All of the male doctors are euphoric due to the visit of Julie Keaton, the pharmaceutical sales rep, except for Dr. Cox, who still believes in treating patients for their best health, instead of trying to get some attention from the hot Ms. Keaton. Meanwhile, J.D. and Elliot argue over a risky decision regarding one of Elliots patients. Turk tries to talk Carla into entering a practitioner nurse course, so she wont be so underestimated by the doctors staff.