In the aftermath of their near-indiscretion, Elliot realizes she doesn't want to be with Keith and J.D. resolves to stop sabotaging himself. Meanwhile, Dr. Cox and Turk find a patient they both like who is in danger of being discharged.
Kim and JD break up right before their baby is born because he doesn't love her. Turk can't be by JD's side until he finishes a video game, and Perry tries to find another doctor besides himself to give his infant daughter a shot.
Turk tries to assure a worried Carla that their daughter will acknowledge her Latin heritage. The Janitor challenges J.D. to identify everyone in the hospital, when it is discovered that he uses nicknames, because he doesn't know the people's actual names.
When Dr. Kelso tells the Janitor that nobody cares what he thinks, he starts a newspaper called "The Janitorial" to prove him wrong. J.D. and Turk fight over their manhood issues, while Dr. Kelso is too proud to ask for help about one of his problems.
Carla and Elliot try to round up support to fight against Dr. Kelso's forced retirement, but they aren't getting many takers. J.D. and Turk accidentally figure out one of Dr. Cox's patient's mystery ailments.