Dr. Cox visits a patient, a young boy named Josh, who says he's a little tired but okay, and asks after the doctor. Dr. Cox says he recently lost the ability to break down dairy products. Carla giggles, "Whoa, TMI! Am I right, Josh? Too much information?" Dr. Cox says he's going to leave Josh with "Nurse Early '90s Catchphrases." That joke would be a lot funnier if they hadn't done it on The Office like two seasons ago. Don't go there, show. In the hallway, Cox explains to Josh's parents that Josh is anemic with a high white blood cell count, and Cox is worried it might be leukemia, but they'll know more when the tests come back. Josh's parents barely react.
Elliot announces to everyone that Kelso's birthday party will be tomorrow. Ted claims he's not going to the party, and that's it. Elliot says that's fine, and Ted caves and says he'll go, and he'll also pick up the cake and decorations. Elliot thinks they need 58 candles, but others pipe up to say that Kelso seems to turn 58 every year. Elliot wants someone to help her find out Kelso's real age. Janitor slides into the screen and says, "You rang?" He giggles that he always wanted to say that, but nothing actually rang. But he does hear bells in his head. But now they're gone. Nope, back. Gone. Back....now they're gone. Now they're back. This goes on for a while.
Turk announces he has made plans for his and JD's big goofing-off day. Doesn't that kind of go against the whole point of goofing off? Turk wants to go old school: "World's Most Giant Black Doctor." JD though they were going to save that for Black History Month or to scare racists. Turk says a patient asked him to finish his fried chicken today. Turk ate it, but he was offended. Also, Turk made a giant stethoscope, which the guys show Carla, who pretends like she loves it, but she really rolls her eyes at it.