- Carla's still the only one who knows Elliot's fellowship was canceled. J.D. is turning 30 and gets the urge to achieve something. Turk is fighting for an attending's spot. Elliot wants Jake to open up but isn't prepared to handle it.
- While planning his birthday, J.D. finds a list of things he wanted to accomplish, before he turned 30. He enters a triathlon to begin. Elliot discovers a side of her boyfriend Jake, that freaks her out. Turk is working hard to impress his bosses and takes on a patient, who wants to be hypnotized during surgery, rather than using anesthesia, all in effort to be promoted.
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