Yu - Gi - Oh ! GX - Episode 123 " School Ghoul Duels " , known as " Rei Rescue Operation ! Elemental Heroes VS Fallen Angel Nurse " in the Japanese version , is the one hundred and twenty third episode of the " Yu - Gi - Oh ! GX " anime . It first aired in Japan on February 14 , 2007 and in the US on October 13 , 2007 . Summary . Desperate to get the medicine to Blair Flannigan , Jaden Yuki along with the transfer students set about their plan to sneak past the ever growing number of Duel Ghoul s in order to get to Blair and Ms . Fontaine . However only Jesse and Jaden make it , and when they get there Ms . Fontaine has already become a Duel Ghoul and Jaden must defeat her whilst Jesse escapes with Blair and the medicine . Jaden starts the Duel , but Ms . Fontaine utilizes a strategy that involves continuously using effects that increase Jaden ' s Life Points and utilizing the effect of " Nurse Reficule the Fallen One " to change the increases to damage . Each time a monster is summoned , a large shockwave affects the room and renders the walls and ceiling unstable . Jesse rescues Blair during the Duel and despite the intense situation , Jaden turns the Duel around in his favor and wins . The ceiling collapses on Ms . Fontaine and the Obelisk Blue Duel Ghouls , but they manage to get back up . Jesse summons " Crystal Beast Topaz Tiger " and instructs it to take Blair to the gym . The two friends and " Topaz Tiger " escape to the gym . Featured Duel : Jaden Yuki vs . Fonda Fontaine . Turn 1 : Miss Fontaine Miss Fontaine draws " Nurse Reficule the Fallen One " and subsequently Normal Summons it ( 1400 / 600 ) in Attack Position . She then sets two cards . Turn 2 : Jaden Jaden ' s hand contains " Call of the Haunted " , " Hero Signal " , " Hero Barrier " , " Elemental Hero Burstinatrix " , and " Elemental Hero Avian " . Jaden draws " Polymerization " and subsequently activates it to fuse " Elemental Hero Avian " with " Elemental Hero Burstinatrix " in order to Fusion Summon " Elemental Hero Flame Wingman " ( 2100 / 1200 ) in Attack Position . Miss Fontaine , in response to Jaden Fusion Summoning " Flame Wingman " , activates her face - down " Dark Cure " . Now when Jaden summons a monsters ( s ) , Miss Fontaine will target one of the summoned monsters and increase Jaden ' s Life Points by half of the target monster ' s ATK . Miss Fontaine targets " Flame Wingman " for the effect of " Dark Cure " , but due to the effect of " Nurse Reficule the Fallen One " , the increase is changed to damage ( Jaden 4000 → 2950 ) . Miss Fontaine then activates her face - down " Brutal Potion " and equips it to " Nurse Reficule the Fallen One " . Now once per turn , if Miss Fontaine inflicts effect damage to Jaden , " Brutal Potion " will increase the ATK of " Nurse Reficule " by 1000 . The effect of " Brutal Potion " activates ( " Nurse Reficule the Fallen One " : 1400 → 2400 / 600 ) . Jaden sets three cards . On Jaden ' s End Phase , the effect of " Brutal Potion " expires ( " Nurse Reficule the Fallen One " : 2400 → 1400 / 600 ) . Turn 3 : Miss Fontaine Miss Fontaine draws " Magical Stone Excavation " . Miss Fontaine activates " Bonfire " to add " Burning Algae " from her Deck to her Hand . She then activates " Magical Stone Excavation " to discard two " Burning Algae " and add " Bonfire " from her Graveyard to her hand . The effects of the two " Burning Algae " activate , increasing Jaden ' s Life Points by 2000 ( 1000 for each " Burning Algae " that was sent to the Graveyard ) , but the effect of " Nurse Reficule the Fallen One " changes the increase to damage ( Jaden 2950 → 950 ) . The effect of " Brutal Potion " activates ( " Nurse Reficule the Fallen One " : 1400 → 2400 / 600 ) . Miss Fontaine then activates " Bonfire " to add another " Burning Algae " from her Deck to her hand . She then Normal Summons " Burning Algae " ( 500 / 1500 ) in Attack Position . " Burning Algae " attacks " Elemental Hero Flame Wingman " , but Jaden activates his face - down " Hero Barrier " to negate the attack . " Nurse Reficule the Fallen One " attacks and destroys " Flame Wingman " ( Jaden 950 → 650 ) . Jaden then activates his face - down " Hero Signal " to Special Summon " Elemental Hero Wildheart " from his Deck ( 1500 / 1600 ) in Attack Position . Due to the effect of " Wildheart " , it can ' t be targeted or affected by Trap Cards . On Miss Fontaine ' s End Phase , the effect of " Brutal Potion " expires ( " Nurse Reficule the Fallen One " : 2400 → 1400 / 600 ) . Turn 4 : Jaden Jaden draws " Graceful Charity " and subsequently activates it to draw three cards and discard " Elemental Hero Bladedge " and " Re - Fusion " . " Instant Fusion " is the only remaining card in Jaden ' s hand . " Wildheart " attacks and destroys " Nurse Reficule the Fallen One " ( Miss Fontaine 4000 → 3900 ) . Jaden then activates his face - down " Call of the Haunted " to Special Summon " Elemental Hero Bladedge " from his Graveyard ( 2600 / 1800 ) in Attack Position . The effect of " Dark Cure " activates and Miss Fontaine targets " Bladedge " for the effect of " Dark Cure " ( Jaden 650 → 1950 ) . " Bladedge " attacks and destroys " Burning Algae " ( Miss Fontaine 3900 → 1800 ) . The effect of " Burning Algae " activates ( Jaden 1950 → 2950 ) . Jaden then activates " Instant Fusion " to fuse " Elemental Hero Wildheart " with " Elemental Hero Bladedge " in order to Fusion Summon " Elemental Hero Wildedge " ( 2600 / 2300 ) in Attack Position . The effect of " Dark Cure " activates and Miss Fontaine targets " Wildedge " for the effect of " Dark Cure " ( Jaden 2950 → 4250 ) . " Wildedge " then attacks directly ( Miss Fontaine 1800 → 0 ) . Featured cards . The following cards appeared in this episode . Cards in italics debuted here .