A new patient at the hospital wakes up and sees everything happening around her as a musical.

Carla can't decide whether or not to return to work and Elliot must find a way to tell J.D. he can't move into her new house with her.

J.D. is planning on leaving Sacred Heart but before he goes there are a few things that he wants to do including; getting a hug from Dr. Cox, and learning the Janitor's real name. Elliot is ready for the next step in her and J.D.'s relationship and she begins moving her furniture into J.D.'s apartment.