Elliot makes Keith re-propose to her so that everything will be exactly the way she imagined it, but how will JD take the news of their engagement?
- Everyone Can See It: Everyone consoles JD over losing Elliot to Keith.
- Old People are Nonsexual: Averted and lampshaded. Carla and Elliot can't figure out what's wrong with their elderly patients. Cox and Kelso spot it right away: they have syphilis.
- O.O.C. Is Serious Business: During an Imagine Spot, JD always looks up and to the left. When he imagines being married to Elliot, he just looks right at her.
- Running Gag: Janitor keeps asking people questions with "God is watching" to get them to tell the truth.
- Truth in Television: Sexually transmitted infections are kind of running rampant among the elderly because they think they don't need condoms.