Comeuppances are in store for Dr. Cox, Dr. Kelso and J.D. from a hypochondriac, a surgical patient and Elliot, who wants more than just sex from J.D.

J.D. bonds with a patient, who is waiting for a heart transplant and discusses with her their idea of what death must be like. Elliot puts her foot down and demands a feminine locker room from Dr. Kelso. Turk decides it's time to propose to Carla, but a kid swallows the engagement ring.

Finding difficulties training his interns, J.D. asks to Elliot for some help. She tells J.D. about Sean, who gave Elliot great tips based on his dolphin training that fit perfectly for her interns.

Dr. Cox finds the ideal pediatrician for his son: Dr. Norris, who acts and looks just like him. However, Dr. Cox is quick to find a problem with him once Jack develops a cough that scares both him and Jordan.

Elliot feels uneasy with the proper terms for sexual organs, especially after performing a pelvic exam; J.D.'s patient refuses to have surgery for prostate cancer.

J.D. tries to break-up with Danni, but she beats him to it when she realizes that she will always be second place to Elliot in his heart.

Dr. Cox suddenly becomes a nice guy and Elliot changes back to her old self after Dr. Kelso criticizes her new look.

Jordan's brother and sister return, but Dr. Cox learns that his brother-in-law Ben hasn't visited a doctor about his cancer in the two years he has been gone traveling the world.

With the case against Turk on his mind, J.D. attempts to end it with Neena, but she won't take "no" for an answer and keeps him wrapped around her finger. Carla tries her own way of persuading Mr. Corman to drop the lawsuit.

Elliot sets out to prove she isn't the doctor she was four years ago and doesn't need to rely on anyone anymore.

When J.D. has to address a bunch of pre-med students about what it's like to be a doctor, he strays off the beaten path and chooses to discuss his best moments as a doctor instead. When he challenges the rest of the staff to do so, they all remember their best memories in the medical field.

Meanwhile, Elliot is forced to face her fear of children, when she must befriend a ten year old boy, whose father is being treated in the I.C.U.

A man injured in a bar fight teaches Turk and J.D. a lesson about living life to the fullest.

J.D. is annoyed, that Julie doesn't laugh, so Elliot encourages him, to tell her his feelings, and Turk tries to use psychology to fix the issue.

Meanwhile, Carla is upset, when the Janitor refers to a new nurse as a "hot young Carla," which intensifies her growing concern, that she is too old to conceive.

When Private Dancer is released from the hospital, the military informs him that his injuries are too severe to be reinstated into the service, so he gets depressed. The Sacred Heart staff try to cheer him up, while the Janitor is having a fish problem.

Elliot and J.D. discover a major change in their relationship, when they spend time together looking for a former patient.

Dr. Cox contemplates his new job title, when Ted refuses to do the majority of his work, whilst Carla and Turk talk about the possibility of a second baby. Meanwhile, the Janitor claims Dr. Kelso's abandoned office for the brain trust.

Lucy finds couplings, dysfunctional or not, throughout the hospital