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- J.D. and Carla are becoming closer; furthermore, they are "best friends". Dr. Ramirez, someone Carla used to like before he left the hospital, is back in town, and Carla goes out with him, not telling Turk. The Janitor is dressing up as his "twin" brother, Roscoe, to trick J.D. and Turk, but they won't fall for it.
- It's Jack's first birthday, so Jordan's siblings Dani and Ben are in town. Dr. Cox tells J.D. to leave a patient for half an hour and check up on Ben's leukemia, but when a patient dies, Dr. Cox blames J.D., and takes over his patients. Carla and Turk argue about Turk getting rid of his mole and Carla taking Turk's last name. The main theme is acceptance.