At Memorial, Katie was at Chris's bedside and broke the news to him that they couldn't put the artificial pump in his heart because he's too weak. She begged him to hold on because a heart donor will surface soon. Meanwhile, John told a worried Bob and Kim that Chris only has 24 hours to live with his old heart. Alison urged Luke to inform Bob and Kim that Reid is on his way to Bay City to get the heart for Chris. They were stunned but happy, as was Katie and Chris. They joked about how far Reid has come since he first arrived in Oakdale and laughed about who in Bay City would incur his wrath if they denied him the heart he drove all the way there to retrieve.
Tom and Margo were at the police station when they got word that Chris's donor heart is no longer available. Margo then got a call about Reid's accident. "Oh, my God!" she exclaimed. They rushed to the site of the accident and were overwhelmed by what they saw. Later, they returned to Memorial, where Margo braced herself to tell everyone the news. She tearfully informed Bob that Reid's car stalled on the tracks and he didn't get out of his car before the train hit. Bob was dumbstruck and devastated that there is now no hope for a heart for Chris. Bob then summoned Casey to get Luke out of the ER before the EMTs arrived with Reid, but it was too late. Luke refused to believe that Reid would die, even after Bob explained that his injuries are too severe to be helped. He lashed out at everyone for not being proactive and stormed into Reid's hospital room. He was devastated as he saw the severity of Reid's injuries and begged him to open his eyes. Reid tried to speak as Luke broke down in tears. Luke got Reid's wallet for him and took out his organ donor card. Luke summoned Tom for Reid, who gave Luke his power of attorney and made it clear that he wants Chris to get his heart. "Who knew I had one to give?" Reid managed to joke. Luke pleaded with Reid to hold on and declared his love once again just as Reid flat lined. Tom explained that Reid wants Chris to get his heart. John was concerned about it being the right match and the legality of it all without paperwork. Bob was hopeful that they could make it work and they got moving quickly. Bob then gave his condolences to Luke, who was in shock, and let him say a final good-bye to Reid, who had died.
After, Tom presented a grieving Luke with the proper paperwork, which he signed to allow for the transplant. John informed an elated Katie, who told Chris she loves him before he was tested as a match. Bob and Kim, meanwhile, took time to absorb everything that had happened. Kim was overwhelmed with guilt for once questioning Reid's principles and being so cross with him before. Meanwhile, Katie went to tell Luke how amazing Reid is for pulling through for Chris and was eager to thank him in person, unaware that he'd been involved in the accident that allowed Chris to get a heart at all. After Luke told her what happened, she started to sob. Then she

Tom, Casey and Margo marveled at Reid's selfless act, called him an inspiration and hoped that his sacrifice wasn't made in vain. Meanwhile, John prepped Chris for heart surgery and the operation got underway.

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