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The residency directorship appeals to Cox, but Kelso's a hurdle; tensions surface between Elliot and Sean, who learns of her fling with J.D.; a surgical procedure partners Carla with Turk, who's not anxious to work side by side with his fiancee.
An old flame (Heather Graham) rekindles J.D.'s attraction amidst his frustration with Kylie. Also, romantic problems embroil Turk and Carla; and a dating game entangles Elliot, who's the object of a bet between Cox and the Janitor.