After accidentally giving a patient an orgasm during a pelvic examination, Elliot admits she has a problem with the clinical terms for genitalia. Carla attempts to help Elliot get over her fear of "dirty words," but realizes she may be too assertive for her own good. Dr. Cox is moved by the relationship between a prostate cancer patient, Mr. Randolph (Barry Bostwick), and his wife. J.D gives advice to Dr. Cox about his relationship with Jordan and his son, and when it doesn't pan out, is subject to Dr. Cox's revenge.