At a bar, Carla makes a decision on the right answer to Turk's proposal while Elliot thinks she has struck gold when she meets Paul, a charming man whom she recognizes from the hospital and assumes is a fellow physician. However, the next day, she learns that he is a nurse, and she is forced to put her ego in check to give the relationship a chance. In the meantime, J.D. enjoys a rare day when everything goes right while Dr. Cox' world is in chaos as he manages to alienate himself from all of his colleagues at the hospital.