McDreamy tells Tim he's going to need another surgery. He says the frontal lobe is difficult, and he should be prepared for the possibility that things could get worse. Tim growls, "Great. That's just great. I'm 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!" Tim's wife starts to cry, and follows McDreamy out of the room. She tells him this is not her husband; he doesn't speak to anyone this way. McDreamy says he knows it's difficult, but the important thing right now is that they stop the bleeding. Tim's wife says he's the love of her life, and she knows he has a lot of other patients, but...and here she starts really breaking down. "I need your word that you'll treat this change in my husband's personality as seriously as you would a fatal cancer, because that's the way this feels to me and my kids. We were happy. We were a happy family!" You were a crazy family, Tim's wife, but I do feel a little sorry for you. McDreamy says he's going to do everything he can.
Cristina eavesdrops on Father Mike telling Justin he doesn't have to feel guilty that he got another person's heart. "God wants you to live. That's why he sent you the heart." Justin says he's not stupid, okay? God didn't send him the heart, and there's no such thing as God, and he knows his first heart didn't come from anywhere magical. "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?" Father Mike says no, it isn't. Justin says he knows that, because where it really came from is some other kid who had to die so he could live. He also knows that his mom has been praying for the last two years, since the heart started to fail, for some other kid to die so he could live. Oh, tears! Mom starts to cry, but Justin isn't done. "I know that kid died so I could live. That's what you prayed for all the time, isn't it, Mom?" Mom hangs her head and weeps. Justin starts to fade, but hangs on long enough to say, "That's what she prays for, Father. How does God feel about that?" He crashes. Cristina rushes in and tries to revive him as Mom freaks out and begs her son to wake up. Cristina yells for someone to shut her up; she charges the defibrillator, which I think I might also need right about now, and Justin's heart starts beating again. Commercials.
We return to Cristina asking Burke if they can get Justin back on the donor list, because this heart is obviously bad. Burke says Justin waited two years for this one, and he has to fight for it. Cristina keeps arguing, and asks if there's anything they can do for him, medically speaking. Burke: "The way you're feeling right now? Is why I have to believe in something bigger than me. Because if I didn't, that powerlessness would eat me alive." Cristina sighs, AGAIN, and walks off.
McDreamy's in his second surgery with Tim, and is all of a sudden in much better spirits. He requests Christmas carols, or Hanukkah carols, whichever, and a cute song starts up. We cut to Bailey in surgery, getting fed sips of a drink as she works. She suddenly says, "Oh, do NOT kick me," steps back from the table, and addresses her belly: "You cannot kick me while I'm doing my job. Thank you." Aw! Bailey's gonna have a little baby, yes she is!
Izzie finds Alex sleeping on his study gurney. She slaps him across the head and barks, "Wake up! God, no wonder you failed your boards." Alex wants to know what she's doing there. Izzie: "I'm a farmer, okay, I'm drooling, puking, and crapping my pants." Alex can't believe she's helping him study. Izzie snots that she's not actually crapping her pants, now, is she? One wonders. Alex: "Why would you want to help me after what I did?" Izzie: "Because! It's what JESUS! Would friggin' DO!" Heeeeee.
Justin's room. Cristina sits by his bed and talks to him as he sleeps. She says she doesn't believe in Santa, either, or God. Justin wakes up at this, and listens. "I believe in medicine. And it's a medical miracle you're alive." She tells him he should have died at birth, except some surgeon figured out a way to give him a new heart, which is so much cooler than Santa. "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, live so you can grow up and have kids and...raise them not to believe in Santa. That would piss your mom off. Just decide to live. Because in your case? Dying really isn't the best revenge." Oh, no, it can't be. You know, in Who-ville they say...that the Grinch's heart grew three sizes that day! Look at our Crissy, carving the roast beast!
Bailey and George walk wearily out of Nadia's surgery. They find her stupid family in the waiting room. Bailey says Nadia lost a lot of blood, and will require several days observation, but should have a full recovery. Nadia's mother starts screaming that they should sue for all the abuse they've suffered at the hands of the hospital. "We've sat here and sat here and sat here and sat here and sat here…" Seriously, she says it that many times. I counted. Bailey tells George under her breath that this is his chance, and not to screw it up. When Mom is finished ranting about suing them, George says, "Yeah, you could sue us. Or, you could consider the possibility of shutting the hell up." They're all, "What? Did you hear what he said? Why, I never! We want to see her now!" And so forth. George: "I am her doctor; she is my patient, and this is a HOSPITAL. The kind of place where people can generally use a little peace and quiet, so no, you can't see her. And I'm not saying this because you just threatened to sue Dr. Bailey, who's spent the last several hours saving your daughter's life, I am saying this because she is my patient, and she is in the recovery room, trying to recover, and visiting hours are OVER! So good night. And Merry Christmas." So brilliant. Our little Georgie, he did good, didn't he? Bailey looks at the stunned family, who've finally shut up, and fake-sorries, "Interns. So emotional. Apologies."
Alex asks Izzie the Farmer if the nausea is constant or intermittent. Izzie says it's constant. Alex asks when it started. Izzie starts tearing up, and whispers, "After I've worked in the fields all day." Alex tries to ignore the tears, and asks if Farmer Izzie has any allergies. Izzie can barely speak, and squeaks, "No." Aw, Izzie. Alex sits down next to her, and says he never wanted to hurt her. Izzie, through her tears: "You didn't hurt me. I don't know you, I'm a farmer." Wah! Alex asks if she's still a patient. Izzie's all, "What does it look like?" Alex realizes it's organophosphates. "Pesticide poisoning. Crying's a symptom. That's it, right?" Izzie nods, still weeping. Aw, man! That was perfect, just perfect, Farmer Izzie.
McDreamy catches Mere leaving the hospital as another pretty Christmas song starts up. He asks her if she's okay, and she returns the sentiment he had at the beginning of the episode: "You know, just the holidays." McDreamy says he does know, and they wish each other a Merry Christmas.
Cut to McDreamy walking into Joe's bar. He gets a drink, which awesome Joe has already poured for him (single-malt Scotch, for those of you playing at home), and goes to sit next to a radiant-looking Addison. Too bad she's about to get her heart broken. She asks after Tim, and McDreamy says he woke up smiling. Oh, good, they can get back to the crazy posthaste. Addison says she's drinking hot buttered rum, because of Christmas, which they both used to love, hint hint. McDreamy finally drops the bomb we all knew was coming: "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." He takes a big sip of his drink, and Addison, poor Addison, who I love to hate and hate to love, tries to take it all in. We pull back to an outside view of the doomed couple, and Mere voice-overs, "There's an old proverb that says you can't choose your family. You take what the fates hand you."
Cristina comes home to Burke's, exhausted from living with her newly-huge heart, and sees that Burke has placed a menorah in the window. She smiles, immediately undresses, and jumps into bed with him. MereVO: "And like them or not, love them or not, understand them or not..." Cristina tells Burke that Justin took a turn: his fever's down and his BP's up. She snuggles against him as Burke says, "I wonder what got through to him." Aw. MereVO: "...You cope."
Fade to Mere's. Izzie is lying under the Christmas tree, looking up at the lights like she's eight years old. Mere walks in and joins her. George follows, and then their new dog. It is, I have to admit, adorable, and Izzie looks absolutely GORGEOUS here under the tiny lights. MereVO: "Then there's the school of