This was the first of the three episode arc I ended up watching.  Looking back now, it was a really wonderful episode.  I was just a little confused by some of the major changes that had taken place in the two episodes I missed.  Elliot begins to fall for Keith.  Their favorite patient takes a turn for the worse and isn’t going to recover, so a grief counselor is called in to help her accept the inevitable.  Both Cox and J.D. think the counselor – played by Dave Foley of “Newsradio” and “Kids in the Hall” – is a moron.  But they end up going through the five steps of acceptance just as much as their patient.  And for the first time, Cox really begins to treat J.D. as an equal.  Not as funny as their quirkier episodes, not as moving as their more touching episodes, it was still a beautiful look at the characters dealing with the pain of death in the midst of life.