J.D. and the Janitor form a temporary truce to help Ted get a ukelele player; Dr. Cox tries to take charge of the hospital, the interns, and his family, but realizes he can't do it all and must prioritize.
Catherine is called in by a pornographic-film developer to view graphic footage from a snuff movie in which a woman is brutally slain. (TV-14)
Sean learns the truth about Nikki's past and questions his feelings for her; Christian contacts the mother of a Down syndrome patient; Quentin shows interest in Julia.
Lulu informs Nick that their unborn baby has Downs Syndrome.
