It's the holiday season at St. Denis. Alex and Ron care for a patient whose diagnosis is not what it seems. Joyce enlists Serena's help to boost St. Denis' online presence. Bruce and Matt help a Santa in need.

An "intimacy in the workplace" discussion leads Joyce to discover she's out of the loop on office gossip; Alex gets self-conscious about her sex life; Bruce tries to fight a new policy about dating co-workers.

Bruce and Alex give conflicting medical advice to a young athlete; Joyce competes with Tiger Woods in her alumni magazine; Matt and Serena (almost) drop an unconscious patient.