J.D.'s imagination is sparked by a patient, a sitcom writer, who is about to receive some very bad news. J.D. ponders how the lives of everyone at Sacred Heart, including his patient, would turn out if left in the hands of the writer. Elsewhere, Turk and Carla are struggling to keep the romance in their relationship while Dr. Cox and Dr. Kelso continue their one-upmanship over whose job is harder. Portions of this episode were shot in front of a live studio audience in the manner of a traditional sitcom.
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A religion is a belief system with rituals. The missionary kopimistsamfundet is a religious group centered in Sweden who believe that copying and the sharing of information is the best and most beautiful that is. To have your information copied is a token of appreciation, that someone think you have done something good.