When J.D is letting the skater kid go in a wheelchair, he goes down the stairs to the right, but J.D is shouting to the left.
When J.D. is at the M&M conference room and starts to daydream, we see him sitting alone. There is a bag on a chair a few rows back to his left. The camera flashes to Dr. Kelso, then back to J.D., and the bag has disappeared. The camera flashes to Dr. Kelso once more, then back to J.D. and the bag reappears.
At dinner when Turk stole Carla's steak and cut for himself, Dr. Cox said, "You do not get women at all." However, in season one episode "My Student" Dr. Cox was TERRIBLE with the ladies and Turk was the one who helped him get a date.
"Bad Case of Loving You (Doctor, Doctor)" by Robert Palmer
"Rain King" by Counting Crows
The video tape footage of the skater falling off onto the railing also appeared in a game of Newsflash on ABC's Whose Line Is It Anyway?
When Elliot and JD are discussing whether or not to admit a patient to surgery, behind JD there is a white board with the words "Bowling League" on it. However the word "League" is spelt wrong (Leauge).
"My First Step" was the last episode to have the extended introduction sequence. This variation started in season two and only lasted seven episodes before the original intro took back over.
During the dinner scene, The Todd asks her why she'd want to continue being "just a nurse". A second before he says "Why?" she is shown holding her fork with a piece of meat poised for her mouth but, when Dr. Cox berates Todd for asking another dumb question, Carla is clearly holding her wine glass again. When did she have time to put down the fork and retrieve the glass?
Dr. Cox: My mechanic has that poster in his garage.
Julie: Does he have this one? (Julie makes another sexy pose)
Dr. Cox: Actually, it's a family business.
Mike: Dude, you're gonna love this!
J.D.: I don't wanna do it.
Elliot: Come on, what's the worst that could happen?
J.D.: We could die!
Elliot: Okay, the second worst?
Turk: If I had to do it again, I would. 'Cause I love steak.
Carla: I know, Papi. I know.
J.D.: You see that nurse over there? I love her. Every night at 10:30 for the last year, I've watched her come in here and get a cup of coffee. And not once have I had the courage to even ask her her name.
Elliot: Well, if it makes you feel any better, she has a snaggletooth.
Elliot: Hey. How's it going?
J.D.: You have more jokes, don't you?
Elliot: I jotted a couple of things down!
Dr. Cox: How's, uh, how's MeatHead?
Carla: I know I'm not a doctor, but if you could order a strong antiemetic, that would be great.
Dr. Cox: For the record, you know you would ace that nurse practitioners program.
Carla: Really? You think so? Well, what if the classes are too hard? What if the teachers are mean? What if the other kids don't like me?
Julie: So, here we are. Two people... street lamp... full moon...
Dr. Cox: ...Guy pissin' on the dumpster. Oh! Did I break the mood?
Carla: Excuse me for not having all your male ambition. I can't believe anyone would look down on me because I'm good at what I do, and because I love doing it!
Turk: I'm sick to my stomach.
Carla: Me too, Turk! Me too!
Turk: No, Baby, I'm serious; I think I'm in trouble here.
Todd: Well, seriously, why wouldn't you want a better job?
Turk: Hold up. My Baby's happy with being just a nurse. Did I say "Just a nurse"? I didn't mean "just a nur-". Nobody at this table said "just-". I meant: "A Nurse." Right, Baby?
Carla: That's right!
Dr. Cox: Oh, just not smart. Even for you.
Elliot: Oh, come on! I-I laughed so hard when I thought of that that I peed a little!... I changed right after.
Carla: You know what? I'm on my second glass of good wine, I'm watching my boyfriend try to eat his body-weight in meat, and I am extremely tickled that the only thing Dr. Cox wants isn't on the menu. Ha!
Dr. Cox: What?
Carla: Oh, what can I say? I'm finally having a good time.
Dr. Cox: That'll pass.
Todd: I still think it's pretty lame that you didn't like Turk's nurse practitioner present.
Dr. Cox: Told ya.
Carla: Turk, don't eat off my plate!
Turk: You're right, Baby, I'm sorry; that's rude.
He jams his fork into her steak and pulls it on his plate.
Carla: So, you're having steak with a side of steak?
Turk: That's right - turf and turf.
Dr. Kelso: Finally we have, um, Dr. Reid's necrotizing fasciitis case. Deceased. Oh, don't be frightened, Sweetheart, no one's on trial, here - at least not until the family sues your little behind.
Dr. Kelso: Sweetie, I'm not joking. But, should that happen, you may rest assured that the hospital will stand behind you one-hundred percent.
Elliot: Thank you very much, sir.
Dr. Kelso: Now, see, there I was joking. Try to keep up.
Julie: Hello, boys and girl! So, how's the food?
Julie: And how are you, Dr. Cox?
She leans over, practically spilling her breasts out of her top.
Dr. Cox: Look, I'm just here to enjoy my meal, so unless those things dispense A-1 sauce, I'd keep movin'.
Carla: You realize this doesn't count, right?
Turk: Yeah, but, baby, free steak!
Dr. Cox: You just flat-out get women, don't you.
J.D.'s Narration: I had to talk to Elliot before she went in to the Morbidity and Mortality Conference, because nothing puts you in a worse mood than having to explain why your patient died. I just need an opportunity to talk to her when there's no possible way that she can interrupt me.
J.D.'s Narration: Peanut-butter cracker! Go, go, go!
J.D.: Elliot! Hey! What I said earlier came out completely the wrong way; I just want you to know that I-I-
She spits her mouthful of cracker into her hand.
Elliot: Bite me!
J.D.: She's a crafty lass.
Elliot: This just sucks... You know?
J.D.'s Narration: This is a crucial moment. Pick your words carefully.
J.D.: I guess I was right after all.
Elliot storms off
J.D.: All right, so you promise me you're gonna be more careful, right?
Mike: Look, dude, the only way to feel alive is to push the limits once in a while. You know?
J.D.: Well... Keep it real!
Mike: Oh, God. See ya, geek!
J.D.: Buy a cup!
Julie: Why does it have to be like this every time I come here? I mean, what is your problem with me?
Dr. Cox: Okay. Well, for starters, everyone here knows that you sell pills, and yet you use phrases like "take orally" and "increases blood flow" way, way too much. I mean, jeepers, Julie, don't you understand you got half the doctors on this staff believing that if they go ahead and join team Plomox, that they got an outside shot of you showing them the cotton inside your bottle? Would you like to know the real dirty, dirty little secret? It's that your drug is so damn good that you guys went ahead and put a six-hundred percent mark-up on it. But, hey, the only ones who get hurt are the sick people, right? And since your company damn-sure doesn't care about them, and you're part of the system, that just means you don't care, either. And that's... pretty much what's making me sick; that's all.
Julie: Well, you can say what you want, Perry. But we both know that you'd love nothing more than to smack this fine ass.
Julie: So, how's the guest list for tonight's steak dinner shaping up?
Dr. Cox: Well, now, I don't have any definitive confirmations yet, but, admittedly, that could be because I haven't asked anyone.
Dr. Kelso: So, Mr. Brooks is doing peachy, huh?
Dr. Kelso: Great. Great! A patient's improvement is always cause for celebration here at Sacred Heart. And yet, for some reason, I'm not wearing a party hat, sitting bare-ass on the hospital's copier machine. You know why? It's not because I have the name Johnny tattooed on my butt - he's an old sailor buddy, and if you went through what we did, you'd understand.
J.D.: I'm not the boss of anyone around here.
Janitor: Permission to use the can, Boss.
J.D.: Enough, already! I'm not doing this... Fine! Permission granted!
Elliot: J.D., look, even though I decided to send Mrs. Kahn to surgery, I know that you were just trying to help me in your own...sucky way. And... I over-reacted, and that's something I've been working on in therapy to not do as much.
J.D.: But, I still think you should have gone with my "wait and see" approach.
Elliot: Well, you're not the boss of me!
Turk: That's not all! You'll use that bus pass for an all expense paid trip to... Nurse Practitioner School! Where you'll learn how to be more than just a nurse!
Carla: "Just" a nurse?
Turk: Did I say "just a nurse"? I meant "a nurse"! Honey, you were complaining about having to ask Dr. Wilder for permission just to feed a patient. And this way, you'll have more responsibility, plus you'll make more money; so, I thought that-
Carla: You thought that the only reason I've been doing my job for the last eight years is because someone didn't come along to hand me a brochure?
Turk: And a bus pass?
Carla: Why would you get me a present?
Turk: Why does it need to be a birthday or an anniversary for me to get my baby a little somesing-somesing.
Carla: Ahhh. Plus, you figure you'd get yourself a little at work "somesing-somesing."
Turk: I'll get the door!
J.D.: Dr. Cox, I hate to bring it up again, but it seems important... Julie likes our tushies.
Dr. Cox: Newbie, any doctor with even a shred of self-respect wouldn't give that woman the time of day.
Dr. Kelso: Oh, Julie!
Dr. Cox: Well, well. If it isn't the Captain and Tennille of the underworld.
Elliot: You actually think you're a better doctor than me, don't you?
J.D.'s Narration: Well, I do have better bed-side manner... I anticipate problems way ahead of time... Oh, and my hair never gets in my face; so yes, yes I do!
J.D.: No I don't.
Elliot: Yes you do. Every time you stare off in to space like this...(she stares into space)... I know you're just thinking of something you're too afraid to say.
J.D.: Please, I never do this...
He stares to the right. After a few seconds, he stares to the left, into space.
J.D.'s Narration: Maybe she's just upset because she knows I'm right?
Elliot: Oh, my God!
Elliot: I can't figure out what to do about Mrs. Kahn. I don't know if I should send her to surgery?
J.D.: Well, don't send her to surgery. I'll tell you what you do: You wait and see. And I know I'm right, 'cause I'm a "wait and see" kind of guy. You know, Elliot, in modern medicine, we're faced with tough decisions almost every day-
Elliot: You are amazing!
J.D.: Well, amazing is sort of a strong word... I just show up and let the Lord work through me.
J.D.'s Narration: He's leaving! This is officially the greatest day ever!
J.D.: Taking off?
Janitor: Yeah. If that's okay?
J.D.: That's fine.
Janitor: You know, I just wanted to, uh, sneak out for an hour, and see my kid's fourth grade play. But, you caught me!
J.D.: No. N-n-no-no catchies.
Janitor: No, no, no; I think you're right. From now on, before I do anything, I'll make sure to run it by you first. Permission to go see my kid's attempt to overcome his crippling shyness by appearing in his fourth grade class's production of "Town Without A Turkey"?
J.D.: I gotta get back to work.
Janitor: "Back to work..." Message received.
J.D.'s Narration: What just happened?
Todd: Why won't any women talk to me?
Nurse: Because you're slimy. And you turn everything into a double entendre.
Todd: Not true!
Turk: Go ahead.
Todd: I'd like to double her entendre!
Carla: You know I'd play, Sweetie; you know I'd play. But, because I'm "just a nurse", I have to go get Dr. Wilder's permission to give his patient some food even though I know it's perfectly fine.
Todd: Speaking of things that are perfectly fine...
Todd: That was a compliment!
Turk: Hey, cutie! What's your name?
Carla: I'm Carla, I'm your girlfriend, and as much as I usually love it, I really don't have time to play that game where we pretend we never met, okay?
Turk: Carla's a pretty name.
J.D.: What? I am not gonna say a word.
Elliot: You just did.
J.D.: Except that. And... that. And now that. And that and that and that. It just keeps on going!
Dr. Cox: Let's go.
Julie: Well, I gotta say, I don't mind watching you two boys walk away! Oh, yeah, work it! Ow!
J.D.: She's talking about our tushies. I say we go back, but let's walk backwards!
Dr. Cox: My God, you'd be more subtle if you stood naked in the hallway, eating a 10-inch kielbasa.
Julie: That hurts, Perry!
Julie: You're cute! Would you like a pen?
J.D.: No... I'd love one.
J.D.'s Narration: Even though she was way out of my league, I decided to show some guts and lay down the smoothest rap I knew.
Carla: Damn... What? She's hot.
J.D.: No, that's hot.
Turk: Baby, you know that fantasy I have of you, me, and a player to be named later...?
Carla: Yeah, fine. If it was someone like her, I'd go for it.
Turk: You are the best thing that has ever happened to me.
Dr. Cox: Lookit, I don't have time right now to be the hundred-watt bulb for your annoying little moth, so if you could just fly away, that'd be great. Just fly awa-hey...?
J.D.'s Narration: I usually don't walk away from Dr. Cox, but today's the day the pharmaceutical reps show up to peddle their new drugs. And, at Sacred Heart, that means one thing: Julie's here.
Janitor: Permission to speak, sir?
J.D.: You know what, no. No, you may not speak - not now, and not ever, okay? You have overplayed your hand and you may never talk to me again. Those are the rules of the game.
Janitor: Then I quit.
J.D.: No, no, no, no! No quitsies! Check-mate, Gin, and Yahtzee, my friend.
Janitor: You know, my son used to love to play Yahtzee with me, until you made me skip his play. Now he won't eat!
J.D.: We've started a new game now, haven't we.
Janitor: Yeah. It's called, You don't eat until Timmy does.
J.D.: Hey, Elliot, I'm...I'm sorry that I was such a jerk before. But, hey, I got mine...right? Anyway, thanks for being classier than I am and not rubbing it in my face.
Elliot: No problem. Hey... You never told me that you're part Native American.
J.D.: What are you talking about?
Elliot: Aren't you a member of the 'Waitansee' tribe?
J.D.'s Narration: Oh, God, this is painful. It's like watching a shark circle a baby harp seal.
Dr. Kelso: Dr. Reid faced a very difficult decision. And she chose an extremely risky course.
J.D.'s Narration: He's like a royal python torturing a hopper mouse... Man, I love Animal Planet.
Todd: Which one of these waitresses you think will do me?
Dr. Cox: I'd say you got an outside shot with the busboy over there.
Dr. Kelso: And Perry, we're going to need a big staff turn-out, so don't take "no" for an answer!
Dr. Cox: You going, there, Chief?
Dr. Kelso: No! If I wanted to make boring small talk over low-grade beef, I'd have dinner at home.
Julie: Hi, handsome! I'm Julie.
J.D.: Ohh? Were you named after a precious jewel...ie?
Carla: Wow! A bus pass. Help me get off my bra.
Dr. Kelso: Perry, do you know the name of the new antiarrhythmic drug that Julie is selling?
Dr. Cox: That's a tough one.
J.D.: It's Plomox.
Dr. Cox: Nice work Nancy Drew. Now see if you can solve the one about the missing ID badge. (takes off JD's badge and throws it)
Julie: Plomox is the most effective antiarrhythmic drug on the market right now and it has minimal side effects. Only nausea, impotence and anal leakage.
Dr. Cox: I'm getting two out of three just from the conversation.
Dr. Cox: There is no one that I hate more than that Medusa. She is everything that's wrong with medicine and even knowing she's in the hospital makes me wanna tear someone's head off.
Elliot: Doctor Cox! Is this a good time, cause I just have a teeny, teeny, weeny little question about Mrs. Com's necrotizing fasciitis.
Dr. Cox: For you barbie, anything.
Dr. Cox: But first an interesting sidenote. I actually had my physical last week and while my cholestorol was low, my blood pressure was through the roof. Needless to say, my physican was stumped, but now thank God, you helped to solve that riddle. You see because the very instant I heard your shrill voice whining about a teeny, weeny problem, aww it took every ounce of self-restraint I had to keep blood from shooting out my ears.
Elliot: Doesn't it seem like in the time it took you to say all of that you coulda just helped me out instead?
Dr. Cox: Well yes it does, but here that's what makes it delicious.
J.D.: I mean the kid thinks he's Evil Kenevil.
Dr. Cox: Oh gosh Martha, I'd love to attend your safety camp this summer , I would, but here my parents are making me go to Maine with them. So what do you say you take a lot of pictures so when you get back we can both sit down and put together our friends forever collage. Come on now, the kid's sixteen years old, he's a little busted up, it's not that big a deal. I mean hell when you were a kid you musta cut your hand on your doll house.
Original International Airdates:
Czech Republic: January 30, 2013 on Prima COOL
Title Explanation: "My First Step" refers to the first step J.D. wants to take so he will be more risky.
The stuntman and stuntwoman who performed the bungee jump together, met each other on set and are currently married (this was stated in the episode's audio commentary).
Heather Locklear is the first star from Bill Lawrence's other series Spin City to appear on Scrubs. Lawrence has managed to incorporate a lot of the stars from Spin City into Scrubs.
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