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Malloy and Reed respond to a fire where a young man saves a man trapped inside. A concerned landlord reports suspicious in-activity from a tenant with heart trouble where Malloy and Reed arrive in time to give him CPR and save his life.

The Walshes trip to Hawai'i doesn't go as planned when their plane is turned around due to technical problems. A woman claiming to be Jack McKay's mistress shows up on Dylan's doorstep with her daughter in tow. David's sexual frustration leads him to be hostile to Donna. A lonely Kelly cracks her tooth on candy and calls Mel for dental advice. Jesse takes Andrea with him to church for midnight mass. The characters all flash back to previous Christmases over the course of the episode.

Monk meets his long lost father after 39 years.