Lucy desperately tries to find a way for a young woman to receive a new heart in order to stay alive, going to Romano's house in the middle of the night to find the only doctor qualified to perform the surgery. Corday tries to convince Dean Rollins to have surgery on his leg. Carter gives away the ER's Secret Santa gifts as part of a guns-for-toys exchange. When Kate comes down with a fever, Carol takes the twins to the ER, where Luka takes care of them. Alcoholic teenager Chad Kottmeier returns; Cleo enters him in an alcohol treatment facility, taking him away from his mother. Carla tells Benton that Reese will be staying in Chicago because her husband lost his job transfer.