Brought into the hospital emergency by his mother Ava Walker is eight year old Kyle Walker, a piano prodigy. As it looks that he has a heart condition of an unknown nature, both Carolyn and Len lead his care. His case becomes more complicated when Carolyn is approached by a woman named Debra, who Ava does not know but who is certain that Kyle is suffering from a rare congenital heart condition which requires immediate surgery before it's too late. Her belief, which she confides in Carolyn, is that Kyle is the reincarnation of her deceased son, Matthew, who was also a piano prodigy, and who died of that heart condition around the time that Kyle would have been conceived. As Carolyn gets Zed and Janel to investigate further for any similarities between the two boys in trying to decide what to do, she may have a more difficult decision as Debra inserts herself into Kyle's case with Ava's knowledge without divulging who she believes Kyle to be. Carolyn also turns to Peter for advice, he who confesses some information to a surprised Carolyn. And as Janel gets ambushed by Sasha about information regarding Ivan, most specifically the spike in donations to Medics International, Ivan confides to Janel why he is reluctant to tell his sister of his terminal diagnosis.
—Huggo