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The episode is told from Cox's viewpoint as he discusses the hospital and Jordan in his therapy sessions with Dr. Gross (Eric Bogosian). Elliot meets Paul Flowers (Rick Schroder), who she likes until she finds out he's a nurse.
Turk's brother, Kevin (D.L. Hughley) comes to visit with important news. Dr. Townshend (Dick van Dyke) runs into trouble with Kelso when J.D. screws up an out-dated procedure under Townshend's supervision.
Kelso is trying to consider ways to make a bigger office, but Elliot demands single sex locker rooms. Turk proposes to Carla, but not in the way he planned.
J.D.'s feelings for Elliot continue to grow even after they stop being sex buddies. J.D. tries to see Lisa (Sarah Lancaster) again.
Trying to avoid their last disastrous relationship, J.D. and Elliot try and be "sex buddies." Turk tries to help Elliot with her workload.
Both Turk / Carla and Cox / Jordan have problems as their hospital consumes their lives. J.D., meanwhile, feels the hospital is also killing his mojo.
Elliot is forced to move out and deal with a malpractice suit. J.D. shows up Cox and an unofficial competition is born.
Dr. Cox and Julie (Heather Locklear) hook up, but Cox's happiness is cut short by the arrival of a pregnant Jordan. J.D. and Turk have financial problems and steal from the hospital.
An attractive pharmaceutical rep, Julie Keaton (Heather Locklear), arrives at Sacred Heart and tension mounts between her and Cox.
J.D.'s older brother, Dan (Tom Cavanagh) comes by to visit but J.D. is embarrassed by him. Turk learns a lesson when he bets on a patient's life with Cox.