Matthew prepares for a heart transplant, encouraged by his mother who promises to perform the surgery herself. Meanwhile, his mother urgently searches for Jacky, who has disappeared and neglected to check on Matthew. Doctors receive a donor named Jack Schulz, an 18-year-old who died in a car accident but suffered severe malnutrition due to poverty and being forced to work for his own expenses. The shocking revelation arises that the donor is Jacky, the mother's estranged son, which she had no knowledge of. The episode ends with her denial and disbelief over this tragic connection.