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Tommy Westphall was an austistic child on the TV series St Elsewhere who, it was revealed in the closing moments of the final episode of that series, had dreamt the entire run of the show. St Elsewhere has direct connections to twelve other television series - many of them direct crossovers of character to and from the series. Others make mention of specific parts of the St Elsewhere fictional universe, placing them within the same fictional sphere. If St Elsewhere exists only within Tommy Westphall’s mind, then so does every other series set within the same fictional sphere.