- “I feel I'd be more productive if my phone dialed out.”— Ted
"My Philosophy" is the thirteenth episode of Scrubs' second season. J.D. discovers one of his favourite patients needs a heart transplant while another couple is having difficulties with a pregnancy. Turk loses his engagement ring for Carla. Elliot objects to the co-ed locker room at the hospital.
Turk shows J.D. the wedding ring he has bought for Carla. After receiving a slap from J.D., Turk confirms he is ready for marriage. Turk tells J.D. he plans to put the ring into Carla’s champagne later that evening. Later that evening, Turk is trying desperately to slip the ring into one of Carla’s drinks, first the coffee and then the champagne. Then, Carla receives an urgent call telling her that her Aunt Marie is dead, and has to leave, accidentally causing her to throw the ring down the drain as she goes. The next day at Sacred Heart, Turk is telling J.D. about the problem with Carla, and puts the ring down next to a young patient - Ralphie. Ralphie eats the ring. Turk is trying to retrieve the ring from Ralphie, by feeding him 6 Bran muffins, then by telling him to imagine men inside him pushing out the ‘dookie’. This is unsuccessful, and just upsets Ralphie. Later that evening, Turk is stuck in a meal with no ring, and therefore cannot propose to Carla. The next day as Carla is leaving for Chicago, Turk catches up to her and proposes. Carla replys that she’ll think about it.
At Sacred Heart, Elliot is made to feel uncomfortable by the Todd in the co-ed locker room. Dr. Kelso informs Ted that the office next to his own is about to become vacant. Elliot tells Dr. Kelso that she is uncomfortable with the co-ed locker room set-up. Dr. Kelso dismisses her concerns. Later, Elliot confronts Dr. Kelso about the locker rooms, this time demanding a female room. Elliot finally convinces Dr. Kelso to add a female locker room to the hospital.
Cox asks J.D. if he thinks that another patient has an irregular heartbeat. Mrs Larkin is heavily pregnant. Dr. Cox diagnoses Mrs. Larkin with a heart valve defect. Her husband, Steve, takes the news very hard. Mrs. Larkin crashes, as J.D. tries to console Steve. J.D. sits down and convinces Steve to be braver for his wife.J.D. learns that one of his favorite patients, Elaine, is back and in need of a heart transplant. J.D. and Elaine discuss the balance of life, which annoys Dr. Cox. The episode concludes with Elaine dying, and a big musical scene with all the characters, playing out everyone's emotions lyrically.
- Elliot is doing a burlesque dance in the locker room when she attempts to change.
- J.D sees telling a patient's husband horrible news as a scene from Candid Camera.
- J.D walks down the aisle, and says good morning to Death, who replies, and then kills one of the doctors.
- J.D envisions Elaine, a patient on a heart transplant list, singing 'Waiting for my Real Life to Begin' by Colin Hay along with Turk, Carla, the Janitor, Dr. Kelso, Ted, and Dr. Mitchell during her death.
J.D.'s Girls Names
- “Roseanne, now granted I was, as usual, only halfway listening to you, but I got the sinking feeling you just compared us to a married couple.”— Dr. Cox
- Sam Jaeger as Steve Larkin
- Joey Saravia as Ralphie
- Toni Ann Rossi as Sandy Larkin
- Kit Pongetti as Dr. Mitchell
- Daniel Edward Mora as Father
- Jill Tracy as Elaine
- Randall Keenan Winston as Grim Reaper
- "At Last" performed by Keren DeBerg
- "Waiting for My Real Life to Begin" originally written by Colin Hay, and Thom Mooney. Performed by actress Jill Tracy and cast, arranged by Paul F. Perry.
- “...like a meadow at springtime.”— J.D.
- “Yea, bitches and hoes.”
- “I think [death is] like a game of dodgeball. There's a lot of chaos and screaming and, you know, eventually you get your glasses snapped in half by the big kid who already has underarm hair. But then you wake up in the hot nurse's office, and as she leans in to put that bandage on your nose you get a sense that something could actually happen if you just took a chance and buried your face in her knockers.”— J.D.
- “Sir, I'm so happy for you I could crap.”— Ted
- Todd is shown wearing boxer briefs instead of a banana hammock.
- The actress who plays Dr. Mitchell (the female doctor in the office beside Dr. Kelso's), Kit Pongetti, will later play Ladinia "Lady" Williams in Season Seven and Eight.
- As a dare, Sarah Chalke was sent to get coffee for the cast and crew in her burlesque costume.
- J.D., Dr. Cox and Elliot are the only regular cast members that didn't sing during the musical number.
- After Elaine died, nobody called her time of death.
- The Janitor calls J.D. "scooter", a nickname he gave to J.D. in "My Nickname".
- In the scene where Ralphie eats the ring, Turk's watch is over his rubber glove in some shots, but not in other shots.
- When J.D. and Elaine are talking about death, the heart monitor behind Dr. Cox is giving a pulse rate of 59 and an irregular ECG (EKG). These are in conformity with heart failure but the oxygen saturation of 98% is not (unless the patient is on therapeutic oxygen).
- Elaine is played by actress Jill Tracy, which is the name of Nicole Sullivan's character in Seasons 1, 3 and 5.
- The song, "Waiting For My Real Life To Begin", is written by Colin Hay. Colin also wrote and performed the songs "Beautiful World" in "My Last Day" and "Overkill" in "My Overkill", in which he also appears as a troubadour.
- This episode was nominated for the 2004 Golden Reel Award for Best Sound Editing in Television Episodic - Music.
- When Dr. Cox says "My God, you must stop watching The Lion King!", he is referring to the 1994 Disney film, which is the third highest grossing animated film of all time.
- Title explanation: J.D. has a philosophy that life and death balance each other in a hospital.