J.D.: [v.o.] Everyone deals with heartache differently. Some of us did something life-affirming.
[Elliot and Keith in bed:]
Keith: What is it, like 4 times?
Elliot: Let's see.
[Elliot turns Keith over to reveal four scratches on his back. He screams in agony as she scratches a diagonal line to mark five.]
Elliot: I'm still sad! Again.