Too many hearts

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Okay, we have Gene. He's the son of a doctor. Like lots of kids, he wants to do what his dad does for a living. He might even be good at it, even though his grades aren't good and he flubs the medical admission test you have to pass to get into med school. Then we have Patty. She met Gene their senior year of high school. She had a heart problem she didn't know about that almost killed her. Gene's father was part of the surgical team that fixed her heart. She and Gene dated after she got better. It wasn't a perfect relationship, but what are?
But something happened, the excerpt doesn't go that far, and Gene's life tanks. The only way he'll get into medical school is if he gets a recommendation from a doctor. So he shadows the medical team that his father used to be a part of.