J.D.: [v.o.] "Why not?" That's what she said. "Why not?"
[fantasy scene: J.D. imagines himself and Elliot in a family sitcom on the TV in the break room:]
Boy: Daddy, why did you marry Mommy?
J.D.: Well, Tiger, I gave her an answer during rounds and she screwed my brains out. [audience laughter]
Boy: You're the man.
[After the boy walks away, Elliot rips open her top and climbs on J.D. The TV audience whoops. J.D. then imagines Dr. Cox wheeling a patient into the house.]
Dr. Cox: What the hell are you doing?
[record scratches; reality]