Previously on "grey's anatomy"...
I'm really good in bed. Mind-blowingly good in bed.
Then he sleeps with Olivia instead of me.
I'm having a baby, too. Yes, I am, a little boy.
You lied to me. You'll be a better doctor for it.
I'm lonely, Derek.
I can't. When Derek broke with you, I was there.
All I ever am is there for you guys,
and the one time I need you...
Are you okay? I failed the medical boards.
Karev, it's over, it's done. You screwed up.
If I take the exam for a second time, and I don't pass...
You will no longer be a surgical resident at Seattle grace.
It's an urban myth that suicide rates
spike at the holidays.
Turns out, they actually go down.
♪ Chestnuts roasting ♪
♪ On an open fire... ♪
Experts think it's because
people are less inclined to off themselves
when surrounded by family.
♪ Yuletide Carols... ♪
Looks like 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. I know sometimes I can go a little overboard.
No, it's great. No, we love it.
Oh, yay! I love Christmas.
We know. Clearly.
Ironically,
that same family togetherness
is thought to be the reason that depression rates
actually do spike at the holidays.
♪ With their eyes all aglow... ♪
Yeah, okay, Izzie doesn't count.
♪ Merry Christmas to you ♪
Oh, I thought you might like to help me decorate it tonight,
to Mark our first Christmas together.
I'm Jewish.
Seriously?
My stepfather... Saul rubenstein?
Oh. Right.
Right.
Look at her belly.
She's almost as wide as she is tall.
Are her ankles swollen? Is that why she's waddling?
What's gonna happen to us when she goes on leave?
Leave? She's going on leave?
What do you think happens
when people push babies out of their vaginas?
Do you think we're gonna get a new resident?
Nah, they'll probably just let us all wander around unattended
to see how much damage we can do.
Yeah, well, you would know.
Hey, you guys, we should all get together
and get Bailey a Christmas gift for the baby,
or we could organize some sort of secret Santa thing.
Listen, tiny Tim, you can take your... sounds great.
Secret Santa sounds great, Izzie. Okay.
We're being supportive.
Hey.
Hey. You okay? You seem...
Yeah. You know...
Holidays.
Oh. Yeah.
I do know.
Tim Epstein, 38, fell off the roof of his house.
I was stringing hannumas lights,
and a shingle came loose.
Hannumas?
Hannumas, chrismukkah. We go all out.
Awesome.
He fell 12 feet.
The good news is, my head broke my fall.
Uh, there are no visible deformities,
but he's definitely having some focal left arm weakness.
He'll probably be fine. He's always been a little hardheaded.
♪ Dreidel, dreidel, dreidel ♪
Does your head hurt when you laugh?
Is that a bad thing?
Follow my finger with your eyes, please.
I know karate.
Uh...
You know what? Your husband might need a little quiet,
so there's a cafeteria right down...
No, no, let 'em stay.
Pain or no, I don't wanna miss out
on the holidays with my kids.
Who'd like to take Mr. Epstein down for a C.T.?
Stevens it is.
Should we have a dog?
No dog. Come on, get a dog.
Nadia Shelton, 41, scheduled for excision
of her gastric ulcer. Lot of good it's done us.
She's been scheduled for three days.
Mom, it's not his fault. Every day she gets rescheduled for some emergency.
We're very, very sorry for the inconvenience.
Inconvenience?
You watch your child spend three days in pain,
and then come and talk to me about inconvenience.
We get a lot of trauma cases at the holidays.
Your daughter's ulcer is serious, but it's non-emergent.
Is that the news? Are you saying my wife's not important?
Is that what he's saying? Is that what I'm hearing?
When are you taking her in?
Grandpa, it's not the remote.
We have reservations to eat at the top of the space needle.
We've had them for months.
All right! Dr. O'Malley, prep Mrs. Shelton
for her ulcer excision, which will happen this morning.
Thank you!
♪ We're gonna go to the needle, oh ♪
Grey, Karev, cover the pit.
You can expect all sorts of holiday idiocy,
so that is my gift to you.
Yang...
Dr. Bailey, u.N.O.S. Just called.
They have a donor heart for a patient of mine.
Heart surgery. I'm free. I'm totally free, right? I can do this.
I'm free. I'm available.
No, you're not. You're covering the pit.
Yang, it's yours. Thank you.
Pit!
Damn! Heart transplant.
Would've liked to have seen that.
There's always tomorrow.
Yeah, maybe for you. Meaning?
I retake the boards tomorrow. I'm pretty sure I'm gonna fail,
which makes today my last day here,
and I get to spend it doing stitches in the pit.
So when does hanukkah fall this year?
Uh, no idea.
Oh. Well, if there are any more traditions
you want me to be aware of...
Oh, no, Burke, seriously,
I haven't observed religious holidays
since I was old enough to know better.
"Run as fast as you can.
"You can catch..." good morning, Justin.
Marion.
Good morning. Hi, Dr. Burke.
I'm here with good news, great news.
You don't mean that... U.N.O.S. Called.
We have a heart.
Now I'll operate this morning.
You hear that, baby?
Santa claus is bringing you a new heart for Christmas.
Tell the fat-ass to give it to someone else.
I don't want it.
♪ Gonna find out who's naughty or nice ♪
♪ 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,
and I'm not having another stupid operation.
Justin, I know surgery can be frightening,
but you need this heart.
You've worn out your last one.
His last one?
Justin had a heart transplant as a baby,
but his heart hasn't aged as well as he has.
You understand that, Justin?
Your heart just can't keep up with you anymore.
You need a new one.
I don't care. I don't want it.
Can you tell me why not?
♪ Our lives are changing so, so I just let it go ♪
Dr. kenwood, 471. Dr. kenwood, 471.
Anxiety attacks, aneurysms and ulcers.
Must be December.
Chief, Adele just called. Tell her I'm in...
She knows you're not in surgery,
and she said to tell you,
"we are going to our niece's school pageant this morning."
"You have known about it for months,"
"and after what you pulled on Thanksgiving..."
And then she started using a great many words
that I don't feel comfortable repeating. Look, I have seven surgeons on vacation.
And there was something about divorce.
♪ White trees and mistletoe ♪
You'll have to cover my ulcer excision.
Yes, sir.
The woman is unreasonable.
When did watching a 6-year-old dressed up
like a wise man become...
♪ this Christmas time ♪
Male, 44, had a gastric bypass.
Three weeks post-op.
Reported extreme pain when we found him.
Said something about fruitcake. He must have torn his abdomen wide open.
You're gonna have to fight me for this one.
He's all yours. My parting gift.
Okay, for your mom, I got a lambswool blanket,
handmade in Edinburgh. It's soft, comfortable.
It says, "don't hate me for hurting your son,"
except with fabric.
Addie, you know my mom loves you.
No, she used to love me.
I've got a lot of ground to make up for with these gifts.
So what do you think... plain or plaid or both? I don't know. Whatever, you know?
I thought you love Christmas shopping.
I'm just really not in the mood for it right now, okay?
Okay, well, how about French food
and Scottish catalogues tonight, around 9?
Um, well, I guess that depends. What time do we get outta here? Dr. Shepherd?
Yes? I have Tim Epstein's C.T. scans back.
Ah, good.
What do you think?
It's not great.
Oh, that's not good at all.
Honey, what do you think of this scooter?
Excuse me, I need to take her blood pressure.
Do you have any questions about the surgery?
Apart from when you're actually gonna do it?
We're doing it now. Good.
I'm sorry. Don't apologize.
Do you have any questions?
No.
I've had three bleeding ulcers in the last five years.
Yeah. I hope you read the chart.
Yes. Good.
Dr. Bailey, a gastric perforation just came in.
Damn. Uh, all right.
Take Mrs. Shelton back to her room. Seriously?
Do I look like I'm kidding?
Tell her we'll get to her this afternoon.
Grey, call the E.R. tell them to send him up, and then scrub in.
Alex Karev, um, failed his boards,
and he's retaking them tomorrow.
He can't study for a practical by himself.
If he fails again, he's out.
Okay, go.
O'Malley.
Yeah?
After you drop her off, get back here and scrub in. All right.
- Okay. - Okay, Justin...
I told you,
I don't want the heart. Why are you doing this?
'Cause you need it, and until you're 18,
your mother calls all the shots.
My mother's a liar. You heard her.
She said the heart came from Santa claus.
She shouldn't get to decide anything.
Yeah, well, you could make a run for it,
but the heart you have won't get you very far.
Are we ready? 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.
Here we go.
And it was only one day of oil. And then what happened?
It lasted eight whole days and nights. And it was a miracle.
I wanted to say that part. Mr. Epstein, I'm sorry to interrupt.
You remember Dr. Shepherd?
Um, should we talk more privately?
No, just tell us. Is it bad?
The fall has caused a subdural hematoma.
I don't even know what that means.
That means your dad... His brain is bleeding.
Great.
Look, there are some risks to this surgery.
It has to happen before the bleeding gets worse.
What kind of risks?
See, the bleed is, uh, in an area of the brain
that controls the speech and the motor control.
We don't need an operation, okay?
You know, Jake, I think we do.
Hey, honey, you know something else?
What?
We have a doctor named Shepherd.
Shepherd. Is that a sign from god or what?
Look at that.
Beautiful fit.
Now all we have to do is figure out why he's so angry.
If I had that mother, I'd be angry, too.
Actually, I do have that mother.
Well, his mother is not the problem here.
She loves him. She never leaves.
She also never listens. She doesn't know him.
Justin is depressed. You heard him.
He doesn't wanna live.
I just hope he changes his mind before it's too late.
Wait, what do you mean, too late?
With all medical realities being equal,
why does one patient live
and another dies?
I believe there's a mind/body/spirit connection,
and if Justin really doesn't want this heart,
his body will reject it.
Okay, let me get this straight.
You don't just celebrate Christmas...
You actually believe in Santa claus?
Dr. Yang, go and schedule a psychiatric consult
for our patient.
We're... we're not done here.
You are.
I don't know.
It hurts here and here and back here.
Any chance you got hit by a truck and forgot about it?
You're judged on bedside manner, Alex. I wouldn't be surprised
if that's why you failed the last time.
Could you be any more patronizing?
I didn't ask for your help.
Enough with the ego, you big baby.
I gave up a surgery for this.
Now like I said,
it hurts here and here and back here.
Oh, and this morning,
I noticed my poop was a funny grayish color.
Wow. That's all you can save of his stomach?
Yep. If eating is what this man lives for,
we should put him out of his misery.
Paging Dr. karevian.
What did you just say?
Just... it's a joke.
Kevorkian, karevian? Alex Karev?
I get the joke. I just don't think it's funny.
You see this, O'Malley?
I make one mistake with this scalpel,
and this man's dead.
My husband...
He makes mistakes at his job all the time.
As far as I know, he's never killed anyone,
but I have, and you will, and Alex did.
He made a math mistake, and a man died for it.
You run that past your accountant,
see how he'd feel if every mistake he made,
someone ended up dead.
But you don't have to like Alex.
You don't have to care about him.
But you damn well have to be on his side.
Hold that.
What a great family. Hannumas. Chrismukkah.
And how cute are those kids?
Really, Dr. Stevens? Chrismukkah?
I think it's sweet.
Do you happen to know what time of year
neurosurgeons are the busiest, Dr. Stevens?
No, there's a time of year? Well, there's no hard or fast rule,
but brain injuries tend to pile up around the holidays,
like our friend here.
Folks fall off their roofs while they string up lights,
or they go skating for the first time in a decade
and break their heads open.
And every year, people drive through blizzards
to get to parties where they kiss germ-infected strangers
under poisonous mistletoe,
and then they get so drunk that they smash their heads
through their windshield on their way home.
Like I said,
there's no hard or fast rule.
Does this hurt, Mrs. grey?
Yes, doctor.
How about here? Does it hurt here?
Yes, it does.
Okay, seriously, if you're that lonely,
there are excellent vibrators.
I can give you a catalog.
He failed his boards. I'm helping him study. You failed your practical?
Glad to know you keep a secret, grey.
I kept your secret. It didn't do you any good. He needs our help. Oh, you're not serious.
What if that were you?
It wouldn't be. Well, what if it were?
It wouldn't be. I have to go.
Be a patient. Do it for me. Fine, but when tiny Tim
goes all Norman bates on us, I'm blaming you.
Diagnosis? Gallstones.
Yes.
I'm a 55-year-old man.
I'm nauseous and I can't stop throwing up.
Forget it, all right? I didn't ask for anybody's help.
Okay, evil spawn, you can nurse your pride,
like you were being a nurse, or you can pass your test
and be a doctor. Up to you.
Any abdominal pain?
Yes, from my giant, fat belly all 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?
Strangulated. Pretty ugly.
Well, you just know the wife hates TV.
Grey, is that other project covered? I think so.
Then scrub in.
O'Malley, go tell Nadia Shelton
she's off the schedule till tomorrow.
Till tomorrow? Another day's not gonna kill me, Jimmy.
I promise tomorrow for sure.
Today was for sure.
What's he saying?
He's saying they can't operate till tomorrow!
Outrageous!
I cannot believe this! Ow.
Can you please... could you please turn that down?
Your mother needs to rest. Who are you, my dad?
Sir, could you please tell your son... don't talk to me about my son.
Who the hell do you think you are?
I'm really sorry. I think that your wife should rest.
I'm listening here! I can't go Christmas shopping with my daughter.
You people have ruined everything.
I hope you're happy.
I'm very sorry.
Yeah. Yeah.
"I'm very sorry." That cuts it here, doc. Thanks a lot.
Yeah, okay, you're really grabbing me now. That's assault.
This...
Is an exam pat.
What...
What the hell? Does Izzie know?
Does Burke know about this?
Unbunch your panties, George. We're helping Alex study. Do it.
I can't hear you when his hand is on your boob.
Take your hand off my boob, Alex.
Thank you.
Study for what?
Shut it, Yang. Alex failed his boards.
Seriously? I failed one part of one board. That's it.
Still, that's pretty embarrassing.
Eh! He's all yours, Georgie. Do your worst.
You're not giving me a rectal. Do not ask me to cough.
Dr. Cohen to radiology.
You page me?
I didn't see a psych consult scheduled here.
I couldn't get one.
I tried to, but they told me to come back in January.
You disrespected me.
You mocked me in my O.R. that can't happen.
I...
It won't happen again.
You equated my spirituality with a belief in Santa claus.
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 slob, and you're not.
I say I wanna keep our relationship private,
and you go and tell the chief of surgery
and you ask me to move in with you,
and now you're religious. Spiritual. There's a difference.
Well, not to me.
I don't know what we're doing.
Well, right now we're working.
Page me if he spikes a fever.
Tell Mrs. davison to hire a private therapist or a priest,
anyone Justin would talk to.
Mrs. Epstein?
Oh.
How is he?
He's gonna be fine. He's still a little groggy, but...
My dad wants to see me now, okay?
Okay. Come on in. Okay.
We have to run, run, run fast.
Yeah, let's run, run, run.
Let's run and see daddy. It's okay, guys.
Daddy's okay.
Daddy! Daddy!
I could kiss it better, daddy.
Jillian, I have a headache.
I'll sing for you, daddy. No.
♪ Dashing through the snow on a one-horse open sleigh ♪ no, Leah.
Damn it, Leah, shut up!
I can't stand that insipid song!
Tim!
Just get out! Get out!
Get the hell out of here, all of you!
You stupid Shepherd,
you broke my dad's brain!
How did that happen? I mean, his personality...
You didn't go anywhere near the frontal lobe.
Well, the C.T. might have missed something,
or the personality change could be a reaction
from the anesthesia wearing off.
It could be the pain.
He was in pain before the surgery.
Watch him for a couple hours.
If he doesn't improve, get a new C.T. okay.
Dr. Stevens?
You had his brain open, literally open.
He was laying there unconscious and vulnerable...
And you think I poisoned him with my anti-holiday venom?
Well, you're the one that's always saying
there's a lot about the brain that we don't know.
How do you know that your words didn't speak to him
on some unconscious level?
I mean, he trusted you to be his Shepherd.
Dr. Stevens, you should be a little embarrassed.
I am. Good.
Oh, this is the c.C.U.
There are no trees allowed in the c.C.U.
I know, but it's never really been enforced, so...
How's he doing?
Uh, surgery went smoothly, but it's too soon to tell.
He's really a good boy, you know?
You just met him at a difficult time.
He's been down. I don't know why,
but father Michael will be able to talk to him.
No offense,
but your son doesn't seem to be a fan of the holidays.
He doesn't believe in Santa.
Yes, well, a mother's job
is to protect her child's innocence,
and this Christmas could be his last time, so...
That's what you said last year
and the year before that.
Baby, you're awake!
You look great!
My big, strong boy.
Santa brought you back to me.
What are you doing?
Sorry, c.C.U. Regulations.
Are we using mesh?
Yes, the conjoined tendon is...
Dr. Bailey?
Just wouldn't want to throw up in the body cavity.
Dr. Bailey, are you all right? Mnh.
Do you need...
I just... I need a minute, grey.
Oh, when you operate,
the rest of the world goes away...
Hunger, thirst, pain.
You don't feel it in the O.R.,
but it's not that way
when you're sharing your body with another person.
Okay.
Deaver retractor.
Are you sure you don't want me
to go find someone to take over for you?
What I want you to find me is a strawberry milkshake,
extra thick.
Seriously?
Yeah, nausea comes with the hunger, grey.
Go.
My throat... It's, like, wicked sore, yo!
Plus, I got all these sick breakouts, right?
Dude, seriously...
All right, all right, sit down, sit down.
Open up your mouth.
I'd like to inspect your tonsils.
Aah!
What's wrong with you? Are you sick?
Fix it.
I failed my practical board exam.
O'Malley's helping me study.
You failed your... You're helping him?
Just to study, nothing else! Izzie...
No, you don't get to say my name,
and you are unbelievable!
I was doing mono, the whole fever and glands thing.
The acne was just part of the whole teenager thing.
Izzie, would you wait?
I say I like the guy, and you can't stop hating him.
Izzie, you... and as soon as he screws me over...
Izzie... you're his new best friend.
He failed 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!
Told you she'd find out. Oh, of course you're in on this.
She let him touch her boobs! Oh!
He cheated on me with George's skanky syph nurse!
That is just plain rude! We know he cheated on you.
That's why we let you turn the living room
into Santa's freakin' village.
What? We're not big on holidays!
You know that, but we're trying to be supportive,
because you're having a hard time.
But right now, Alex, he's having a harder time.
Why does everybody care what kind of time Alex is having?
Because he's dirty uncle sal.
You lost me. Sorry, what?
He's dirty uncle sal,
the one who embarrasses everyone at family reunions
and who can't be left alone with the teenage girls,
but you invite him to the picnic anyway.
I'm still lost. Sorry, what?
I have a mother who doesn't recognize me.
As far as family goes,
this hospital, you guys are it,
so I know you're pissed at Alex,
but maybe you could try to help him anyway,
sort of like in the spirit of this holiday
you keep shoving down everybody's throats.
You...
What?
Boob?
Somebody get in here! Doctor!
Get in here now!
Get in here! Where is he? Do something!
Nasty! Aah!
Do something, doctor! I'm taking you to surgery. Prep her now.
It's about time.
Sorry. I got sidetracked.
Nadia Shelton's ulcer perforated.
She's vomiting blood by the pint.
Is the chief back?
Haven't seen him.
No.
All right, uh,
both of you scrub in.
I'm gonna need all the help I can get.
Well, there it is...
Left side of his frontal lobe.
Now why didn't we see that before?
Intracerebral bleeds can have a delayed presentation.
Right. You want to get him out of there?
Uh, just prep an O.R. I'm gonna talk to his wife.
Dr. Stevens.
Nice talking to you.
Think she'll ever talk to me again?
Okay, am I invisible? I'm feeling strangely invisible.
Also inaudible.
What?
Another surgery?
So I guess dinner-shopping is out?
Yeah, it's not gonna happen tonight.
Sorry. No, you're not.
I'm just trying to figure out why you're not.
It's Christmas, Derek.
Yeah, I know.
It's our season! What's going on?
Are you mad? Are you depressed, what?
No. Mr. Epstein here is depressed.
He's bleeding from his frontal lobe.
Everything's fine. We're fine, Addie.
You know, just... I'll see you at home, okay?
You need a second surgery, Mr. Epstein.
The frontal lobe is difficult.
We may be able to improve things,
but, uh, you should be prepared
for the possibility that things could get worse.
That's great, that's just great.
I am so glad we came to this hospital,
so I could be treated by a bunch of quacks
who don't know their asses from the inside of my skull!
This isn't my husband.
This is not my husband.
He doesn't speak to me this way.
He doesn't speak to anyone this way.
I know this is difficult, Mrs. Epstein,
but the important thing right now
is that we stop the bleeding.
Look, he's the love of my life.
And I know that you have a lot of other patients
and you do a lot of other surgeries,
but he's the love of my life.
Just... i just need your word
that you'll treat this change in my husband's personality
as seriously as you would fatal cancer,
because that's the way this feels to me and my kids.
And we're happy. We're a happy family.
It just... If you could just fix it...
Just fix it.
Mrs. Epstein,
I'm gonna do everything in my power, all right?
Okay?
I didn't want it.
I already got one new heart.
I didn't deserve another one.
Justin, you don't have to feel guilty
about having a new heart.
God wants you to live.
That's why he sent you the heart.
I'm not stupid, okay? God didn't send me the heart,
and there's no such thing as god. Justin!
Marion, Marion.
It's all right.
The heart I have now...
My mom told me the heart came from Santa.
I thought elves made it in their factory
or whatever,
but that's not true, is it?
No, it isn't.
Yeah.
I heard the nurses talking.
Where it really came from is some other kid.
Some other kid had to die so I could live.
Justin...
Baby...
And then I outgrew that kid's heart.
So for the last two years my mom has been praying
that another kid would die for me.
That's what you pray for all the time,
isn't it, mom?
That's what she prays for, father.
How does god feel about that?
Justin, Justin...
Justin?
Justin, baby?
Wake up, Justin!
Nurse!
Move, please! No, no, no!
Code blue! Please, Justin!
Just stay back.
Code blue, pediatric c.C.U.
Dear god, please!
Justin, baby, I'm right here!
Justin, I love you, baby! Please shut her up!
He's in v-fib.
Charge the paddles to 100.
Charge.
Clear.
♪♪♪
Can you get him back on the donor's list?
I mean, if it's a bad heart. It's not a bad heart.
Well, can you get him back on the list?
He's waited two years for this heart.
He has to fight for it.
He has to decide he wants to live. Okay, medically speaking,
is there anything else we haven't talked about?
The way you're feeling right now...
It's why I have to believe in something bigger in me.
Because if I didn't,
that powerlessness would eat me alive.
Drill, please.
Any danger with two craniotomies in one day?
No more than with one.
Is there any music?
Any requests?
Christmas Carols or hanukkah.
Is there such a thing as hanukkah Carols?
The brain is a mysterious thing, Dr. Stevens.
You never know what may penetrate the psyche.
♪ Hanukkah, I know it's gonna be all right ♪
Whoa, look at that.
Kissing ulcers.
One's perfed. The other one is bleeding.
Two ulcers. I'm not surprised with that family.
I should've thrown them out. Why didn't I throw them out?
That's what I should have done.
I don't know why I didn't.
Stop whining, O'Malley. You had your chance.
You didn't take it. Move on.
Right, sorry.
Do not kick me!
Excuse me?
Are you kicking me under the table, O'Malley?
No!
Then clearly I wasn't talking to you.
You cannot kick me while I'm doing my job.
Thank you.
♪ Your weird uncle's doing the can-can ♪
♪ Hanukkah Harry, he's the man ♪
♪ Everyone's here, it's hanukkah ♪
Wake up!
God, no wonder you failed your boards.
What, do you expect to learn this stuff by osmosis?
What are you doing here?
I'm a farmer, okay?
I've been drooling and puking and crapping my pants.
You came here to help me study?
Well, I'm not actually crapping my pants now, am I?
Well, why would you want to help me
after what I did?
Because it's what Jesus would freakin' do!
♪ Lo ♪
♪ How a Rose e'er blooming ♪
♪ From tender stem hath sprung ♪
You know, I don't believe in Santa either, Justin,
or god.
I believe in medicine,
and it's a medical miracle you're alive.
With the heart you had,
you should have... You should have died
about two weeks after you were born,
except some surgeon figured out a way
to give you someone else's heart,
which is so much cooler than Santa.
♪ Amid the cold of winter ♪
So I'm just saying
I think you should decide to live,
live so you can become a doctor,
and you can find a way to do heart transplants
without someone having to die.
Or you know, live so you can grow up
and have kids and you know what?
Raise them not to believe in Santa.
Now that would piss your mom off.
♪ To show god's love aright... ♪
Just decide to live.
Because in your case,
dying really isn't the best revenge.
♪ When half spent ♪
♪ Was the night ♪
How is she? Is she gonna be all right?
She lost a lot of blood,
but we were able to replace it and repair the tear.
She's gonna require several days' observation,
but she should have a full recovery.
Oh, thank god. Thank god is right.
'Cause we're certainly not gonna thank you.
We should sue you for all you're worth.
We sat here and sat here
and sat here and sat here... You want to help me out?
Really?
And watched you take patient after patient...
You got your second chance. Just don't screw it up.
While you made my daughter wait for three whole days
for her operation!
I should sue you and this whole damn hospital!
Okay, yeah, you could sue us,
or you could just consider the possibility
of just shutting the hell up. What did you say to me?
Did you hear what he said to me? I heard him!
You can't talk to an old lady like that. Where is my daughter?
I'd like to see her. Well, you can't.
I'm her doctor.
She is my patient, and this is a hospital,
which is the kind of place where people can generally use
a little peace and quiet,
so no, right now you can't see her.
And I am not saying this because you just threatened
to sue Dr. Bailey, who spent the last several hours
saving your daughter's life, saving your wife's life.
I am saying this because she is my patient,
and she is in the recovery wing
of this hospital trying to recover,
and visiting hours are over, so good night
and merry Christmas.
Interns.
Too emotional.
My apologies.
Um, is the nausea constant
or intermittent?
Constant.
When...
When did it first start?
After I worked in the fields all day.
Do you have any allergies
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... you're still the patient?
What does it look like?
It's organophosphates,
pesticide poisoning.
Crying's a symptom. That's it, right?
Right.
♪ It came upon a midnight clear ♪
♪ The glorious song of old ♪
♪ From angels bending near the earth ♪
Hey.
♪ To touch their hearts ♪
Hey.
You okay?
Yeah, yeah.
You know, holidays.
Yeah.
I do know.
♪ The world in solemn stillness lay ♪
♪ To hear the angels sing... ♪
Merry Christmas.
Hey.
Christmas double scotch, single malt.
You're a good man.
Hey, Dr. Shepherd.
Dr. Shepherd.
♪ O'er all the weary world ♪
♪ Above... ♪
So... how's Mr. Epstein's frontal lobe?
He woke up smiling.
Congratulations.
Thank you.
What are you drinking?
It's hot buttered rum. It's delicious.
It's dickensian.
Oh, well, yeah, it is Christmas.
Christmas, Derek. We love Christmas.
At least we used to.
Yeah.
Christmas makes you want to be with people you love.
I'm not saying this to hurt you
or because I want to leave you, because I don't.
Meredith wasn't a fling.
She wasn't revenge.
I fell in love with her.
That doesn't go away because I decided to stay with you.
There's an old proverb
that says you can't choose your family.
♪ O ye, beneath life's crushing load ♪
♪ Whose forms are bending low ♪
You take what the fates hand you.
♪ Toil along the climbing way ♪
♪ With painful steps and slow ♪
♪ Look now, for glad and... ♪
And like them or not,
love them or not,
understand them or not...
Justin took a turn.
His fever's down, and his b.P. Is up.
♪ And hear the angels sing ♪
I wonder what got through to him.
♪ The angels sing ♪
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.
♪ Look now, for glad and golden hours ♪
♪ Come swiftly on the wing ♪
They feed you and clothe you
and take care of you
until you're ready to go out into the world...
and find your tribe.