A main character departs and J.D. faces a major turning point when he moves out of Turk and Carla's place. Elsewhere, the Elliot-Jake relationship intensifies.
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Ego trips up Turk, who's facing a challenge from Cox; sex abstinence agitates Elliott, who's resolved not to “ruin” her relationship with Jake (Josh Randall). Elsewhere, Kelso and the Janitor make use of a motorized cart.
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Lovelorn Elliott falls again, this time for a kind charmer (Josh Randall) caring for a neighbor. Trouble is, she seeks Cox's romantic advice. His counsel: “ignore the hell out of him.” Also: Turk and Carla participate in couples therapy.
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Jealousy gnaws at Turk over J.D.'s smooch with Carla; Cox's counsel of a teenage girl backfires, so he seeks help from Elliot with hat in hand. Also, a new uniform discomforts the Janitor, who finds he no longer commands authority.
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A get-together takes an unexpected turn for J.D., Turk and Carla, who seeks to smooth over her problems with Turk. Elsewhere, a patient's ailment rattles Elliot; and an injury to Cox's son disconcerts the tot's mom.
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A feisty patient riles Kelso, who redons scrubs, thanks to Cox's challenge, and finds his bedside manner sorely tested. Elsewhere, Carla moves out of Turk's place and into Elliot's, while J.D. moves back in with Turk. Nell: Lindsay Hollister.
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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.
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Michael Boatman (“Spin City”) guest stars as Cox's competitive old buddy, who rekindles their rivalry. Also, J.D. seeks new digs after he's ousted by Turk and Carla, who long for privacy, but soon miss having him around.
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Act II unfolds as J.D.'s sitcom fantasy, filmed in front of a studio audience and triggered by his tending to a TV writer. Clay Aiken guest stars as a hapless cafeteria worker, who sings “Isn't She Lovely?” Mr. James: Ken Lerner. Kylie: Chrystee Pharris.
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Staffers are quarantined in the ICU, thanks to a gaffe by J.D., entrapped with his new flame and the “ex-girlfriend from hell” (Tara Reid). Also, tensions flare between Carla and Turk, who's jealous of his wife's ties with Cox.
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A patient's trust binds J.D., who can't reveal a disturbing diagnosis to the afflicted's girlfriend, a winsome charmer J.D. is romancing; a hopeless case steels Elliot's resolve. Kylie: Chrystee Pharris. James: Marc D. Wilson.
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Colin Farrell guest stars as an Irish-born free spirit, philosopher and battler who woos Carla and Elliot, and wows J.D. and Turk. Also, Cox has a vasectomy, then has second thoughts.
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Ego trips up J.D. over a patient's plight that Elliot diagnoses first. “When did she become a better doctor than me?,” he whines. Cox has a typically caustic response. “Probably during one of the countless days you were goofing off.”
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The MDs are puzzled by a man's case, and touched by his son. The disarming 10-year-old charms Kelso, beguiles Elliot and rattles Turk, the surgeon who'll be operating on the lad's father.
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My Unicorn
Season 4, Episode 11
Matthew Perry directed and plays the estranged, cavalierly Chandler-esque son of an amiable patient (John Bennett Perry, his real-life dad) in need of a new kidney. Also, Elliot wages a battle against gender discrimination. Jordan: Christa Miller Lawrence.
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Conclusion. J.D.'s a prisoner of love, bewitched by a malpractice lawyer (Julianna Margulies) who's suing Turk. Elsewhere, Elliot gets short shrift from a sexist-pig patient (Jon Polito), an influential member of the hospital board.
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Part 1 of two. ER's Julianna Margulies plays “the scariest malpractice attorney in the city.” Not surprisingly, her dad is a patient MDs are afraid to treat. Richard Kind returns as a hypochondriac out to teach Turk a lesson. Doug: Johnny Kastl.
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Tales of two Mollys are spun around Dr. Molly Clock's fling with J.D. and a guest stint by Molly Shannon as a very vocal paramedic, who becomes a thorn in the side of Dr. Cox as he fulfills his community-service obligation.
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Jealousy goads J.D., rattled by Elliot's new affair with his visiting brother (Tom Cavanagh); spite incites Cox and Kelso to get at Molly, whose overweening cheeriness they find irritating. Molly: Heather Graham.
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My Cake
Season 4, Episode 6
Tom Cavanagh returns as J.D.'s older brother in an episode about grief, acceptance and denial. One plot deals with the death of the sibs' dad, another with Turk's debilitating health condition. Molly: Heather Graham. Janitor: Neil Flynn.
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Her Story
Season 4, Episode 5
Disillusionment racks Elliot, upset by the imprudent behavior of Molly (Heather Graham), her mentor; leadership skills test J.D., who strikes an improbable bargain with Cox. Mike: Jason-Shayne Scott. Lonnie: Michael Hobert.
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A risky procedure daunts J.D., intimidated by Cox's dire warning to residents that “sometime you will screw up [and] kill a patient.” Elsewhere, Elliot crosses swords with Molly over a patient's candidacy for surgery. Dean: Tim Conlon.
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Surprise! Cox is still married to Jordan, thanks to a legal mix-up; respect eludes J.D. in his new residency role that has him battling with Elliot. Molly: Heather Graham. Miss Myers: Bronwen Booth. Dr. Lemmon: Brogan Roche.
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My Office
Season 4, Episode 2
Hospital conflicts busy Clock, who sets out to mollify J.D. and Elliot, now sharing duties and squabbling as co-chief residents. The psychiatrist also comes between a battling Carla and Turk, who's engaged in a feud with Cox as well.
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Heather Graham (“Austin Powers: The Spy Who Shagged Me”) joins the cast in a recurring role as an insightful if spacey psychiatrist. The main plot focuses on her interaction with J.D. and his treatment of a recalcitrant patient.
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