This powerful bonus episode contains "moments of silence" illuminating the powerful impact of this work and the lives it forever changes.

Featured in this episode: 

Breanne Wychterley, Brian Web and Tonita, John Jartz, Rod and Patti Meier, Matt Troha, Dr. Aji Djamali, Dr. Jacfranz Guiteau 

Summary 

What does it mean to receive the ultimate gift, one that comes not wrapped in paper, but in sacrifice? In this profound final episode, we meet the recipients: people whose lives were saved by kidney and liver transplants, and the extraordinary individuals who gave them.

For Breanne, it was her sister who stepped forward without hesitation. For John, it was his doctor, a man who crossed professional boundaries to become family. For Brian and Rod, it was strangers they’ll never meet, whose deaths became their second chance. Their stories reveal the complex emotional landscape of transplantation: the crushing weight of dialysis, the agony of waiting, the guilt of "taking," and the overwhelming gratitude of being given more time.

But this episode is also about the donors, those who gave parts of themselves so others might live. Like Dr. Djamali, the nephrologist who donated a kidney to his patient, forging a bond deeper than blood. Or Breanne’s sister, who shrugged off being called a hero. And the unnamed donor families who, in their grief, chose to send letters, photos, even invitations into their lives, seeking solace in knowing their loved ones live on.

The gift of an organ is not a cure. It’s a trade. One life altered so another can continue. Recipients face lifelong medications, the specter of rejection, and the haunting knowledge that their survival is tied to another’s loss. Yet in that tension, there is transformation. Relationships deepen, priorities shift, and small moments become sacred.

As this season closes, we’re left with a question: What does it mean to truly receive? Not just to survive, but to honor the gift by living fully with all its messy, ordinary, and extraordinary beauty.

Featured in this episode: 

Dan Lavergne, Dan Milburn, Katie House, Matt Troha, Dr. Erin Lowery, Dr. Ravi Dhingra

Summary:

For Katie, it started with jumping jacks. For Matt, a routine physical. For Dan Milburn, a bloody cough in the bathroom. In an instant, their lives changed forever—their hearts and lungs were failing, and the only way to survive was a transplant. 

In this deeply moving episode, we meet the people on the other side of that midnight phone call: the recipients. Their stories are miraculous and humbling. But a transplant isn’t just a surgery. It’s a rebirth. Recipients describe the surreal experience of waking with new organs, the struggle to reconcile gratitude with guilt, and the profound ways their near-death experiences reshaped their lives. Some thrive, embracing each day with newfound purpose; others face cruel setbacks, like Dan Milburn, whose body rejected his lungs far too soon.

Through moments of success and heartbreak, this episode explores what it means to live with someone else’s heart beating in your chest, to draw breath with borrowed lungs, and to carry the weight of a gift that can never truly be repaid. This episode tells the story of science, survival, and the unbreakable human spirit. It’s about what happens when life hands you a second chance and how you choose to use it.

Featured in this episode: Dr. Jenny Phillip, David Grant, Kaylee Davis, Ashley Wendt, Carissa, Heather Modell, Katie Heuer, Lynn Berg

Episode summary:

This powerful episode takes a deep dive into the unseen, emotionally charged world of organ transplant recovery where urgency and reverence collide. Host Toby shadows a surgical team on a 2 AM mission to Marshfield to retrieve organs from a donor, revealing the complex logistics, split-second decisions, and profound humanity behind the process.

Every step of organ recovery is a race against time. The recovery team shares gripping stories about the weight of meeting grieving families, the heart-stopping moment when an organ’s viability hangs in the balance, and the sacred ritual of the "moment of silence" where donors are honored not as medical cases but as people whose legacies will save lives.

Surgeons and coordinators open up about the emotional toll of working in the organ recovery field. They share how they compartmentalize grief to do their jobs, only to break down later when a donor’s story hits too close to home. They grapple with ethical dilemmas, like declining an organ that could fail in a recipient, and the bittersweet reality that their work thrives on tragedy. Yet, amid the exhaustion, they find purpose: the indescribable rush of seeing an organ "wake up" in its new body.

The episode closes with a devastatingly beautiful letter from a mother whose 14-year-old son died by suicide, read aloud in the OR, a reminder that every donor was someone’s else world. This episode is a lasting tribute to the invisible heroes who turn loss into second chances.

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Featured in this episode: Claire and Melissa Crichlow, Nikki Cassie and Matthew Wolfgram, Dr. Joshua Mezrich, Sam Taylor

Featured in this episode: Samantha Taylor, Rachel Bledsoe, Dr. Nikole Neidlinger, Dr. Joshua Mezrich, Claire and Melissa Crichlow