J.D. stirs things up with his newfound relationship with Neena the ice queen, who treats him with no regard and threatens everyone around her with her cold-hearted ways. Meanwhile, the battle in court continues between Mr. Korman, Neena, and Turk over the allegations that Turk destroyed Mr. Korman's tennis serve as a result of the shoulder surgery Turk performed on him.

When J.D. must address a bunch of pre-med students about what it's like to be a doctor, he strays off the beaten path and chooses to discuss his best moments as a doctor instead. When he challenges the rest of the staff to do so, they all reminisce about their fondest memories in the medical field. Meanwhile, Elliot is forced to face her fear of children when she must befriend a ten-year-old boy, whose father is being treated in the I.C.U. Elsewhere, Dr. Kelso gets a dose of Christmas spirit and stuns the staff with his change of heart.