Its the Christmas season and McNamara/Troy get a couple of very merry patients. A man and woman who's profession is to be Santa Claus and Mrs. Claus. They decided that they wanted to give their characters a new thinner image for children to know. When Julia is help putting up Christmas decorations she collapses. Julia goes to Sean to get her blood checked to see if there is anything wrong. She thinks it has to do with the stress of firring Quentin and getting divorced. But Sean discovers later that day, that she is pregnant. While Matt and his girlfriend Ariel are at school they see that their is an African-American nativity scene. Ariel gets very angry and has Matt help her paint the scene white.