J.D.'s feeling left out on his friendship with Turk and gets hurt when Turk brings The Todd to the bar where they were supposed to catch up on their friendship. While talking to one of his patients who's gay, Turk admits to himself that he's scared of opening up to another guy. Meanwhile, Carla is driven crazy over an unidentified urine sample and threatens the janitor, while Elliot tries to balance Sean and her career out so one doesn't end up getting on the other's way.