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Scrubs: My Lunch

by Joel Keller, posted Apr 26th 2006 10:35AM
Scrubs(S05E20) Chris' TiVo is full -- yeah, you heard me -- so I have gladly volunteered to review the latest episode of my favorite show, Scrubs.

Which makes it even harder for me to type this: For the first time, I had a real problem with an epiosde of the show.

It's not that the humor wasn't there: the subplot where Carla and Elliot try to get The Todd to admit he was gay was pretty funny. Their description to Turk of their great emotional session where Todd French braids Elliot's hair, then takes it out "because he said it doesn't work for me." was classic. Even Todd's "transformation", where he comes out making lewd remarks to both sexes ("he's seen the girls!" says Elliot after she finds out he was still lusting after her as they tried on bras in his presence), was pretty good, though I feel the same way that Janitor felt when he saw Todd: "What are you, anyway?"

I also liked the fact that they brought back Nicole Sullivan as annoying but troubled former patient Jill Tracy, who tries to open up to J.D. and Cox in the supermarket after another guy stands her up and her shrink checks himself into the hospital. Cox doesn't care; once they're outside the walls of the hospital, he only limits his help to those in dire need. J.D. tries to listen but can't get past the fact that Jill's a pain.

But what I didn't like is the fact that, after Jill gets admitted and later dies due to a supposed overdose, they immediately transplant her organs into three waiting patients; two of whom are in very bad shape and one, who needs a kidney, has bonded with Cox. Turns out Jill didn't die of an overdose -- which was starting to make J.D. feel guilty for not helping her the day before -- but of rabies. Rabies? Did she mention that she got bit by a dog? Since all three organs -- a liver, a heart valve, and a kidney -- are infected, all three patients go downhill and eventually pass away, including the kidney patient that didn't need his transplant right away.

I don't get it. How did all three patients match on one person's organs? I'm not a doctor, but for most transplants, blood types and other factors need to match before an organ is granted to a patient. What are the odds that Jill matched all thre patients? Also, organs are put on a UNOS list so they go to a) the neediest patients, and b) get screened for just the problem that Cox and company encountered. Organs NEVER go straight from one patient in a hospital to another in the same hospital (kidney and partial liver transplants with living donors are the exceptions).

What bothers me about this is that one merely needs to watch an episode or two of ER to understand this concept; was it that necessary to completely break reality in order to push a plot forward? We don't expect Scrubs to adhere that close to medical reality -- it's a comedy after all -- but if a plot is so ridiculous that the average viewer can spot the holes a mile away, that means that the episode probably needed another rewrite before they started shooting.

(UPDATE: Commenter dtrain let me know that something like this really happened.  Look here.  Knowing this makes me feel a little better about the Cox storyline, then... because I really did think, medical plot holes aside, that it was one of the better episodes of the season.)

The medical inconsistencies did take away from the power of the plot, where Cox finally gives J.D. the lunch he always wanted, in order to tell him that if he starts feel responsible for the death of every patient, including Jill, it's time for him to go. When J.D. turns those words around on Cox after the the kidney patient dies, Cox agrees and storms out of the hospital. Has he finally lost it? Will he quit to take care of his son? Well, hopefully Chris will have made room on his TiVo by next week so he can tell you.

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adfreakyturnip

soz about the lateness

June 06 2011 at 9:34 AM Report abuse rate up rate down Reply
adfreakyturnip

hi im Antony, and I Dont think the plot of jill having rabies is wrong I mean you cant expect her to go around telling everyone she has bin bit by an animal and if she did have it you Dont expect her to not get infected in other parts of her body either,do you?. But I will give you one thing, it is a little weird that when she's around JD she's fine but only what 1 or 2 days later she's dead, when she wasn't even showing any signs of illness

June 06 2011 at 9:34 AM Report abuse rate up rate down Reply
Jason Anderson

I really really enjoyed this episode. It really tugged at my heart strings. There's just something about Scrubs.

April 29 2006 at 6:36 PM Report abuse rate up rate down Reply
Nik Gregory

"but of rabies. Rabies? Did she mention that she got bit by a dog?"

The most recent cases of Rabies have all been related to bat bites because people don't notice them, in some cases there isn't even a visible bite. If there is it's normally only the size of a spider bite and gets ignored.

"Also, organs are put on a UNOS list so they go to a) the neediest patients, and b) get screened for just the problem that Cox and company encountered. Organs NEVER go straight from one patient in a hospital to another in the same hospital (kidney and partial liver transplants with living donors are the exceptions)."

Two were all desperately waiting for a transfer and dying, they were at the top of the list. One was encephalopathic (I think), Cox actually said to Turk to get consent. The only one that could have waited was the kidney patient, who Carla stepped up dialysis on, and thats why Cox walked out because he rushed the transplant for him too. He knew he was to blame and killed someone he liked.

The only inconsistency was the patients matching, because the donor problem well they had a cause of death and didn't need to test; drugs & alcohol overdoses have the same symptoms of rabies in the terminal phase and the patients were critical. The matching as far as I know isn't too big as I've never read anything on homograft valves having to match as they aren't organ tissue.

Blood types are 38% O+ and 34% being A+ so there is a high probability they were matches and placing them in the same hospital makes more sense. You deliver the organs to the patients not the patients to the organs.

Oh and they have real doctors who give advice, watch the credits and there's one for the Real J.D. as an adviser who the show was based on. First episode was based on his first day; the problems come from real doctors stories. Aren't you supposed to research your shows a bit?

April 27 2006 at 7:16 PM Report abuse rate up rate down Reply
TonyinLA

Scrubs has been one of my favorite sitcoms. That being said I have never like Medical Dramas. I dont watch ER, House or that other one I cant remember the name of right now.

Scrubs has always broken the 'Sienfeld Rule' (no hugging, no learning)...but has still been one of the funniest shows on TV. if this episode is the beginning of a new era of more dramatic episodes then (I hate to use this overused term...but it is fitting) we will see "Perry quting" as the 'Jump the shark moment' for Scrubs

...lets hope this episode is just an anomoly on an otherwise unblemished record of excellent comedy

April 26 2006 at 10:31 PM Report abuse rate up rate down Reply
Ben Belden

Scrubs is one of those shows that frequently pulls that twist at the end that makes me think back to the previous 20 minutes I just watched and reevaluate my perceptions and a lot of times it's pulled off amazingly well, so much so that I've gotten choked up a number of times. The problem I had with last night's episode was that the commercials for it completely ruined the emotional impact at the end: "THIS TUESDAY DR. COX FINALLY REACHES HIS BREAKING POINT" and then they show the scenes of him knocking things over and J.D. trying to talk to him. I knew the whole episode exactly what was going to happen (not the rabies, but the patients dying) and so it came off as really forced and unreal to me. But that's just me. Scrubs is still better than 90% of television anyway.

April 26 2006 at 7:41 PM Report abuse rate up rate down Reply
Evan Adams

The Tod, when walking down the hall checking everyone out, should have gone into over load. That would have been funny. And a nice forshadow of the cox breakdown.

April 26 2006 at 1:36 PM Report abuse rate up rate down Reply
Borat

While I don't mind the serious parts in Scrubs, can't we have just one episode where it's jokes from start to finish? The Todd subplot was hilarious, but they kinda ruined the whole atmosphere with the patients dying and Cox deciding to leave. The drama went a bit too far I think.

April 26 2006 at 12:46 PM Report abuse rate up rate down Reply
Douglin

Wasn't Elliot friends with Jill in a previous episode(becasue they were so similar)? Shouldn't she have at least acknowleged her death? just a scene of her and jd standing by her or something...

April 26 2006 at 12:28 PM Report abuse rate up rate down Reply
Mike

I knew all about transplant waiting lists. However, I'm pretty sure that there is a mechanism in place to deliver organs from a donor to a recipient in the same hospital when there is an emergency situation. Since both the heart valve guy and the liver woman were literally going to die within a day or two if they didn't get the transplants, and getting the transplants would have meant a full recovery (minus the rabies), I think that they would have been cases in which patients are given priority on the waiting lists.

The kidney guy, as Dr. Cox said, could have waited weeks or months for a new kidney, so that doesn't really fit the bill there.

April 26 2006 at 11:56 AM Report abuse rate up rate down Reply

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