Sean drinks heavily as he spends a gloomy Christmas without his family; Christian receives an unexpected gift when a 3-year-old Wilbur comes back into his life; and James forces Michelle to help as she takes drastic measures to fill her holiday kidney quota.
When Sean meets Reefer on the beach (after the Santa Claus incident), he is drunk and can barely walk straight. But in the next scene, when he operates on Reefer, he appears to be fine.