Yeah...
Finally, Elliot, while searching the hospital for Carla to persuade her to accept Turk's facial blemish, asks the janitor for assistance in doing so. He tells her that he'll "check the dumpster", to which Elliot replies, "We're not looking for a dead Carla." The janitor then says, "That a girl. You stay optimistic.", implying that, like Cox, Elliot is in denial.
That's just not correct. That's just a joke on the part of the janitor, more likely than not to escape from the task. I pulled it out.

Posted anon (too lazy to log in) by SuperWiki