When J.D. asks Dr. Cox to give the residents a pep talk, Dr. Cox takes things a little too far by telling them that inevitably, they will eventually kill a patient or two, which throws the staff into a frenzy. Meanwhile, Carla becomes so annoyed with Turk's stuffed dog Rowdy, she takes drastic measures to get rid of him. Elsewhere, Elliot fights for a patient to receive a heart valve, and becomes frustrated when Molly steps in to thwart her efforts.