Dr. Grant Sheldon's move to Dogwood Springs is not turning out as he had planned. The ER is in an uproar, and drug use and trafficking has become an ever-increasing problem.

In addition to taking on more shifts in the ER, Lauren McCaffery agrees to stay with Grant's twins when he is called out of town. But she soon discovers that keeping track of two headstrong sixteen-year-olds carries some unexpected dangers.

After the hospital adminstrator falls ill, the ER is left under the questionable leadership of an unhappy doctor with his own private agenda—and a painful personal life. In the midst of the turmoil both Grant and Lauren are forced to come to terms with the pain of loss. Can they also find the joy of hope renewed?