Joe Rose

Über mom Maisy Gibbons (guest star Sharon Lawrence) returns, and her secret life intersects with Bree's. Meanwhile Gabrielle's predicament worsens, Susan plans to take her relationship with Mike to the next level, and Lynette, suspicious (and a little jealous) of her new nanny (guest star Marla Sokoloff), decides to secretly videotape her.

When the MC heads north on a "charity" club run, they find more than just bike trouble when they cross state lines. And with Samcro out of Charming, Gemma’s left in a compromising position with The League.

J.D. (Zach Braff) convinces Carla (Judy Reyes) to open up to him about her insecurities and her feelings toward Turk (Donald Faison) only to betray her confidence by sharing that information with Turk. Turk is thrilled when Dr. Kelso (Ken Jenkins) selects him over his toughest competition, Bonnie (guest star Lela Lee), to represent Sacred Heart on a trip for the "Doctors Without Borders" program, however when he learns that the only reason Bonnie wasn't selected was because she was a girl, he reconsiders. Meanwhile, Elliot (Sarah Chalke) tries to score points with Dr. Cox (John C. McGinley) by volunteering to deliver bad news to his patients on his behalf, but when she is forced to be the bearer of bad news repeatedly, she learns that there is a limit to how much she can take. Neil Flynn also stars.

Dr. Kelso (Ken Jenkins) assigns J.D. (Zach Braff) to work on a patient with Dr.Townshend (Dick Van Dyke, "Diagnosis Murder") -- his longtime friend and colleague -- but things go downhill when Dr. Townshend insists on using his "old school" treatment method which proves to be an alien concept to an inept J.D. While Kelso defends his friend's technique, Dr. Townshend's lack of current medical knowledge forces Kelso to admit his mistake. Meanwhile, Carla (Judy Reyes) tells Turk (Donald Faison) she needs time to consider his proposal because she thinks he is still too immature, prompting Turk to invite his married brother (D.L. Hughley, "The Hughleys") for a visit to show Carla how seriously he is. In addition, Elliot (Sarah Chalke) learns the sex of Jordan's (guest star Christa Miller Lawrence) baby, but Dr. Cox (John C. McGinley) and his ex-wife can't agree if they want to know.

Sean and Elliot's relationship is put to the test when their secrets are revealed, leaving J.D. to wrestle with his true feelings about Elliot -- Scott Foley Guest Stars. -- Sean (guest star Scott Foley) is a bit surprised and disturbed to learn about Elliot (Sarah Chalke) and JD's (Zach Braff) history together, but it turns out his anger is really a cover up for the fact that his "little" work trip is actually six months long and he doesn't want Elliot to explode. J.D., who has been watching their relationship develop, finally acknowledges that he still has feelings for Elliot and that he has to come to either accept her new relationship or do something about it. Meanwhile, Dr. Cox. (John C. McGinley) is forced to swallow his pride and actually ask for help when he decides to throw his hat in the ring for the Residency Director position at the hospital. Carla (Judy Reyes) picks up an extra shift as a surgical nurse, which allows her to spend the day working alongside with Turk (Donald Faison), to his great annoyance.

The return of an old colleague leads Carla to question her feelings for Turk while Dr. Cox tries to make Elliot see that her patient is using her to get drugs; Nestor Carbonell Guest Stars. -- The return of Dr. Ron Ramirez (guest star Nestor Carbonell, "The Laramie Project") to Sacred Heart from his philanthropic work abroad, sparks some doubts in Carla's (Judy Reyes) mind about her feelings for Turk (Donald Faison). When she accepts a dinner date with him, J.D. (Zach Braff) is torn between telling Turk the truth and keeping his promise to Carla. Back at the hospital, Elliot (Sarah Chalke) takes a stand for her patient despite the fact that Dr. Cox (John C. McGinley) believes he is a drug addict faking abdominal pain to get medication. Meanwhile, the Janitor (Neil Flynn) introduces J.D. and Turk to his "twin" brother, but they aren't buying it. Ken Jenkins also stars.