J.D. addresses the news that he is going to be a father and Dr. Cox is worried about how his anger is going to impact his offspring. Meanwhile, Carla and Turk prepare for the impending arrival of their new baby. Elliot feels left out because she is childless, while the Janitor wonders if he has wasted his life.

A Croatian Doctor comes to Sacred Heart, only to find out that he has to redo his Internship there.

J.D. shows symptoms of 'Vasovagal Syncope', a condition that causes fainting and blackouts.

Turk and Elliot argue over whose turn it is to take care of him, whilst Carla tries out her new excuse "I have a baby" and the Janitor takes a vacation.