It was 5am in the morning. A nurse came in to wake up for his surgery.

Stacy: "Good Morning, I'm Stacy and I going to ready for Surgery."

David: "Something is slimy in my Bed."

Stacy head toward his bed, turned him over, lift his gown and his stool was running.

Stacy:"Oh it the medicine that is getting ready for the new kidney's. Let get you up and cleaned up.

David:"Can I have breakfast first?"

Stacy:"Sorry you can't eat anything because the anesthesia. Let's get you to the wash room.

David put his robe on and went into the units wash room while Stacy runs his bath water. David got in and Stacy give him a washcloth, towel and anti-bateria soap. She also got him a clean gown and to David was in the tub, Stacy stripped of his bed and disinfect the mattress with Hospital wipe. Stacy made up a gurney to wheel it down to the wash room. Stacy helped David out of the tub, dry him off and help him put a clean gown on. David hopped on gurney. Stacy gave him a surgical cap to wear on his had. David lie down and Stacy cover him up with a blanket. Stacy gave him a shot to relax him, put the rails up and wheeled him down to the surgical center in the prepping room.I came with surgical scrubs on.

Hiro:"Good Morning. Stacy took care of you?"

David:"Yes."

Stacy:"His stool was runny this morning."

Hiro:"That just the medication to get ready for the new kidney's. Here's what going to happen. The dialysis tubes will be removed first before inplanting the new kidney's. Thair on there way. Remember after surgery, You'll be wheeled to I.C.U in a bed. While your asleep, I need to put a catheter in with a urine meter. Surgery will be 4 to 6 hours, After you get put to sleep, A breathing tube will be put in to help you breath during Surgery. You may have a little sore throat after Surgery but well take care of that. I need to wait for the kidney's to arrive. Prep him and when it's time, Wheel him to O.R room 4.

I left out the prepping area, Stacy prepped him. 10 Minute's, it was time for Surgery. Stacy wheeled him to O.R.4 and helped him on the table. The anesthesiologist started to put him to sleep smelling the grape Flavoring on the mask. and put the breathing tube in. At the same time, A helicopter landed. I was carrying a blue cooler the the Kidney's were in. They were packed in ice. I put on my Mask and gown. Scrubbed up. I started to operate. I took the dialysis tubes out then I open up the cooler and took the kidney's out into A blue bowl to sterilized them. Then I started to implant them inside her and I place a catheter in his bladder attached a urine meter. After surgery, I wheeled him to the recovery area in the bed. 30 Minute's went by, He could not wake up so I applied an oxygen mask on him. David was is recover for 3 hours. He finally one up and I wheeled him to ICU. I clamped his catheter so bladder gets filled up. Davidd was up watching TV. I put him on a liquid diet so I gave him some ice chips. I was at the nurse station until he pushed the call button. I wheeled in the bladder scanner to scan his bladder. The kidney's were working so I unclamp his catheter so he can urinate in the meter.I wrote the volume down.

Hiro:"Everything is working great. We still need to keep you in I.C U for 48 hours just to make sure everything is working. After 48 hours, The catheter will come out and You'll be discharge the next day ."

David:"Tomorrow?"

Hiro:"I knew it's hard for a five year old to understand. Let me talk to you that you canunderstand. Today is Monday. You'll have your catheter out on Wednesday and get out of ICU on Wednesday and go to a room on the medical floor and you get to go home on Thursday Morning. I got all that?"

David:"Is Today Thursday?"

Hiro:"No only Monday".

David" Okey."

I got out of his room to let him rest. Crystal paged me in his office. She had something for me.

Hiro:"You need to see me Crystal? What's in the box?"

Crystal:"It a medical device made in Japan but not FDA approved. This is for Maggie. It's a battery to Hook up to her artificial heart so she can go to school or out anywhere and here is the best part. she can go without multiple surgeries along it's plugged in at night for a charge. One charge can last for 48 hours. If this works, we can show it to the FDA to get an approval.

Hiro:"You mean have Maggie be a test subject for this gadget?"

Crystal:"Well Maggie attach to the artificial heart. Here is the best part. The machine is strong enough that it pumps blood to the brain fast enough the she would not need oxygen at night. How she doing now?"

Hiro:"Baymax is at home with her.

Crystal:"And how's your other patient?"

Hiro:"David. He's doing great. Kidney's arena. There working fine. Catheter comes out on Wednesday. So how mush is this to rent.

Crystal:"Well since it's a clinical trial, You may try it out no charge".

Hiro:"Thank you. Wait a minute. You gave me an idea for my speech. Well I to get back to work".

Crystal:"Oh Hiro. Patient in room 4-876 needs a bandage change.

Hiro:" The patient with bladder retention?"

Crystal:"Yes and make sure her Catheter get changed."

Hiro:"Got it".

I got back to work took care of other patients. It was 7pm and time for me to clock out. I took the gadget to my car and drove home. I showed Honey the gadget for Maggie's artificial heart is going to get hook it on. The next Morning, I woke up Maggie. I explain to her that the heart pumping portable machine will allow her to go to School. I attached it to the heart. She wears the machine in her back pack. There is a hole at the bitten for the tube. I called the School nurse explain her condition. It was Wednesday and The catheter came out of David and was discharge from the I.C.U was wheeled to a room to the Medical Floor. David got to eat solid foods again so eat ordered a hamburger and french fries for dinner. However his diet on his chart would not allow that. I remind him that when you in the Hospital, nutrition is important for your health. so eat order a grill chicken sandwich on whole wheat bun and steam carrots and chocolate milk. The next morning he was discharged with a new set of kidney's. The next day he had a follow-up at the clinic outside the Hospital be their still building the clinic inside the Hospital.

After I got home, Honey order pizza because we were celebrating and we were at the dinner table.

Tadashi:"What are we celebrating Dad?"

Hiro:"Were celebrating because Maggie is a heart survival patient. This remind's me about my big speech. You all coming are the grand opening?"

Honey:"Yes we are."

Baymax was serving the salad that he made.

Hiro"Thank's Baymax."

Honey:"When did he started cooking?"

Hiro:"I programed a cooking chip for him to cook nutrition we should be eating. after all he is a healthcare companion. He wants to make sure we stay healthy.

Baymax:"Maggie weigh 70 pounds,height 4'6 inches.

Hiro:"He also a scale too.

Everybody was eating until my pager went off. It was my boss crystal to call me So I called.

Hiro:"Crystal, what's up?"

Crystal:"Hiro bring the whole family down here. I have so very good news. Meet me in the transplant unit consult room"

The whole Family went down to SF Children's Hospital. Honey drop off the other kids at the Hospital's day care center and we went up to the transplant unit. Crystal came in with good news.

Crystal:"I have some very good news. The fax came and we have a heart for Maggie."

We were glad to hear the news. Honey whip up some tears of happiness. Maggie was hugging Mom and I. The night Maggie was admitted in the transplant unit. I came in hugging Maggie on her bed crying in tears.

Maggie:"What this for Dad?"

Hiro"Oh Maggie I'm so happy. Your finally going to be healthy. Your getting to new heart and the best part is that you no longer need a pacemaker."

Maggie started tio cry of happiness.

Hiro:"Okey. Big day tomorrow. Get some rest. I see you in the Morning

The next morning. Maggie got so happyy that she was getting new heart. She was being wheeled to surgery. The heart arrived and was brought in th O.R. The cardio team remove the artificial heart and got the new heart ready the get placed.6 hour later. The surgery was over but she wasn't out of the woods because she had trouble breathing and was wheeled into the cardio I.C.U. I ran a bedside ultrasound.

Hiro:" Everything looks good.

Honey:"Why she's was having trouble breathing?"

Hiro:" Her body is not used to the new heart yet. It going to take some time for her th recover. That's why she's on life support for now. She lost a lot of blood during the surgery so I need to do a transfusion. Blood-pressure is very low.

I started the transfusion . I check her vital's, Empty her urine bag, A couple day later, Maggie was breathing on her own, Vital were stabled enough, I took her breathing tube out and listen to her heart with my stethoscope. She was ready to get out of I.C.U and get discharged. The next day, she had a follow-up.

End of Ch 4