After a hard day of work, Dr. Cox has the burden to tell his son Jack a good night story, so disguises his hard day as a fairy tale about the little village Sacred Heartlia with Carla and Turk as the two-headed witch Turla, Elliot as the princess and J.D. ...

Elliot and J.D. discover a major change in their relationship, when they spend time together looking for a former patient. Dr. Cox contemplates his new job title, when Ted refuses to do the majority of his work, whilst Carla and Turk talk about the possibility of a second baby. Meanwhile, ...

Dr. Cox had a patient that he hadn't been able to diagnose for two years, and he is back again. Dr. Kelso has to face a retirement board when his true age is revealed. Elliot and Carla try to find enough people in favor of Dr. Kelso to keep him ...

J.D. starts to have doubts about his masculinity after Dr. Cox mocks him about it. Turk on the other hand tries to overcompensate his masculinity with the break room remote. The Janitor starts his own hospital newspaper, called "The Janitorial".

J.D.'s burn patient gives him a hard decision to make, when he wants to go to his graduation. Turk doesn't want Carla to find out that he secretely learned Spanish. Meanwhile, Dr. Cox makes a game out of stealing Dr. Kelso's breakfast.

In the aftermath of their near-indiscretion, Elliot realizes she doesn't want to be with Keith and J.D. resolves to stop sabotaging himself. Meanwhile, Dr. Cox and Turk find a patient they both like who is in danger of being discharged.

J.D's brother Dan returns and delivers a few home truths to his little brother. Elliot and Dr. Cox debate over the morals of their practice and the staff of Sacred Heart find the Janitor's behavior rather odd after he watches "An Inconvenient Truth".

Kim goes into labor, and J.D. struggles to decide if he should tell her what he really thinks of their relationship. Turk, desperate to do something not baby-related, races to beat a video game before Carla discovers him. Dr. Cox searches for someone he trusts enough to give his daughter ...

Turk tries to assure a worried Carla that their daughter will acknowledge her Latin heritage. The Janitor challenges J.D. to identify everyone in the hospital, when it is discovered that he uses nicknames, because he doesn't know the people's actual names. If J.D. can't name all of them, he must ...

Though Elliot boasts that through private practice she gets to get to know her patients, nobody seems to care. Carla is amazed at how the Janitor was able to score such an attractive girlfriend. The doctors are improving their services to get a higher ranking on a website and although ...