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.

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.