Episode Overview
As the holiday season kicks off, not everyone feels the festive cheer. For Alex, it's a pivotal day at the hospital, as tomorrow he faces his boards practical exam, and the team rallies to help him study. However, Izzie is frustrated with the other’s support, prompting Meredith to remind her of the holiday spirit. Meanwhile, Justin desperately needs a new heart, but he refuses the available one, insisting that it wasn't brought by Santa, as his mother claimed. Cristina and Burke, who are managing Justin's case, clash over their differing religious beliefs. Derek, despite reconciling with his wife, struggles to embrace the holiday mood. George deals with a patient suffering from a bleeding ulcer, only to discover that her companions are the source of her stress, leading to a serious complication.