J.D. and Elliott find a woman fainted in the park who claims to hear everyone singing. Elliott decides to get her own place and have J.D. move out. Carla has difficulty pondering whether to stay at home or return to work.
Tropes in this episode
- Actually Pretty Funny: After her surgery is a success, Ms. Miller is relieved. J.D. then jokingly asks who was the best singer in her head, as Dr. Cox does a Face Palm. She starts to laugh, both that she's alive and that the doctors are cheering her up.
- Bittersweet Ending: All of the plots have this:
- Ms. Miller makes a full recovery from her aneurysm. She wistfully hums the melody she heard, however, because even though it was scary, the music was good.
- Carla convinces Turk to leave Izzy with a babysitter, at a financial loss. She also looks regretful while wishing Izzy goodbye and saying when she'll be back.
- Elliott moves into her new house, owning it and no longer being at anyone's mercy. She also notices how empty the house is without J.D. sharing the space with her and that he's now homeless.
- Bromance: "It's guy love between two guys!"
- The Cameo: Tony Award winning actress Karen Ziemba plays the doctor who examines the X-ray of Ms. Miller's cranium.
- Have I Mentioned I Am Heterosexual Today?: "Guy Love" is built around this.
- Homage: The episode is full of loving references to many eras of musical theater.
- Innocent Bigot: Once again, Turk mistakenly thinks Carla is Puerto Rican. When they enter Ms. Miller's room, they perform a tango number entitled "For the Last Time, I'm Dominican".
- Jerkass Realization: Dr. Cox has been calling Ms. Miller "Cuckoo pants" behind her back and tells J.D. to transfer her to Psych. Then it's revealed she has an aneurysm and would have died if Ms. Miller hadn't begged for another test. Dr. Cox then goes to her with a sober, apologetic expression and closes the curtains around her bed to break the news gently.
- Mood Whiplash:
- "When the Truth Comes Out" has Dr. Cox with No Sympathy telling J.D. to run the Cat Scan and prove that she's fine. This is followed by several verses where Ms. Miller hears everyone singing about their problems and says, "Oh my god, I'm crazy!" and it's meant to be lighthearted. Cut to a radiologist pointing out to Dr. Cox that Ms. Miller has a giant aneurysm in the temporal lobe.
- In the same song, Ms. Miller asks, "So Dr. Cox, is it serious?" When she sees his face, she speaks, "Oh" with horror, which the cast repeats in song form.
- "Friends Forever" has the hospital sing about how they're close as the vena cava and the aorta, hypodermic needle and a latex tourniquet, the tibia the fibula and the left-right ventricle" before it stops mid-lyric. Then Ms. Miller sings a heartwrenching ballad about how she's scared that she won't live till tomorrow, and wants to know what is going to happen to her.
- After the aneurysm is removed, Ms. Miller and Dr. Cox have a dramatic spoken conversation, before J.D. asks her who the best singer was.
- Musical Episode: This episode contains several songs and musical parodies, a few written by Tony winners Robert Lopez and Jeff Marx of Avenue Q fame. The patient is played by Stephanie D'Abruzzo, who was also in Avenue Q.
- Musical World Hypothesis: The musical numbers are explained away as being hallucinations brought on by Ms. Miller's aneurysm
- Reprise Medley: "When the Truth Comes Out", the Act One finale quotes phrases from previously heard songs like in "One Day More" or the Quintet from West Side Story.
- Rule of Symbolism: At the end of "When The True Comes Out", J.D. closes the curtains on Ms. Miller's hospital bed as Dr. Cox gives her the diagnosis, like the curtains going down on Act One.
- Shout-Out:
- Dr. Cox's rant song is done in the style of Gilbert and Sullivan.
- "When the Truth Comes Out" parodies "Do You Hear the People Sing" from Les Misérables.
- "Friends Forever" parodies "We Go Together" from Grease.
- Tango: "For the Last Time, I'm Dominican" takes on this form.
- Toilet Humor: "Everything Comes Down To Poo", a song dedicated to J.D. and Turk taking a stool sample from Ms. Miller.
- Welcoming Song: "Welcome To Sacred Heart" as Ms. Miller is taken in as a patient.
- Wham Line: "Biggest aneurysm I've ever seen. The woman's a walking time bomb." Dr. Cox says this, revealing that Ms. Miller has a potentially fatal aneurysm in her temporal lobe and they need to operate soon to save her life.
- What the Hell, Hero?: J.D. walks away from Elliott when she says she wants to move into her new house alone, without him as a roommate. Don't forget that without this, he is essentially homeless. While J.D. forgives her, he needs a whole song to do so.
