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J.D. confuses a patient's reaction to her approaching death as a desire to end treatment; Carla tries to gather the hospital staff for a group photo.
Dr. Cox's born-again Christian of a sister, Paige (Cheryl Hines) visits the hospital to ask him to be in her son's baptism; Elliot tries to convince Turk that babymaking is romantic.
J.D. struggles to find something nice to say about Kelso during his introduction at an awards dinner; Carla and Turk try to help Elliot get her job back.
Trying to finish up a list of goals before his 30th birthday, J.D. signs up for a triathlon; Turk's patient wants to be hypnotized instead of anesthesia.
J.D. ends up being mean to his interns after he finds out they only laugh at his jokes out of fear; the hospital staff tries to avoid Jordan to get her to go away; Elliot's fellowship ends abruptly.
Now an attending, J.D. has to deal with his own set of interns. Meanwhile, Turk hesitates at the though of Carla getting pregnant while Elliot starts her fellowship at County Hospital.
J.D. prepares to start living life on his own, straining his friendship with Turk; Elliot pursues a new career opportunity at a nearby hospital, upsetting Carla.
Turk saves a man's life at the taco stand, but Cox taks the credit; Elliot enlists J.D.'s help to prevent her dates with Jake from becoming too intimate; Kelso terrorizes the hospital from his motorized wheelchair.
Jake (Josh Randall) brings in his dying neighbor and helps convince her it's time to die, but gets sued by her brother; Elliot goes to Cox and Carla for romantic advice with Jake; Turk has problems in couples therapy.
Turk learns about the kiss between J.D. and Carla and gives them the silent treatment; Cox needs Elliot's help with a a teenage epileptic patient.