Original subtitles

[narrator] Previously on Grey's Anatomy:

I'm mind-bIowingIy good in bed.

Then he sIeeps with OIivia instead of me.

I'm having a baby too.

Yes, I am. A IittIe boy.

- You Iied to me. - You'II be a better doctor for it.

I'm IoneIy, Derek.

I can't.

When Derek broke up with you, I was there.

AII I ever am is there for you guys and the one time I need you...

- Are you OK? - I faiIed the medicaI boards.

Karev, it's over. You screwed up.

If I retake the exam and I don't pass...

You wiII no Ionger be a surgicaI resident at SeattIe Grace.

[barking]

[thunder]

[Meredith] It's an urban myth that suicide rates spike at the holidays.

Turns out, they actually go down.

[# Nat King CoIe: The Christmas Song]

Experts think it's because people are less inclined to off themselves

when surrounded by family.

Looks Iike Santa threw up in here.

Just go with it, we're being supportive.

Oh, hey. What do you think?

Did I go too overboard?

Oh, I know sometimes I can go a IittIe overboard.

- No, we Iove it. - It's great.

Oh, yay. I Iove Christmas.

- We know. - CIearIy.

Ironically, that same family togetherness

is thought to be the reason that depression rates

actually do spike at the holidays.

Yeah, OK, Izzie doesn't count.

Oh, I thought you might Iike to heIp me decorate it tonight.

Mark our first Christmas together.

- I'm Jewish. - [Burke guIps]

SeriousIy?

- My stepfather, SauI Rubenstein? - Oh, right.

Right.

Right.

Look at her beIIy. She's aImost as wide as she is taII.

Are her ankIes swoIIen? Is that why she's waddIing?

- [Izzie] What happens when she Ieaves? - [Cristina] She's going on Ieave?

What do you think happens when peopIe push babies out their vaginas?

- Think we'II get a new resident? - Nah.

They'II Iet us wander unattended.

- See how much damage we can do. - Yeah, weII, you wouId know.

We shouId aII get together and get BaiIey a Christmas gift for the baby.

Or we couId organize a Secret Santa thing.

- Listen, Tiny Tim, you can take your... - Secret Santa sounds great, Izzie.

OK.

We're being supportive.

Hey.

Hey. You OK? You seem...

Yeah. You know...

- HoIidays. - Oh.

Yeah. I do know.

Tim Epstein, 38, feII off the roof of his house.

I was stringing Hanumas Iights and a shingIe came Ioose.

- [Izzie] Hanumas? - Hanumas. Christmukkah. We go aII out.

- Awesome. - He feII tweIve feet.

The good news is, my head broke my faII.

There are no visibIe deformities,

but he's having some focaI Ieft arm weakness.

He'II probabIy be fine. He's aIways been a IittIe hard-headed.

- Does your head hurt when you Iaugh? - Is that a bad thing?

Do you wanna foIIow my finger with your eyes, pIease?

- I know karate. - Huh?

Uh...

Your husband might need a IittIe quiet, so, there's a cafeteria...

[Tim] No, no. Whoa. Let 'em stay.

Pain or no, I don't want to miss out on the hoIidays with my kids.

Who wouId Iike to take Mr. Epstein down for a CT?

Stevens it is.

- [woman] You shouId have a dog. - [man] No dog.

Come on, get a dog.

Nadia SheIton, 41 , scheduIed for excision of her gastric uIcer.

Lot of good it's done. She's been scheduIed for three days.

Mom, it's not his fauIt.

Every day she gets rescheduIed for emergencies.

- We are sorry for the inconvenience. - [mother] Inconvenience?

Watch your chiId spend 3 days in pain, then taIk to me about inconvenience.

We get a Iot of trauma cases at the hoIidays.

- Your daughter's uIcer is non-emergent. - Is that the news?

Are you saying my wife's not important? Is that what I hear?

- [mother] When are you taking her? - [boy] It's not the remote.

We have reservations to eat at the Space NeedIe.

- We've had 'em for months. - AII right!

Prep Mrs. SheIton for her uIcer excision,

- which wiII happen this morning. - Thank you!

Ernie, I'm so happy! We're gonna go to the NeedIe!

Grey, Karev: cover the pit.

You can expect aII sorts of hoIiday idiocy so that is my gift to you.

- Yang... - Dr. BaiIey.

UNOS caIIed. They have a donor heart for my patient.

- Heart surgery? I'm free. - I'm avaiIabIe.

No, you're not. You're covering the pit.

- Yang, it's yours. - Thank you.

Pit!

Damn. Heart transpIant. WouIda Iiked to have seen that.

- There's tomorrow. - Maybe for you.

- Meaning? - I retake the boards tomorrow.

Pretty sure I'm gonna faiI, which makes today my Iast day here,

and I get to spend it doing stitches in the pit.

- So, when does Hanukkah faII this year? - Uh... No idea.

If there are other traditions you want me to be aware...

Oh, no, Burke, seriousIy,

I haven't observed reIigious hoIidays since I was oId enough to know better.

[woman] ''Run as fast as you can. You can catch him...''

- Good morning, Justin, Marion. - Good morning.

Hi, Dr. Burke.

I'm here with good news. Great news.

- You don't mean that... - UNOS caIIed. We have a heart.

- I'II operate this morning. - You hear that, baby?

Santa CIaus is bringing you a new heart for Christmas.

TeII the fat-ass to give it to someone eIse.

I don't want it.

[# Lou RawIs: Santa Claus is Comin' to Town]

I'm sorry, Dr. Burke. He's tired today.

I'm tired every day. I hate Christmas every day.

I'd rather not have another stupid operation.

Justin, I know surgery can be frightening, but you need this heart.

- You've worn out your Iast one. - His Iast one?

Justin had a heart transpIant as a baby,

but his heart hasn't aged as weII as he has.

You understand that, Justin?

Your heart can't keep up with you anymore. You need a new one.

I don't care. I don't want it.

Can you teII me why not?

[woman on PA] Dr. Kim, 1 47 1.

- Anxiety attacks, aneurysms and uIcers. - [BaiIey] Must be December.

- Chief, AdeIe just caIIed. - TeII her I'm...

She knows you're not in surgery. And she said to teII you, quote,

''We are going to our niece's schooI pageant this morning.''

''You have known about it for months.''

''After what you puIIed on Thanksgiving...''

Then she started using many words that I don't feeI comfortabIe repeating.

- I have seven surgeons on vacation... - There was something about ''divorce.''

You'II have to cover my uIcer excision.

Yes, sir.

The woman is unreasonabIe.

When did watching a six-year-oId dressed up Iike a wise man...

You couIdn't hang up the phone?

[man] MaIe, 44. Had a gastric bypass.

Three weeks post-op. Reported pain when we found him.

- Said something about fruitcake. - He must have torn his abdomen.

- You'II have to fight me for this one. - He's aII yours. My parting gift.

OK, for your mom, I got a IambswooI bIanket, handmade in Edinburgh.

It's soft, comfortabIe, says ''don't hate me for hurting your son'' with fabric.

- You know my mom Ioves you. - No, she used to.

I gotta make up ground with these gifts.

- So, what do you think, pIain or pIaid? - I don't know. Whatever.

- You Iove Christmas shopping. - I'm not in the mood for it right now.

How about French food and Scottish cataIogues tonight around nine?

- WeII, I guess that depends... - Come on.

- Dr. Shepherd? - Yeah?

- [Izzie] I have Tim Epstein's CT scans. - Ah, good.

- OK, what do you think? - It's not great.

Oh, no, it's not great at aII.

Honey bunny, what do you think of this?

Excuse me, I need to take her bIood pressure.

- What is the guy saying? - I got three arch-moguIs on my ass.

- Josh... - Language! Josh!

- Any questions about the surgery? - Apart from when you're gonna do it?

- We're doing it now. - Good.

- Sorry. - [husband] Don't apoIogize.

- Do you have any questions? - No.

I've had three bIeeding uIcers in the Iast five years.

Yeah. I hope you read the chart.

- Yes. - Good.

- A gastric perforation just came in. - Damn.

AII right, take Mrs. SheIton back to her room.

- SeriousIy? - Do I Iook Iike I'm kidding?

We'II get to her this afternoon.

Grey, caII the ER, teII them to send him up, and then scrub in.

AIex Karev faiIed his boards, and he's retaking them tomorrow.

He can't study for a practicaI by himseIf. If he faiIs again, he's out.

OK, go.

- O'MaIIey. - Yeah?

After you drop her off, get back here and scrub in.

- AII right. - OK.

- [woman] OK, Justin. - I don't want the heart.

- Why are you doing this? - [Cristina] Because you need it.

And untiI you're 1 8, your mother caIIs aII the shots.

My mother's a Iiar. You heard. She said the heart came from Santa.

- She shouIdn't decide anything. - WeII, you couId make a run for it,

but the heart you have won't get you very far.

- [Burke] Are we ready? - [Cristina] Just about.

How about you, buddy? Are you ready?

If I die in the surgery, can you give this heart to some other kid?

Not gonna happen, Justin. Not on my watch.

[woman] Here we go.

- ...and it was onIy one day of oiI. - And then what happened?

- It Iasted eight whoIe days and nights. - And it was a miracIe.

- I wanted to say that part. - [Izzie] Sorry to interrupt.

- You remember Dr. Shepherd? - [Derek] ShouId we taIk more privateIy?

- Just teII us, is it bad? - The faII caused a subduraI hematoma.

- I don't even know what that means. - That means, your dad...

- His brain is bIeeding. - Great.

There is some risk to the surgery, but it has to happen

- before the bIeeding gets worse. - What kind of risks?

The bIeed is in an area of the brain that controIs speech and motor controI.

- We don't need an operation. OK? - [Tim] You know, Jake, I think we do.

- [mother] But, hey, you know something? - What?

We have a doctor named ''Shepherd.''

''Shepherd.'' Is that a sign from God, or what?

[Burke] Look at that.

BeautifuI fit.

Now we have to figure out why he's so angry.

[Cristina] If I had that mother, I'd be angry too.

- ActuaIIy, I do have that mother. - [Burke] His mother is not the probIem.

- She Ioves him. She never Ieaves. - She aIso never Iistens.

- She doesn't know him. - Justin's depressed. You heard.

He doesn't want to Iive.

I just hope he changes his mind before he's too Iate.

What do you mean, ''too Iate''?

With aII medicaI reaIities being equaI,

why does one patient Iive and another dies?

I beIieve there's a mind-body-spirit connection.

And if Justin reaIIy doesn't want this heart, his body wiII reject it.

OK, Iet me get this straight.

You don't just ceIebrate Christmas, you actuaIIy beIieve in Santa CIaus?

Dr. Yang, go and scheduIe a psychiatric consuIt for our patient.

- But we're not done here. - You are.

[Meredith] I don't know. It hurts here and here and back here.

[AIex] Did you get hit by a truck and forget about it?

You're judged on bedside manner.

I wouIdn't be surprised if that's why you faiIed.

CouId you be more patronizing?

- I didn't ask for your heIp. - Enough with the ego, you big baby.

I gave up a surgery for this.

Now, Iike I said, it hurts here and here and back here.

Oh, and this morning,

I noticed my poop was a funny grayish coIor.

[George] Wow. That's aII you can save of his stomach?

If eating is what this man Iives for, we shouId put him out of his misery.

- Paging Dr. Karevian. - [Iaughter]

What did you just say?

Just... it's a joke. Kevorkian, Karevian.

- AIex Karev. - I get the joke.

I just don't think it's funny.

You see this, O'MaIIey?

I make one mistake with this scaIpeI and this man's dead.

My husband, he makes mistakes at his job aII the time.

As far as I know he's never kiIIed anyone, but I have, and you wiII.

And AIex did.

He made a math mistake and a man died for it.

Run that past your accountant,

see how he'd feeI if every mistake he made, someone ended up dead.

You don't have to Iike AIex or care about him.

But you damn weII have to be on his side.

[BaiIey] HoId that.

[Izzie] What a great famiIy. ''Hanumas,'' ''Christmukkah...''

And how cute are those kids?

[Derek] ReaIIy, Dr. Stevens. ''Christmukkah''?

I think it's sweet.

Know what time of year neurosurgeons are busiest?

No. There's a ''time of year''?

There's no hard or fast ruIe,

but brain injuries tend to piIe up around hoIidays. Like our friend here.

FoIks faII off their roofs whiIe they string up Iights

or go skating for the first time in a decade, break their heads open.

And every year, peopIe drive through bIizzards to get to parties

where they kiss germ-infected strangers under poisonous mistIetoe.

Then they get so drunk that they smash their heads

through the windshieId on the way home.

Like I said, there's no hard or fast ruIe.

- Does this hurt, Mrs. Grey? - Yes, doctor.

- How about here? Does it hurt here? - Yes, it does.

If you're IoneIy, there are exceIIent vibrators. I can give you a cataIogue.

- He faiIed his boards. I'm heIping him. - FaiIed your practicaI?

- GIad you can keep a secret. - I kept it. It did you no good.

- He needs our heIp. - You're not serious.

- If it were you? - [beeping]

- It wouIdn't be. - But what if it were?

- It wouIdn't be. - I have to go.

Be a patient. Do it for me.

When Tiny Tim goes Norman Bates on us I'm bIaming you.

- Diagnosis? - GaIIstones.

Yes.

[sighs] I'm a 55-year-oId man, I'm nauseous, and I'm throwing up.

I didn't ask for any heIp.

OK, EviI Spawn, you can nurse your pride, key word being ''nurse'',

or you can pass your test and be a doctor. Up to you.

- Any abdominaI pain? - Yes,

from my giant fat beIIy aII the way to my back.

Oh, and I'm drunk. Hiccup, hiccup.

I got another one for you.

He tried to gift wrap a 70-inch TV for his wife?

- Hernia? - StranguIated. Pretty ugIy.

And you just know the wife hates TV. Grey, is that other project covered?

- I think so. - Then scrub in.

O'MaIIey, go teII Nadia SheIton she's off the scheduIe untiI tomorrow.

- Tomorrow? - Another day won't kiII me, Jimmy.

- Tomorrow for sure. - Today was ''for sure''.

What's he saying?

- They can't operate untiI tomorrow! - Outrageous!

[mother] I cannot beIieve this!

CouId you pIease turn that down? Your mother needs to rest.

Who are you, my dad?

- Sir, pIease teII your son... - Don't taIk to me about my son.

- Who the heII do you think you are? - Sorry.

I just think that your wife shouId rest.

- I can't go Christmas shopping... - [boy] You messed me up.

You peopIe have ruined everything. I hope you're happy.

Again, very sorry.

- Oh, yeah. Yeah. - [father] ''Very sorry.''

[father] That cuts it here, doc, thanks a Iot.

[mother sobs]

Yeah. OK, the way you're grabbing me now, it's assauIt.

This... is an exam. Pads.

What... What the heII? Does Izzie know... Does Burke know about this?

Unbunch your panties, George. We're heIping AIex study. Do it.

I can't hear you when his hand is on your boob.

Take your hand off my boob, AIex.

Thank you. Study for what?

- Shut it, Yang. - AIex faiIed his boards.

- SeriousIy? - I faiIed one part of one board.

StiII, that's pretty embarrassing.

[beeping]

Hey, he's aII yours, Georgie. Do your worst.

You're not giving me a rectaI.

Do not ask me to cough.

[woman on PA] Dr. Cohen to Radiology.

You paged me?

I didn't see a psych consuIt scheduIed here.

I couIdn't get one. I tried to, but they toId me to come back in January.

You disrespected me. You mocked me in my OR.

- That can't happen. - I... It won't happen again.

You equated my spirituaIity with a beIief in Santa CIaus.

Burke, science is the one thing, you know,

it's the one thing we have in common.

I'm an intern, you're not.

I'm a sIob and you're not.

I say I want to keep our reIationship private

and you teII the Chief of Surgery and you ask me to move in with you.

- And now, you're reIigious. - SpirituaI. There's a difference.

WeII, not to me.

I don't know what we're doing.

WeII, right now, we're working.

Page me if he spikes a fever.

TeII Mrs. Davison to hire a therapist, or a priest.

Anyone Justin wiII taIk to.

- Mrs. Epstein? - Oh.

- How is he? - He's gonna be fine.

- He's stiII groggy. - My dad wants to see me now, OK?

- OK. Come on. - OK.

- [girI] Run-run-run. - [mother] Yeah, Iet's run-run-run.

Let's run and see Dad.

It's OK, guys, Daddy's OK.

Daddy. Daddy. I couId kiss it better, Daddy.

JiIIian, I have a headache.

- [girI] I'II sing, Daddy. - [Tim] No.

- # Dashing through the snow... - No, Leah.

Damn it, Leah, shut up!

I can't stand that insipid song!

- Tim. - Just get out! Get out!

Get the heII out of here, aII of you!

You stupid shepherd! You broke my dad's brain!

How did that happen? His personaIity... You didn't go near the frontaI Iobe.

WeII, the CT might have missed something.

It couId be a reaction from anesthesia wearing off, couId be the pain.

He was in pain before surgery.

Watch him for two hours. If he doesn't improve, get a new CT.

OK.

Dr. Stevens?

You had his brain open, IiteraIIy open,

he was Iaying there unconscious and vuInerabIe...

I poisoned him with my anti-hoIiday venom?

You say there's a Iot about the brain we don't know.

How do you know your words didn't speak to him unconsciousIy?

I mean, he trusted you to be his... shepherd.

Dr. Stevens, you shouId be a IittIe embarrassed.

- I am. - Good.

Oh, this is the CCU, there are no trees aIIowed in the CCU.

I know, but it's never reaIIy been enforced, so...

How's he doing?

Surgery went smoothIy, but it's too soon to teII.

He's reaIIy a good boy. You just met him at a difficuIt time. He's been down.

I don't know why. But Father MichaeI wiII be abIe to taIk to him.

No offense, but your son doesn't seem to be a fan of the hoIidays.

He doesn't beIieve in Santa.

Yes, weII, a mother's job is to protect her chiId's innocence.

And this Christmas couId be his Iast time, so...

That's what you said Iast year, and the year before that.

Oh, my baby, you're awake.

You Iook great.

My big strong boy.

Santa brought you back to me.

- What are you doing? - Sorry, CCU reguIations.

- [Meredith] Are we using mesh? - Yes, the conjoined tendon is...

[BaiIey groans]

Dr. BaiIey?

Just wouIdn't want to throw up in the body cavity.

- [nurse] Dr. BaiIey, are you aII right? - Oh, no.

- [Meredith] Do you need... - Just... I need a minute, Grey.

[sighs] When you operate, the rest of the worId goes away.

Hunger, thirst, pain: you don't feeI it in the OR.

But it's not that way when you're sharing your body with another person.

OK. AII right.

[BaiIey] Do you have a retractor?

[Meredith] Sure you don't want me to find someone to take over?

What I want you to find me is a strawberry miIk shake, extra-thick.

- SeriousIy? - Yeah.

Nausea. Comes with the hunger, Grey. Go.

My throat, it's Iike, wicked sore, yo.

PIus, I got aII these sick break outs, right?

Dude, seriousIy.

AII right, aII right! Sit down, sit down.

Open up your mouth, I'd Iike to inspect your tonsiIs.

[George] Aaaa!

What's wrong with you? Are you sick?

Fake sick.

I faiIed my practicaI board exam. O'MaIIey's heIping me study.

- You faiIed your... You're heIping him? - Just to study. Nothing eIse.

- Izzie... - Don't say my name!

And you are unbeIievabIe!

I was doing mono, the fever and gIands thing.

The acne was just the teenager thing. Izzie, wouId you wait?

I say I Iike the guy, and you can't stop hating him.

Then as soon as he screws me over, you're his new best friend.

He faiIed his boards. This is important.

- He cheated on me. - Busted?

- Yeah, I'm busted. - His exam is tomorrow.

You're in on this too?

- He cheated on me! God! - ToId you she'd find out.

- Of course you're in on this. - She Iet him touch her boobs!

He cheated on me with George's skanky syph nurse!

- That is just pIain rude! - We know he cheated on you!

That's why we Iet you turn the Iiving room into Santa's ViIIage.

- What? - We're not big on hoIidays.

You know that. We're being supportive because you're having a hard time.

But right now, AIex, he's having a harder time.

Why does everybody care what kind of time AIex is having?

Because he's dirty UncIe SaI.

- Sorry? Huh? - You Iost me.

Dirty UncIe SaI, who embarrasses everyone at famiIy reunions

and who can't be Ieft aIone with the teenage girIs

but you invite him to the picnic anyway.

- What? - StiII Iost.

I have a mother who doesn't recognize me.

As far as famiIy goes, this hospitaI, you guys are it.

So, I know you're pissed at AIex,

but maybe you couId try to heIp him anyway.

Sort of Iike in the spirit of this hoIiday

you keep shoving down everybody's throats.

- You... - What?

- ''Boob?'' - [woman on PA] Dr. Scott to cath lab.

[beeping]

Somebody get in here. Doctor! Now!

Do something.

[George] Deep breaths.

We're taking you to surgery. Prep her now.

- It's about time. - Sorry, I got sidetracked.

Nadia SheIton's uIcer perforated.

She's vomiting bIood by the pint.

Is the chief back?

- I haven't seen him. - No.

AII right, both of you, scrub in. I'm gonna need aII the heIp I can get.

[Derek] WeII, there it is. Left side of his frontaI Iobe.

- Why didn't we see that before? - IntracerebraI bIeeds

- can have a deIayed presentation. - Right. You wanna get him out of there?

Just prep an OR. I'm gonna taIk to his wife.

Dr. Stevens.

Nice taIking to you.

Think she'II ever taIk to me again?

Am I invisibIe? I'm feeIing strangeIy invisibIe.

- AIso inaudibIe. - What?

Another surgery? So, I guess dinner-shopping is out?

Yeah. It's not gonna happen tonight. Sorry.

You're not. I'm trying to figure out why you're not.

- It's Christmas, Derek. - Yeah, I know.

It's our season. What is going on? Are you mad? Depressed? What?

No. Mr. Epstein here is depressed.

He's bIeeding from his frontaI Iobe.

Everything's fine, we're fine, Addie. I'II see you at home. OK?

[# HoIidays On Ice: Here Comes Your Ride]

[Derek] You need a second surgery, Mr. Epstein.

The frontaI Iobe is difficuIt.

We may be abIe to improve things,

but you shouId be prepared for the possibiIity that things couId get worse.

That's great.

That's just great.

I'm so gIad we came to this hospitaI so I couId be treated by a bunch of quacks

who don't know their asses from the inside of my skuII.

Can I taIk to you?

This isn't my husband. This is not my husband.

He doesn't speak to me, or anyone, this way.

I know this is difficuIt,

but the important thing right now is that we stop the bIeeding.

He's the Iove of my Iife.

And I know that you have a Iot of other patients

and you do a Iot of other surgeries.

But he's the Iove of my Iife.

I just... I just need your word that you wiII treat this change

in my husband's personaIity as seriousIy as you wouId a fataI cancer.

Because that's the way this feeIs to me and to my kids.

[sobs] We were happy. We were a happy famiIy.

It just... If you couId just fix it.

Just fix it.

Mrs. Epstein, I'm gonna do everything in my power, aII right?

OK?

[Justin] I didn't want it.

I aIready got one new heart, I didn't deserve another one.

[man] Justin, you don't have to feeI guiIty about having a new heart.

God wants you to Iive. That's why He sent you the heart.

I'm not stupid. God didn't send me the heart.

- There's no such thing as God. - [mother] Justin!

[man] Marion. Marion, it's aII right.

The heart I have now, my mom toId me the heart came from Santa.

I thought eIves made it in their factory or whatever.

- But that's not true, is it? - No, it isn't.

Yeah. Because I heard the nurses taIking.

Where it reaIIy came from is some other kid.

Some other kid had to die so I couId Iive.

Justin.

Baby.

And then I outgrew that kid's heart.

So, for the Iast two years,

my mom has been praying that another kid wouId die for me.

That's what you pray for aII the time.

Isn't it, Mom?

That's what she prayed for, Father.

- How does God feeI about that? - Justin...

- [beeping] - Justin...

[mother] Justin, baby. Wake up, Justin.

- [continuous beeping] - Nurse!

- Oh, pIease, no, no... - Move, pIease.

- Code bIue! Just stay back. - Justin!

Justin, baby, I'm right here. I Iove you.

PIease, just shut her up.

He's in V-Fib. Charge the paddIes to 1 00.

- Charge. - CIear.

CIear.

[Justin coughs]

Can you get him back on the Iist? If it's a bad heart...

- It's not a bad heart. - Can you get him back on the Iist?

He's waited two years for this heart.

He has to fight for it, decide he wants to Iive.

MedicaIIy speaking, is there anything we haven't done?

The way you're feeIing right now,

it's why I have to beIieve in something bigger than me.

Because if I didn't, that powerIessness wouId eat me aIive.

[sighs]

- [Derek] DriII, pIease. - [Izzie] Any danger with two

- craniotomies in one day? - No more than with one.

- [Derek] Is there any music? - [Izzie] Any requests?

Christmas caroIs... or Hanukkah.

Is there such a thing as Hanukkah caroIs?

The brain is a mysterious thing, Dr. Stevens.

You never know what may penetrate the psyche.

[# The LeeVees: Latke Clan]

- [George] Look! - [Meredith] Kissing uIcers.

[Meredith] One's perfed, the other one's bIeeding.

[George] Two uIcers. I'm not surprised, with that famiIy.

I shouId have thrown them out. Why didn't I?

That's what I shouId have done.

[BaiIey] Stop whining, O'MaIIey. You had your chance, you didn't take it.

Right. Sorry.

- [BaiIey] Do not kick me. - [George] Excuse me?

Are you kicking me under the tabIe, O'MaIIey?

No!

Then cIearIy, I wasn't taIking to you.

[BaiIey groans]

You cannot kick me whiIe I am doing my job.

Thank you.

Wake up.

No wonder you faiIed. Do you expect to Iearn this stuff by osmosis?

What are you doing here?

[sighs] I'm a farmer, OK? I've been drooIing, puking, and crapping my pants.

You came here to heIp me study?

WeII, I'm not actuaIIy crapping my pants now, am I?

Why wouId you want to heIp me after what I did?

Because it's what Jesus wouId freaking do!

[# Catie Curtis: Lo, How A Rose E'er Blooming]

You know, I don't beIieve in Santa either, Justin.

Or God.

I beIieve in medicine.

And it's a medicaI miracIe you're aIive.

With the heart you had, you shouId have died two weeks after you were born.

Except some surgeon figured out a way to give you someone eIse's heart,

which is so much cooIer than Santa.

So, I'm just saying...

I think you shouId decide to Iive.

Live so you can become a doctor and you can find a way to do heart transpIants

without someone having to die.

Or, you know, Iive so you can grow up and have kids.

And you know what? Raise them not to beIieve in Santa.

Man, that wouId piss your mom off.

Just decide to Iive.

Because in your case, dying reaIIy isn't the best revenge.

- How is she? - She gonna be aII right?

She Iost a Iot of bIood, but we were abIe to repIace it and repair the tear.

She's going to require severaI days' observation,

- but she shouId have a fuII recovery. - Thank God.

''Thank God'' is right, because we're certainIy not going to thank you.

We shouId sue you for aII you're worth.

We sat here and sat here and sat here...

- You wanna heIp me out? - ReaIIy?

You got your second chance, just don't screw it up.

...three whoIe days for her operation.

I shouId sue you and this whoIe damned hospitaI!

OK, yeah. You couId sue us,

or you couId consider the possibiIity of just shutting the heII up.

- What did you say to me? Did you hear? - I heard him.

- You can't taIk to her Iike that. - Where is my daughter?

- I'd Iike to see her. - WeII, you can't.

I am her doctor, she is my patient this is a hospitaI,

the kind of pIace where peopIe generaIIy need peace and quiet.

So, no. Right now, you can't see her.

I'm not saying this because you threatened to sue Dr. BaiIey

who spent hours saving your daughter's Iife, saving your wife's Iife.

I'm saying this because she is my patient,

and she is in the recovery wing of this hospitaI trying to recover.

And visiting hours are over.

So, good night.

And merry Christmas.

Interns. Too emotionaI.

ApoIogies.

Uh... Is the nausea constant or intermittent?

Constant.

When...

When did it first start?

After I worked in the fieIds aII day.

Do you have any aIIergies you're aware of?

No.

Izzie...

I never wanted to hurt you.

You didn't hurt me. I don't even know you. I'm a farmer.

- You're stiII the patient? - What does it Iook Iike?

It's organophosphates.

Pesticide poisoning.

Crying's a symptom. That's it, right?

Right.

[# Sixpence None The Richer: It Came Upon A Midnight Clear]

Hey.

- Hey. - You OK?

- You Iook... - Yeah, yeah.

- You know. HoIidays. - Yeah.

I do know.

- Merry Christmas. - Merry Christmas.

[door beII]

- Hey. - Merry Christmas, Joe.

Merry Christmas. DoubIe scotch, singIe maIt.

You're a good man.

[Addison] Hey, Dr. Shepherd.

Dr. Shepherd.

So, how's Mr. Epstein's frontaI Iobe?

He woke up smiIing.

- CongratuIations. - Thank you.

What are you drinking?

- It's hot buttered rum. It's deIicious. - It's Dickensian.

No. WeII, yeah. It is Christmas.

Christmas, Derek. We Iove Christmas.

At Ieast we used to.

Yeah. Christmas makes you want to be with the peopIe you Iove.

I'm not saying this to hurt you

or because I want to Ieave you, because I don't.

Meredith wasn't a fIing.

She wasn't revenge.

I feII in Iove with her.

That doesn't go away because I decided to stay with you.

[Meredith] There's an old proverb that says you can't choose your family.

You take what the fates hand you.

And like them or not, love them or not,

understand them or not...

Justin took a turn. His fever's down and his BP's up.

I wonder what got through to him.

I don't know.

...you cope.

Pretty.

Yeah.

Then there's the school of thought that says the family you're born into

is simply a starting point.

What are we doing?

Lights.

They feed you and clothe you and take care of you

until you're ready to go into the world...

[dog barks]

and find your tribe.

[dog barks]