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J.D. is called in to work on his day off and every time he tries to go home, he is pulled into another drama. Turk searches for a heart donor to save a dying patient; Carla is worried that she doesn’t have the courage to become a parent. Meanwhile, Eliot doesn’t think she has the brains to lead a question and answer session on a subject she knows little about. All the while the Janitor is trying to make the hospital easier to navigate by painting color-coded lines, including a yellow line, which leads to the exit.
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J.D. mistakes an elderly woman’s satisfaction of leading a good life as her wish to stop treatment for a fatal illness and the patient in turn chooses to work with Dr. Cox. Meanwhile, Turk and Elliot struggle to find the cause of a patients unexplained yet excruciating body pain and Carla struggles with the uncooperative Sacred Heart staff when she tries to organize the annual group photo.
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Dr. Cox’s religious sister Paige comes to town for her nephew’s baptism and challenges her brother’s faith. Meanwhile, Turk is finding out just how unsexy baby making can be. It takes a heart to heart with Elliot for him to realize that Carla finds the whole process to be romantic. Elsewhere, J.D. and the Janitor seem to have a budding friendship.
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When J.D. is asked to introduce Dr. Kelso at an awards dinner, he sets out to discover something good to say about the grouchy doctor. Meanwhile, Dr. Kelso and Dr. Cox each have a patient whom they feel deserves the benefit of a new experimental treatment, but a moral standoff ensues when there is only one open slot in the program. Elsewhere, Carla and Turk try to convince Elliot to let them help her get her old job at Sacred Heart back after they discover that she’s been working at a free clinic. All the while, the Janitor taunts J.D. with the made-up game of Jiggly Ball.
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While planning his birthday fiesta, J.D. finds a list of things he wanted to accomplish before he turned 30. When he discovers he has accomplished none of them, he enters a triathlon. Meanwhile, Elliot, in an effort to break her boyfriend out of his shell, discovers a side of him that freaks her out. Back at Sacred Heart, in an attempt to be promoted, Turk is working hard to impress his bosses and takes on a patient who wants to be hypnotized during surgery rather than using anesthesia.
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