It's Julie Cooper's wedding day, and it will be a day to remember for more people than just the blushing bride. Recording artist Jem performs Paul McCartney's "Maybe I'm Amazed" during the ceremony. But the wedding is only the beginning of a series of events that will change many lives in Orange County forever.
J.D. is annoyed that Julie doesn't laugh, so Elliot encourages J.D. to tell her his feelings and Turk tries to use psychology to fix the issue.
J.D. experiences a feeling of déjà vu; Dr. Cox returns to work, but Elliot believes he has lost his confidence; Carla is fed up with Turk as he can do lots of things hat she can't now that she is pregnant.
J.D. and Kim start contemplating their future and their baby's future; Turk rushes Carla to the hospital after she goes into labor; Jordan accuses Dr. Cox of not being a more responsible father towards Jack.
After being convinced to go to Tacoma for Kim's first ultrasound, J.D., along with Carla, Elliot, Janitor, Keith and Ted, takes Kelso's new RV on a road trip. Jordan and Dr. Cox have trouble when Jordan's ultrasound reveals that the baby will need surgery.
