Season 4 - Episode Guide

It's J.D.'s last week as a resident as he tries to smooth over his relationship with Elliot after their break-up. The former couple squabble over having to share time with newlyweds Turk and Carla, who have their own issues when Carla starts to change everything about her new hubby. Professional yet quirky new psychiatrist Dr. Molly Clock starts her first day at Sacred Heart turning heads and forging new relationships with the staff. She befriends a lonely Elliot and tries her best to help J.D. and Dr. Cox with a patient offering profound and helpful insight. Meanwhile, when Turk's car blows up, Carla lets him pick out the new ride only to find that instead of a car, he buys a Vespa scooter further proving Carla's point that she needs to always be in control.

Just when J.D. thinks he's landed the chief resident position, Dr. Molly Clock convinces Elliot that she should apply as well. Carla becomes green with envy as everyone starts listening to Dr. Clock's advice, leaving Carla feeling like she's losing control. Meanwhile, Dr. Cox and Turk, find great difficulty in the removal of a light bulb from a patient's posterior.

J.D. has become chief resident and is flaunting his new title and pay check all over the hospital. J.D.'s new sense of pride seems to be especially hurtful to Turk, who is still a resident and currently being denied more difficult surgeries by his new attending physician. Turk's ego is further hurt when J.D. doubts his abilities as a surgeon. J.D. and Elliot's relationship has taken a turn for the worse when J.D. is accidentally called the co-Chief Resident and Elliot the Chief Resident. This mix-up lifts Elliot's post break-up spirits. Dr. Cox and Jordan are having relationship problems as well when they find out that their divorce was not final. Dr. Cox's other annoying woman in his life, Dr. Molly Clark, faces off with him over a plastic surgery patient.

When J.D. asks Dr. Cox to give the residents a pep talk, Dr. Cox takes things a little too far by telling them that inevitably, they will eventually kill a patient or two, which throws the staff into a frenzy. Meanwhile, Carla becomes so annoyed with Turk's stuffed dog Rowdy, she takes drastic measures to get rid of him. Elsewhere, Elliot fights for a patient to receive a heart valve, and becomes frustrated when Molly steps in to thwart her efforts.

When J.D. decides to use a tape recorder to gather his thoughts, the voice-overs transfer to Elliot, who makes new friends with Molly and gets the courage to tell-off her foil Dr. Cox. However, Eliot soon realizes that Molly is not quite the person she thought she was when her felon boyfriend is admitted to the hospital after stealing a car and crashing it into a telephone pole. Meanwhile, in the world of the newlyweds, Turk is constantly waking up Carla when he goes to bed; and J.D. has concerns that Dr. Cox may have ruined his credibility with the new residents.

J.D. is dismayed when his brother Dan shows up with news of their father's recent death. Everyone faces the challenge of how to be sensitive to J.D. and stumbles over their words of condolences. Meanwhile, Turk has symptoms of diabetes but in his stubbornness refuses to admit it or visit a doctor as Carla wishes. Molly must employ some advanced psychology to force him to face the issue.

J.D. decides he won't start dating again until Elliot does, but doesn't expect the person she starts dating to be his brother Dan, who's still sticking around after the recent death of their father. When J.D. catches them sleeping together in the on-call room, things get a little awkward between the three. Meanwhile, after Turk is diagnosed with Type II Diabetes, he milks every ounce of sympathy out of his friends. Elsewhere, Dr. Cox and Dr. Kelso get fed-up with Molly's perception that everyone is good at heart and seek to prove her wrong.

Molly announces to everyone that she's moving away for a new job opportunity, which stirs the waters of the triangle between herself, J.D. and Elliot. When J.D. and Molly end up making-out at her going-away party, Elliot plays games with J.D. when he asks for her blessing for him to sleep with Molly before she leaves town. Meanwhile, Dr. Cox has to fulfill community service hours and gets stuck riding around with a neurotic ambulance driver who drives him insane.

Trouble abounds for J.D. and Dr. Cox when they feel threatened by a patients' daughter, Neena Broderick, a malpractice attorney with seemingly evil intentions. J.D. finds great difficulty in escaping her flirty and conniving ways. Meanwhile, Elliot attempts to hide Doug from Neena due to his tendency to cause medical malpractices. Elsewhere, Turk pulls a fast prank on the Janitor and doesn't like the payback he receives from him and Mr. Korman, a former patient who tries to get retaliation.

J.D. stirs things up with his newfound relationship with Neena the ice queen, who treats him with no regard and threatens everyone around her with her cold-hearted ways. Meanwhile, the battle in court continues between Mr. Korman, Neena, and Turk over the allegations that Turk destroyed Mr. Korman's tennis serve as a result of the shoulder surgery Turk performed on him.

When one of J.D.'s favorite patients Harrison Marks is in dire need of a kidney transplant, J.D. takes matters into his own hands by finding his long-lost son Murray in hopes that he'll donate his kidney. Despite Dr. Cox's warning to J.D. interfere with family business, J.D. persists and complications arise. Meanwhile, Elliot is fed-up with co-workers not taking her seriously, and discovers she can get her way by flaunting her femininity with some help from Carla and Jordan.

When J.D. must address a bunch of pre-med students about what it's like to be a doctor, he strays off the beaten path and chooses to discuss his best moments as a doctor instead. When he challenges the rest of the staff to do so, they all reminisce about their fondest memories in the medical field. Meanwhile, Elliot is forced to face her fear of children when she must befriend a ten-year-old boy, whose father is being treated in the I.C.U. Elsewhere, Dr. Kelso gets a dose of Christmas spirit and stuns the staff with his change of heart.

J.D.'s ego gets in the way of his learning when Elliot, his Co-Chief Resident, continually outperforms him with their patients. Meanwhile, Turk makes light of his diabetes by inventing a guessing game of his inculin levels with the nursing staff, leaving Carla flustered. Elsewhere, the Janitor feels rejected by his secret crush Elliot when she runs off quickly from their "coffee date." Assuming his nice dress attire scared her off, he makes up a story that he was dressed to impress for his a capella band practice which leads to Elliot requesting an impromtu performance.

Billy Callahan is a life-loving Irishman who comes to Sacred Heart Hospital after being innjured in a bar fight and teaches Turk and J.D. a lesson about living life to its fullest. Meanwhile, Carla and Elliot attempt to make social plans with each other but can't seem to stick with them, which creates tension between the two friends. Elsewhere, Dr. Cox gets a vasectomy behind Jordan's back and is stunned by her reaction when she discovers the truth.

When J.D. and Turk spend a boy's night out clubbing, J.D. falls for a bartender who seems fascinated by his profession and asks if she can stop by the hospital. Unfortunately, she shows up with her boyfriend who has a secret that J.D. struggles to keep in order to win his new crush over. Meanwhile, Dr. Cox anxiously awaits the Lakers/Heat game but must tape it to watch after his shift. His patience is tested when the Janitor threatens to reveal the final score.

J.D.'S efforts to make a good impression on a first date reach desperate levels when he and Kylie get caught in a hospital quarantine. A series of unfortunate events bring J.D. And Kylie to Sacred Heart on their first date, where J.D. accidentally initiates a SARS quarantine and is forced to resort to desperate measures to make a good impression. While the hospital is in lockdown, the rest of the staff recounts various first date stories leading to the revelation that Dr. Cox and Carla dated in the past.

J.D.'s imagination is sparked by a patient, a sitcom writer, who is about to receive some very bad news. J.D. ponders how the lives of everyone at Sacred Heart, including his patient, would turn out if left in the hands of the writer. Elsewhere, Turk and Carla are struggling to keep the romance in their relationship while Dr. Cox and Dr. Kelso continue their one-upmanship over whose job is harder. Portions of this episode were shot in front of a live studio audience in the manner of a traditional sitcom.

Turk and Carla ask J.D. to move out to give them some space to rekindle the romance in their relationship. Suddenly homeless, J.D. tries to use the situation to his advantage by asking his girlfriend Kylie if he can stay at her place. Meanwhile, Dr. Cox gets a visit from his high school friend Ron. Dr. Cox and Ron's relationship has always been highly competitive, and just when Dr. Cox thinks he has the upper hand, the discovery that Ron's son may be autistic sends them into unfamiliar territory.

After a month of dating, J.D. is a bit frustrated that Kylie still doesn't want him to spend the night. That frustration leads to temptation when kooky psychiatrist Dr. Molly Clock returns to Sacred Heart to check on a patient. While J.D. struggles with whether or not to act on his residual feelings for Molly, Carla tries to hold back her true feelings when she learns that Turk is still talking to his ex-girlfriend. Meanwhile, Dr. Cox and the Janitor enter into a friendly wager over whether or not the Janitor can get Elliot to go out with him.

When Carla and Turk are experiencing marital difficulties, J.D. and Elliot do their part to try and cheer up their friends. Meanwhile, Dr. Cox challenges Dr. Kelso to lead by example and take on a few patients of his own after Kelso criticizes his bedside manner -- but nothing works out quite as planned.

At his best friend's request, J.D. agrees to take Carla out to convince her that Turk is trustworthy and that she should move back home. What starts out as a friendly drink takes a turn into unknown territory when J.D and Carla take things a little too far and share a "friendly" kiss, something they both decide that Turk does not need to know about. At the hospital, Elliot and Dr. Kelso struggle to maintain their professionalism when faced with a young patient who is suffering from complications after experimenting with erectile dysfunction pills. Meanwhile, Dr. Cox tries to find the balance between being an over-protective father while still trying to be the cool dad after his son falls off the jungle gym.

Reeling after the news that J.D. and Carla kissed after a night at the bar, Turk lets the two of them decide who will take responsibility and have to deal with the silent treatment indefinitely. Dr. Cox reluctantly turns to Elliot for help getting through to a young, female patient. Meanwhile, Janitor petitions Dr. Kelso for a new janitor's uniform, only to find his coworkers no longer fear him in his new threads.

When the brother of an elderly patient tries to sue his sister's well-intentioned neighbor for helping her decide what course of treatment to take, J.D. begins to question his faith in humanity. Meanwhile, Turk struggles with sharing his true feelings about his relationship with Carla when the two begin couples therapy. On the verge of giving up on men altogether, Elliot reluctantly seeks advice from Dr. Cox on how to catch the eye of the handsome hospital visitor.

When Turk saves a man's life at the local taco stand, he tries to keep his ego in check as Dr. Cox takes all of the credit. To avoid ruining her new relationship with Jake, Elliot enlists J.D.'s help to prevent her dates from becoming too intimate. Meanwhile, Dr. Kelso terrorizes the hospital from the seat of his new Rascal motorized wheelchair until Janitor takes matters into his own hands.

With their residency over, there are big changes at Sacred Heart. J.D. moves out to live on his own while Turk and Carla consider a family change. Meanwhile, one of the residents receives a job offer from another hospital.