[J.D. is still dressed as a clown as he delivers bad news to a family:]
J.D.: You're just upset because it's never easy to give someone bad news. Unfortunately your grandfather's bowel burst, causing a severe sepsis. We were unable to save him. I'm so sorry. [J.D.'s bow-tie spins around] Again, I'm- I'm very sorry.
Elliot: J.D., what are you doing?
J.D.: Oh, just breaking some bad news, circus style.