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Busy burning the cande at both ends, Lucy needs some advice, but with J.D. gone, she heads to Elliot for advice. A pregnant Elliot convinces her there's one thing she's learned from her pregnancy... sometimes you gotta be selfish.
Turk, meanwhile, spends the episode interviewing for a new best friend to replace J.D. and although Cox convinces him he'll never find a complete replacement for a best friend, he seems to settle for Denise for his fun gimmicks.
Cox, meanwhile, teams up with his #1 Drew to make up a fake list of medical students to inspire Cole to actually get some work done and be a good doctor.