After a hard day of work, Dr. Cox has the burden to tell his son Jack a good night story, so disguises his hard day as a fairy tale about the little village Sacred Heartlia with Carla and Turk as the two-headed witch Turla, Elliot as the princess and J.D. as the village idiot.

Elliot and J.D. discover a major change in their relationship, when they spend time together looking for a former patient.

Dr. Cox had a patient that he hadn't been able to diagnose for two years, and he is back again.

When Dr. Kelso tells the Janitor that nobody cares what he thinks, he starts a newspaper called "The Janitorial" to prove him wrong.

J.D.'s teenage burn patient gives him a hard decision to make when he wants to go to his high school graduation.

Though Elliot boasts that through private practice she gets to get to know her patients, nobody seems to care. Carla is amazed at how the Janitor was able to score such an attractive girlfriend. The doctors are improving their services to get a higher ranking on a website and although J.D. appears nonchalant initially, he is elated when he is ranked #1.

The Sacred Heart staff has to deal with their inner child, when J.D. and Turk remember their first prank, Dr. Cox has a ten year old Leukemia patient and Dr. Kelso celebrates his birthday.

Turk tries to assure a worried Carla that their daughter will acknowledge her Latin heritage.

J.D's brother Dan returns and delivers a few home truths to his little brother.

Kim goes into labor, and J.D. struggles to decide if he should tell her what he really thinks of their relationship.

In the aftermath of their near-indiscretion, Elliot realizes she doesn't want to be with Keith and J.D. resolves to stop sabotaging himself.rnMeanwhile, Dr. Cox and Turk find a patient they both like who is in danger of being discharged.