Cleo walks down a hall with her suitcase and finds Chad sitting on a bed in his hospital gown and staring out the window at the falling snow. She lets herself into his room and sits down beside him. Chad doesn't look at her. A piano plays "Silent Night." The two of them just sit there without speaking, looking at the snow. Huh?

In the lounge, Carter admires his Big Sack o' Guns and feels pleased with himself. "Quite an arsenal," Kerry comments while pouring herself coffee. Carter relates that, after he'd given away all the Secret Santa gifts, he started writing checks. He mentioned earlier that he promised people replacement gifts for the ones he'd given away, and now he's giving people money -- does this mean Gamma has let him back into the trust-fund fold? Anyway, Kerry tells him to call the police and get them to pick up the guns, and Carter says he already has; Yosh runs in as Carter is stuffing the gun-sack into his locker and announces the arrival of a double trauma.

Out in the hall, Carter gets the bullet from Doris, who wheels in a seventeen-year-old GSW to the thigh, name of Hank Lohman -- the same guy who shot Sparks earlier. Carter asks, "Did you say 'Lohman'?" Kerry tells him to take the next incoming trauma, and Carter goes to meet the gurney, which carries a seven-year-old with multiple gunshot wounds to the chest and abdomen; the paramedic says the kid had a pulse in the field, but they lost it on the way to the ER. Apparently, the kid took a bullet aimed at Lohman -- his neighbor -- while opening his Christmas presents. Carter starts to work on the kid, but when he examines his head, he finds a GSW there too. "There's grey matter all over this backboard," Carter says flatly. "He's dead." Carter walks wearily out of the trauma room while the sound of the flatline whines in the background.

In the OR, Peter, Romano, and Lucy start up the L-VAD device, and it works. Lucy comments on how loudly it runs, and Romano says that BHG will get used to it. Then Romano notices Peter's "munchkin" outside, and Peter turns to see Carla "Away In A Mangy" Reese standing in the hall, holding Reese. Peter asks to scrub out, and Romano gives him guff: "Oh, first you want in, then you want out -- yeah, yeah, I know, I know, it's Christmas, go on, get the hell out of here." Peter sprints off. Romano offers Lucy the chance to help him close, and she eagerly accepts.