JD is dating TCW but he finds out that she is a drama queen, just like Elliott told him. Refusing to admit to Elliott that she was right, he tries to keep the heat in his relation. Carla's mother dies while Carla is planning for the wedding. Overthrown by emotions, she decides to get married as soon as possible in a small wedding chapel in the hospital. Kelso makes the interns that mistreat patients take seminars from him to avoid lawsuits. When Dr. Cox is witnessed harassing a patient, he gets stuck with organizing the seminars.
- Brutal Honesty: Patients are stupid and scared. Sometimes they need you to hold their hand, sometimes they need you to be tough with them.
- Casual Kink: The episode opens with Jaime and JD in bed with his arms tied to the headboard.
- Freudian Slip: "Oh please, with a shocked look, newsflash! I'm sterile! ... I mean gutless. ... My guys swim in circles. I think it's the bike riding."
- Jerkass Realization: Turk realizes that pushing the elopement is a terrible idea when the priest forgets Carla's name. As much as it would save time and money, she always wanted a big wedding and doing this would just take advantage of her grief and rob her of something huge.
