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J.D. walks out of the elevator and the janitor shouts "Hey!". J.D. thinks it it one of those paranoid ideas he had and turns around shouting at him. In fact he was wearing dirty shoes on the wet floor. He says there should be some kind of sign so the janitor takes it from the floor to show the "Caution Wet Floor" sign. While he does so, somebody else walks past and slips. Dr. Cox gathered everyone and has been up since midnight. All 27 patients in the ICU have been alive since then and he intends to keep it that way until the end of the day, to score a perfect game.
J.D. constantly gets paged by Dr. Cox to take care of the ICU patients. At the cafeteria, Turk and Carla kiss and get along until she steals one of this french fries. He gets annoyed as she didn't ask for them herself, throws them on her plate and leaves. Dr. Kelso grabs J.D. and gives him the job to take care of one of the social workers who slipped. They are concerned that she might turn around and sue them. Dr. Kelso reckons she is less likely to sue if a friendly face such as J.D. takes care of them.
At the MRI machine, the young woman's head is in the machine while she is lying on the bed. As soon as they introduce each other, her name being Alex, he gets paged and leaves. Mr. Davis is back and Carla injects him a needle for the pain in his arm. Apparently some woman pushed him from the bus. Turk comes in and he takes over. Elliot is eager to make Dr. Cox ready to see her abilities. However, he picks J.D. to do the work. Dr. Kelso finds J.D. working and tells him to get back to the MRI machine. The machine breaks down and the bed is stuck. Alex can't be pulled out as she might have a serious head injury. Dr. Cox pages him again, and on the way to the ICU Elliot complains that he is Perry's go-to guy and she tries to hard but only gets to bring him coffee.
Turk is having trouble putting Mr. Davis' arm back in place. Mr. Davis mentions that there must be something wrong with Carla and Turk. At the MRI room, Alex gets scared and wants J.D. to hold her hand, and she checks for a wedding ring. Unfortunately he gets paged again. Turk recommends that Carla crashes at her place tonight. Dr. Cox wants J.D. to make rounds but he tells him about the patient in the MRI room he needs to babysit. Elliot is waiting in line to help out. J.D. asks around how Alex looks like. Carla knows something is wrong with Turk and Mr. Davis confirms this. Turk finally fixes the arm and leaves. Elliot is too unsure about her decisions so Dr. Cox drops her out of the game.
Ted and Dr. Kelso visit Alex and she says she does not plan to sue the hospital. J.D. gets paged again. He tells Elliot that this is all a test and she should get back in the game with more confidence. Dr. Cox sees her work hard from afar. One of the patients is flat-lining and they can't revive him, 5 minutes to midnight. Elliot says they should just wait five minutes but the game is over for him and there is nothing wrong with a one-hitter, so she call the time of death.
Carla is leaving for her home, and Turk tells her that she drives him crazy, bosses him around and takes his food. He tells her he loves her and wants to spend every irritating minute together. She says "I love you" too. J.D. sees this and thinks about taking chances. Elliot takes care of what Dr. Cox asks her to do, while J.D. runs to the MRI. room where Alex is about to come out from the machine. He stops the machine and asks her out. She agrees and the machine pulls out...