 Elliot and Carla worry about the difficult conversations they have to have with J.D. and Turk , respectively ( " Options " ) . In the Act One finale ( " When the Truth Comes Out " ) , all the plotlines come together . Dr. Kelso offers Carla her job back , but she worries how to tell Turk . Elliot worries how to tell J.D. he 's not moving in . And Ms. Miller goes in for her CT scan , which turns up a gigantic aneurysm in her temporal lobe . Dr. Cox breaks the news to Ms. Miller , pulling a curtain for privacy that also signals the end of the act . 
