This episode is narrated from Turk's, rather than J.D.'s, viewpoint. Turk delays mailing out the wedding invitations, as it is the point of no return for getting married. During surgery, Turk makes a mistake that causes irreparable nerve damage to a young concert pianist, to whom he can't admit his mistake. J.D. covers Elliot's stint as a hospital clown; the Janitor becomes his sidekick. Elliot realizes just how good a friend J.D. has been to her, and sleeps with him just before Sean comes back into town.