & Joe Menosky
Directed by Mike Vejar
Season 5, Episode 11
Production episode 206
Original air date: January 20, 1999
Captain’s log. It’s time for the EMH to perform his annual physicals on the crew. This time around, he’s using his portable holoimager to take full visual images of the crew for diagnostic purposes.
Kim wants to see his holoimage, which is generated from the inside out, starting with organs, then skeleton, then skin and clothes. The EMH is stunned to see evidence of a surgical procedure on Kim—a procedure that the EMH himself developed, but which there’s no record of, which the EMH has no memory of performing, and which Kim says he has no recollection of, either.
The one crew member who has not reported for their physical is the captain, so the EMH goes to her ready room to make a house call. While examining her, he mentions the surgical procedure on Kim, which isotope decay around the scar indicates was eighteen months ago. Janeway says she doesn’t recall it, either. The EMH requests a full diagnostic be performed on him, which Janeway says that Torres and Kim will do as soon as they’re free.
Not willing to wait for Torres and Kim to finish their current duties, the EMH goes to astrometrics to ask Seven to help him run a self-diagnostic, also telling her why. The surgery in question was before Seven came on board. She is in the midst of a deflector dish recalibration, but will join him in sickbay in an hour.
When she arrives in sickbay, she discovers that the EMH has been deactivated. When she turns him back on, he has no memory of his conversation with Seven, and indeed he remembers nothing since he did his physicals. Seven recounts the conversation with him, and he calls up Kim’s holoimage—which has been deleted. He checks his holoimager, and discovers that all the images from Stardate 50979 have been deleted. Seven is able to reconstruct some of them from residual photons, and finds images of a birthday party for an ensign he doesn’t recognize, a shuttle mission with the EMH, Kim, and the ensign in question, and the EMH in sickbay with Kim and the ensign as patients.
Seven discovers that the EMH does have memories from that time period, but he can no longer access them. She gets rid of the memory block, and he now recalls that there was a surprise birthday party in the mess hall for Ensign Ahni Jetal, who then went on a shuttle mission with Kim and the doctor, during which they were attacked.
Immediately, Seven and the EMH report to Janeway and Tuvok. The doctor worries that there’s an intruder on board who is erasing his memories, and who posed as an ensign on the ship. Tuvok and Janeway say they don’t recognize the alien in the holoimage Seven reconstructed, nor does Seven recognize them as a species the Borg has encountered. Janeway orders Seven to scan for cloaked ships, for Tuvok to run a security sweep, and for the EMH to deactivate himself until they can find out what’s going on.
The EMH agrees, returning to sickbay and removing his mobile emitter, but before he deactivates himself, he instructs the computer to make a copy of his memories from the prior 48 hours. If his program is tampered with in any way, he is to be reactivated, those memories restored. He also sets the holoimager on automatic, to take pictures every five seconds.
Sure enough, he’s reactivated, initially confused, then the computer restores his memory. Angry, he checks the holoimager to discover that the person who erased his memories of the last 48 hours was Janeway.
He goes to the bridge, interrupting a friendly argument among Janeway, Chakotay, and Tuvok about a sumo wrestling match to accuse Janeway of a horrific violation of his very self.
Janeway takes the conversation into the ready room. She had his memory of the incident with Jetal erased, as well as all memory of Jetal, because the incident caused a conflict in his programming that they could not resolve. Erasing his memory was the only viable solution, and she’d do it again in a heartbeat. She then orders the EMH to deactivate so that Torres can, again, rewrite his program to remove the conflict in question. Paris is briefed on all the experiments he’s currently running and whatever medical issues there might be. Paris also reassures the doctor that Janeway is doing the right thing, which the EMH finds not at all reassuring.
Seven goes to Janeway in her quarters, questioning her about the nature of individuality. Janeway analogizes the EMH to a replicator that needs to be repaired, but Seven reminds her that she is part machine, also, and she wonders if Janeway will treat Seven with the same disregard for her wishes if something similar happens. She also allows as how she may have picked the wrong person to be her mentor in how to be an individual as opposed to part of a collective.
Janeway, having been reminded that she’s a main character in a Star Trek series, reactivates the EMH and offers to tell him the whole story of what happened on Stardate 50979.
After Jetal’s surprise party, Kim, Jetal, and the EMH took a shuttle out, which was then attacked by aliens, one of whom boarded the ship and shot all three of them with a weapon. It didn’t affect the EMH, but both Kim and Jetal were badly injured. Voyager drove the aliens off with weapons fire, and the away team was beamed to sickbay. However, there was only one way to save them, and only the one doctor, and he can only save one of them, and the time it takes to save one will be a death sentence for the other one. He eventually chose Kim, and saved his life, but Jetal died while he operated.
The EMH suffered an existential crisis, having a complete meltdown in the mess hall, as his program was conflicted between his oath to do no harm and the fact that he chose one patient over another, one at least partly based on the fact that he knew Kim better and thought of him as a friend—a consideration that was never an issue with the original EMH program, but now the doctor has, in essence, a soul.
After being told this, he starts to have another meltdown in sickbay, and Janeway is forced to deactivate him. Torres is ready to rewrite his program again, since this is now the second time he’s thrown a nutty. But Janeway realizes that this is the wrong way to go. The EMH is a person, not just a program, and if it was anyone else in the crew, including a flesh-and-blood doctor, they would give him the opportunity to work through the issue.
So she reactivates him and makes sure someone is with him at all times while he sorts through the problem. After two weeks, he seems no closer. Janeway is sitting with him on the holodeck, reading Dante’s La Vita Nuova. She also falls asleep on him while he’s in the midst of soliloquizing, and the EMH belatedly realizes that, not only is she exhausted, but also feverish. He tells her to go to sickbay, but she says she’s too busy helping a friend. Touched, he insists, and says he’ll contact someone if he needs help. We fade out on him reading a passage from the book.
There’s coffee in that nebula! Despite making him officially chief medical officer, despite not having treated him like a replicator since the second season, Janeway acts as if the EMH is a piece of machinery rather than a member of the crew, at least until Seven whups her upside the head on the subject.
Half and half. Torres questions the notion of the EMH having a soul.
Everybody comes to Neelix’s. The EMH’s breakdown happens in the mess hall, and it’s Neelix who calls security on him, which only makes his fruit-throwing tantrum worse.
Resistance is futile. Seven wasn’t on board when Jetal died, so she isn’t aware of the coverup. As a result, she inadvertently leads the EMH to learning the truth, and it’s her reminding Janeway that the EMH is a sentient being with individual rights that gets them to treat him like a person with a psychological problem instead of a machine that needs to be repaired.
What happens on the holodeck stays on the holodeck. Apparently, holoimages leave behind photonic residue that can be used to partly re-create holographic images even after they’re deleted.
“The primordial atom burst, sending out its radiation, setting everything in motion. One particle collides with another, gases expand, planets contract, and before you know it, we’ve got starships and holodecks and chicken soup. In fact, you can’t help but have starships and holodecks and chicken soup, because it was all determined twenty billion years ago!”
“There is a certain logic to your logic.”
–The EMH ranting and Tuvok providing commentary.
Welcome aboard. Nancy Bell plays Jetal, while Scarlett Pomers is back as Naomi.
Trivial matters: Jetal was originally the name given to the Betazoid on board in “Counterpoint,” but it was changed to Jurot, and the name was recycled here.
While this is the first time we’ve seen the EMH’s holoimager directly, we’ve seen the fruits of its labors in “Nothing Human” when the EMH was torturing the crew with his slideshows.
In the post-Nemesis Trek novels, Janeway was killed in the TNG novel Before Dishonor by Peter David, but later resurrected in the Voyager novel The Eternal Tide by Kirsten Beyer. When Janeway returns, the EMH quizzes her about the conversations the two shared in this episode by way of testing to see if it’s the real Janeway.
Joe Menosky’s first draft of the script had Janeway fall asleep while sitting with the EMH, but the doctor doesn’t wake her or send her off to sickbay, but picks up the book and reads it. Brannon Braga rewrote the scene as it was filmed, which disappointed both Menosky and most of the cast, who preferred the original draft.
The revelation that Jetal died toward the end of the third season means that there are now twenty confirmed deaths since they left the Ocampa homeworld, plus an unspecified number who died in “The Killing Game, Part II.” “In the Flesh” gave the crew complement as 128, and they had 155 at the end of “Caretaker” (the 152 Janeway mentioned in “The 37’s,” plus Seska, who left, Durst, who died, and the EMH, whom she wouldn’t have counted at the time). With the twenty confirmed deaths, that means that it is likely that seven people died fighting the Hirogen.
Set a course for home. “Here begins a new life.” This is almost a perfect episode. It’s hard to go wrong focusing an episode on Robert Picardo’s EMH (though they have managed it), and he delivers one of his strongest performances here. For the first time, Lewis Zimmerman’s snottiness is used to good effect, through the EMH’s righteous anger at being violated. And then, when he learns what he’s done, the doctor’s existential angst is magnificently played by Picardo.
There are so many clichés being turned on their ear here, starting with one of the oldest tropes in Trek’s playbook: human fallacy confusing the crap out of a machine, causing it to self-destruct. The ethical conundrum the EMH faces here is just like the ones foisted by Kirk upon Landru in “The Return of the Archons,” the androids in “I, Mudd,” and Nomad in “The Changeling.” And Janeway is forced to shut him down before he goes the way of those mechanical beings.
My favorite, though, is that this script takes one of my least favorite aspects of dramatic fiction in general: deaths of important characters are treated differently and with more reverence than deaths of side characters. More than twenty members of Voyager’s crew have died since they went into the Badlands to chase Chakotay’s Maquis cell, and those deaths have had absolutely no long-term impact on the rest of the crew. Most of them haven’t even had a short-term impact, and a lot of them didn’t even have names. Hell, we’ve only seen two memorial services (one of them in this episode, the other in “Alliances“).
The horrible choice the EMH must make puts this tendency in sharp relief. Harry Kim is in the opening credits. Ahni Jetal is a one-shot guest star. Of course Kim must live and Jetal must die and be forgotten—but this episode makes use of that tendency as a plot point, and it makes the story much more profound than it might be. The EMH considers Kim a friend, while Jetal is someone he only knows as a (very) occasional patient. And the fact that he favored Kim over Jetal haunts him, because it’s contrary to the objectivity and dispassion that he was originally programmed with as what was supposed to be an occasional medical supplement, not a full-time physician. Kim shouldn’t matter more than Jetal.
And that’s the other thing: the EMH isn’t just a machine, isn’t just a program, not anymore. As Janeway so eloquently puts it, they gave him a soul. He’s a person, and when a person has a psychological problem, they work through it. And Janeway belatedly realizes that that’s how she needs to treat this member of her crew—not as a replicator, but as a chief medical officer.
Which leads nicely to why this is not quite a perfect episode: Jetal’s death occurred eighteen months previous, before Seven joined the crew. This is an important plot point, as Seven’s ignorance of the subsequent coverup is what enables the EMH to realize that something is amiss. But there are several problems this brings up. One is that the flashbacks show Janeway and Paris with the same hair they have now, but both had significantly different hairstyles at the end of season three. (At least they remembered to put the hollow pip back on Paris’s collar in the flashback.)
The big one though is that we see Paris assisting the EMH with the medical procedure, and this raises the rather important question: where’s Kes?
This isn’t just an issue with the medical procedure, but also its aftermath. Of everyone on board Voyager, Kes was the one who routinely advocated for the EMH as a person rather than a program. That advocacy is the primary reasons why Janeway now (mostly) treats the EMH like the actual CMO instead of a tool.
And I can’t imagine any circumstance under which Kes would sit quietly and be okay with Janeway wiping the EMH’s memory like that. The role that Seven plays in the present-day portions of this episode is the exact same one (making some of the same arguments even) that Kes would have played in the flashback portion, if the writers had bothered to remember that she was even there.
This is still a powerful episode, one that has Trek’s trademark of examining the human condition through non-human characters (in this case, both the EMH and Seven), and uses one of TV’s most tired tropes as a brilliant plot point. And its only flaw is another tired trope, that of forgetting one’s own fictional history…
Warp factor rating: 9
Keith R.A. DeCandido is still doing his “KRAD COVID readings” YouTube channel but for 2021 he’s reading all his Star Trek: Starfleet Corps of Engineers novellas in weekly installments. This week, he’ll finish off his four-part reading of Cold Fusion, an S.C.E./Deep Space Nine crossover story in which the crew of the U.S.S. da Vinci team up with Lieutenant Nog to salvage Empok Nor.