Keith decides to leave town, but JD feels a little left out when Elliot's wild sorority sister, Melody comes to visit and keep her company. Not able to deal with being the third wheel he turns the girls against each other in the hopes that he will once again be Elliot's priority friend and, if he is lucky, that he might get to 'mash' it with Melody.
Meanwhile, Turk and Dr. Cox go head to head when they disagree over whether or not a patient requested surgery is necessary. Elsewhere, Carla discovers an unlikely ghost haunting pediatrics in an attempt to keep it clean and convince the kids there to be neat. In the end one of Sacred Hearts own will be considering a marriage proposal.
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