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Jordan's siblings, Danni (Tara Reid) and Ben (Brendan Fraser) come to visit for Jack's first birthday; Carla agrees to take Turk's last name only if he has his mole removed; Dr. Cox is angry to find out Ben has not been to a doctor for a followup since his remission.
J.D. and Danni break up while Sean and Elliot plan to move in together; Carla gets anxious over last minute wedding plans; Dr. Cox bets Kelso that no healthy pastient will sign up for a full body CAT scan.
Carla has dinner with an old crush and asks J.D. not to say anything; Elliot's patient, Mr. Thompson (Alexander Chaplin), refuses to take drugs, but Cox tries to convince her that Thompson is a drug addict.
Dr. Casey (Michael J. Fox) and J.D. discover that a toilet that the Janitor put on the roof. Dr. Kelso closes an entire wing of the hospital to save money.
Dr. Kevin Casey (Michael J. Fox), a skilled surgeon who suffers from O.C.D., comes in and impresses everyone and imparts pearls of wisdom.
On the day of Turk and Carla's wedding, Turk is delayed in surgery and the wedding ends up being canceled, but the reception goes on. Danni gets drunk and wreaks havoc. J.D. tries to convince Sean to take Elliot back.
Dr. Cox injures his back trying to show off to Turk; J.D. is sick of the Janitor's lies until he discovers he played a policeman in the fugitive and therefore is just an actor.
Turk and Carla set a date for their wedding; J.D., nervous he's losing Turk, sets up a man date; Elliot gets back together with Sean; Carla obsesses over an unmarked urine container.
Marco helps Turk write his own wedding vows; J.D. resigns himself to a relationship with Elliot despite not loving her; when Jordan insists she and Cox stop fighting, he antagonizes the Janitor. Moved by Turk's vows, J.D. admits to Elliot he doesn't love her.
J.D.'s brother, Dan (Tom Cavanagh) comes back to visit and blames Cox for turning J.D. cynical; Dr. Kelso catches Elliot and Carla moonlighting at an animal clinic after forbidding employees from taking other jobs.
Elliot and Carla get arrested trying to find a prostitute for their terminally ill patient; After Danni walks in on Cox and Jordan having sex she asks to stay at J.D.'s; Cox and Turk argue over a patient who needs a liver transplant.
J.D. attempts to comfort Cox after Ben's death, while Jordan's friends, Maddie (Embeth Davidtz) and Allison (Julie Warner), stay with her to comfort her.
Nervous about Danni moving in, J.D. tries to break up with Danni, but she beats him to the punch when she's sick of playing second fiddle to Elliot; Dr. Cox realizes he's no longer scaring his residents; the Janitor flirts with Elliot.
Marco (Freddy Rodriguez), Carla's brother comes to visit and pisses of Turk; Dr. Cox and Kelso disagree on patient care and J.D. ends up taking Kelso's advice; J.D. is interested in Danni (Tara Reid) until he finds out she's Jordan's sister.
J.D. and Danni (Tara Reid) hook up, making Cox tell her that J.D. already slept with her sister, Jordan; J.D. and Cox deal with an annoying patient, Jill Tracy (Nicole Sullivan).
A butterfly, symbolizing the butterfly effect, prompts the question on what could have happened different as Turk looks for his lucky do-rag for surgery and Elliot tries to find a lost stuffed animal for a child needing a bone marrow transplant.
Elliot admits she has a problem with the clinical terms for genitalia after accidentally giving a patient an orgasm, and Carla attempts to help her get over her fear of dirty words; Cox is moved by the relationship of his prostate cancer patient (Barry Bostwick) and his wife;
J.D. attempts to make Elliot jealous by getting back with Danni (Tara Reid); Dr. Cox realizes he has a crush on Dr. Miller; Turk and Carla encourage the Janitor to take a promotion to security guard; Sean confronts J.D. about what happened with Elliot.
Jordan and Dr. Cox worry over Jack's cough and take him the hospital's pediatrician, Dr. Norris (Christopher Meloni); The residents get their own interns.
In this episode narrated by Turk, he delays mailing out the wedding invitations; J.D. covers Elliot's stint as a clown; Turk makes a mistake during surgery causing nerve damage to a young pianist.
J.D. distracts the Janitor and Troy with a riddle; Dr. Cox and Dr. Steadman (Matt Winston) compete for the same residency director job; Carla works with Turk when she covers for someone.
Turk and Carla help J.D. diagnose a patient; Elliot, frustrated with everyone walking over her, gets a makeover based on the Janitor's advice.