Narrated by The Janitor. J.D. begins a video postcard for his mother, but gets locked in a water tower for the day by the Janitor. Finding himself with free time, the Janitor bonds with a severely quadriplegic patient who can't communicate. Elliot and Carla argue over an intern's mistake. Turk is embarrassed by his impending fatherhood when Dr. Cox accuses him of having a stereotypically white personality.