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J.D. and Elliot are about to kiss, and J.D. pluckers up, but Elliot moves away, and is seen standing on the opposite side of the room. The two admit that what almost happened wasn't about "them" but was about the fact that they were panicking as they were making lifelong commitments to their respective partners. When Keith arrives, Elliot realizes that she doesn't want to get married to Keith, but just wants to be married. She breaks it off with Keith, and he doesn't take it lightly, calling her a "pigwhore". When Keith is moving out of Elliot's apartment, Elliot arrives and the two make out and get back together again. Elliot is once again worried, and once more, at the end, breaks up with Keith.

J.D. thinks he's a self-saboteur as he is always trying to screw up his relationships, and so tries to go the entire day without screwing any relationship. Turk tells him that the reason J.D. is "screwing" up his relationship with Kim, is because he impregnated a girl he just met, and before he could love her she betrayed him. J.D. refuses to accept this. At the end of the day, J.D. manages to maintain all his relationships but at the last minute, screws up his "relationship" with the Janitor, by doubting that he has a girlfriend. In the end, J.D. accepts Turk's truth, and the fact that he does not love Kim.

In another plot line, a diabetic Turk can choose only one kind of candy, and he ponders over which one to get.
Turk and Dr. Cox have a charming patient, whose ailment they cannot figure out (they initially suspect it's lime disease but cannot find any tick bites). In the end, they shave the patient's head and find the tick bite, thus proving that their initial diagnosis was right after all.