As Christmas approaches, Sean finally discovers the secret romance between Christian and Julia after they decide to come clean about it. Landing in the hospital after a fire, Matt bonds with his horribly burned rehabilitation counselor, Rachel. Sean performs surgery on a man, Duke Collins, who was shot in the face while playing Santa Claus by a disgruntled boy. Meanwhile, Eden suspiciously makes a peace offering with a wary Julia by giving her a gift of a fruitcake. Kimber and Ram reveal their future plans to Julia and Christian. Also, Sean and Christian deal with the presence of a group of overly cheerful Christmas carolers that show up at their practice.