J.D. mistakes an elderly woman's happiness as her wish to stop treatment for a fatal illness.

Turk and Elliot struggle to find the cause of a patient's body pain and Carla tries to organize the annual group photo.

J.D., Turk, Elliot and Carla are interrogated about the mysterious death of a patient.

Dr. Kelso learns, that J.D. and Turk were away tracking down a patient, Elliot was traumatized over finding out that her make-out buddy was married and Carla was busy recruiting hospital personnel for a group lottery purchase.

J.D. meets the klutzy Julie, and when he becomes smitten, Elliot attempts to help out with romance advice. Meanwhile, Carla tries to find Dr. Cox's soft side, when he refuses to kiss his son.

Turk and the Janitor put together an air band to win a contest, but Kelso gives them a tremendous obstacle.

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.

J.D. is still dealing with his recent breakup and trying not to kill intern Keith, who has become annoyingly perfect. To make matters worse, a favorite patient is in a serious coma and each of the staff finds their own way to deal with it.

Dr. Cox and the Janitor bond over drinks at the bar and Carla makes it her mission to make the hospital's gym female friendly. Meanwhile Turk suggests, that J.D. and Elliot find themselves 'booty calls'.

Dr. Kelso is outraged, when he discovers, that a bird has been living in Sacred Heart. He orders the Janitor to dispose of it immediately. However, the Janitor likes the bird so much, he secretly keeps it as a pet. Meanwhile, J.D., annoyed with Keith, tries to get his intern fired, but things don't turn out as intended.

J.D. and Dr. Cox go through the five stages of grief with their favorite patient, who is declining in health. Carla forces Turk to go on a string of double dates, including Elliot and her booty call Keith. Elsewhere, Dr. Kelso hits Ted with his car, thus Ted finally has the upper hand with a potential lawsuit.

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.