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 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.