The Heart They Gave Away

The annual gala at General Hospital was in full swing. Director Hammond took the podium, the spotlight landing squarely on my mother, Dr. Paige Henson.

Dr. Henson is truly a paragon of selflessness, Hammond announced, his voice booming. She allowed a matching heartone intended for her own daughterto be given to an impoverished student instead. She is an example to us all.

I was na?ve then. I stood up immediately, my instinct to defend her kicking in before my brain caught up.

"Director Hammond, my mother follows protocol strictly," I said, voice trembling. "She would never manipulate the list to help someone jump the line."

Hammond blinked, genuine surprise crossing his face.

"Didn't you agree to it? That boy, Max Dickerson, was a match for you both. He was originally behind you on the list. Dr. Henson went to the organ allocation center herself to coordinate the swap." He paused, smiling at the crowd. "She said you, her own flesh and blood, could wait a little longer. She insisted that the boy couldn't afford to keep paying for his hospitalization."

The room tilted. I turned slowly to my parents.

Mom gripped her glass so tightly her knuckles went white.

"Samantha," she said, low and tight. "Max's family is struggling. They couldn't wait. You're different. Your father and I are doctors. We won't let anything happen to you."

Cold numbness spread through my chest, then scorching rage. Tears blurred my vision.

"I get it now." I choked out. "Because I'm a doctor's daughter, I don't even qualify for equal treatment? Should I become an orphan? Is that the only way through the back door?"

I spun to leave, but Dad caught my arm.

"Samantha, watch your tone! Do you have any idea how hard your mother worked for that boy? Without that heart, he won't survive the year!"

I stared at him, hollowed out.

My life means nothing to them.

They weren't worried about saving a lifethey were terrified a "poor student" would die in their department and tarnish the hospital's reputation.

"You're making a scene," Mom hissed, grabbing my other arm. "We'll discuss this at home."

Colleagues swarmed us, forcing me back into my chair with hushed platitudes and firm hands.

Two years of fear, suppression, and waiting detonated inside me.

I shook them off, breath ragged. I pointed a trembling finger at my mother.

"He can't wait, so I have to? Because he's poor and pitiful, he becomes your badge of honor? You pulled strings to give my heart away?"

"What about me? I'm your daughter! I'm twenty-four! I haven't graduated. I haven't seen the ocean or the snow-capped mountains. Why does he deserve to live more than I do?"

My voice rose to a scream. "Just because I'm yours, I have to stand at the back of the line? I have to die for your damned 'ethics'?"

Mom trembled, her hand raising as if to strike me. She caught herself and slammed her palm against the table instead.

"Outrageous! You will apologize to Max Dickerson immediately! Do you realize the psychological damage your selfishness could cause his recovery?"

A heavy thud broke the tension.

Max's mother dropped to her knees, forehead touching the floor.

"Miss, I'm sorry... we dragged Dr. Henson into this... we stole your chance to live..." She wept, shoulders shaking. "Hit me, curse me, but please don't blame the Doctor. She's a saint..."

It felt like a fever dream, and I was the villain.

I watched Mom rush to help the weathered woman up. I saw the undisguised disappointment on her face when she looked back at me.

I laughed. A broken, wet sound.

"Fine. He's your patient. Your responsibility. Your glory."

"But what am I?"

I looked at Dad. His eyes were red, but he stayed silent, refusing to meet my gaze.

"You won't touch your savings to save me because the hospital 'can't show favoritism.' You won't accept gifts. You won't save your own daughter."

"So that's it. You never intended to let me live. You were just waiting to sacrifice me for someone else's son."

The words tasted like ash.

Back when I was on the transplant waitlist, I hadn't dared ask for a private roomterrified someone would cry nepotism. I walked on eggshells to protect her reputation. Yet she'd pulled every string she had, mobilizing decades of connections to snatch away my lifeline and hand it to a stranger.

I shoved past the hands trying to restrain me. A sharp, familiar agony twisted in my chest, but I forced my legs to move toward the elevator.

"From today on, whether I live or die is none of your concern." My voice shook. "Go hug your precious medical ethics. Go save the people you actually care about."

Behind me, the corridor eruptedMom's indignant shouts, Dad's panicked pleas, Stella Dickerson's muffled sobs blending into a wall of noise.

The elevator doors slid shut, severing all of it.

I took a taxi straight back to my dorm. The entire ride, my phone buzzed against my thigh. Messages and missed calls flooded the screena relentless tide of justification.

Mom's text came first:

You've disappointed me today. That boy is only eighteen, and his whole family lives on welfare. If we don't help him, he's gone. You're my daughter; you need to be bigger than this.

I scrolled to Dad's barrage:

Sam, Max isn't like you. He has no one. He's already attempted suicide twice since his diagnosis. Your mother couldn't just stand by and watch him die!

You caused a scene today, and now the whole hospital is talking. How is your mother supposed to run her department with rumors flying? Come back and apologize. Now.

I deleted the thread without reading the rest.

When my roommates found out, they rallied around me, outraged on my behalf. Tears blurred my vision. Even strangers can feel sorry for me, I thought bitterly. So why do my own parents treat me like the enemy?

I barricaded myself in the dorm for two days. When I finally turned my phone back on, my finger slippedaccidentally answering Uncle Richard's call.

"Sam, how can you be so dramatic?" His voice boomed through the speaker. "You've worried your parents sick running off like this."

I didn't answer.

"I'm not trying to lecture you," he continued, softening. "But you're hurting your mother. She's a doctor; saving lives is her calling. How can you blame her for doing her duty?"

He rambled on, painting a picture of Mom's impossible position. "She just felt sorry for the kid. She wanted to save a life. As her daughter, you should support her."

I waited for him to take a breath, then signaled my roommates I was okay.

"Uncle Richard." My voice went flat. "Do you remember what the doctor said when I was diagnosed at twelve?"

"I remember..." He trailed off.

"He said twenty-four was the absolute deadline for surgery. If I didn't get a heart by then, my body wouldn't survive the transplant." I let the silence hang. "I'm twenty-four now. Half the year is already gone."

He said nothing.

"I waited twelve years. I finally found a donorninety-two percent match. And my own mother handed it to someone else with her own hands."

Still nothing.

"To her, medical ethics matter more than her daughter's life."

"But Sam"

"I have to avoid conflicts of interest because I'm family, but she can get personally involved with strangers? How noble."

I scoffed.

Mom had saved plenty of charity cases over the years, but Max Dickerson was her pet project. To him, she was Dr. Hensonthe saint with golden hands, the "Most Beautiful Doctor" lauded by the media.

To me, she was barely a mother at all.

A heart only has so much room. When it's packed full of patients, what space is left for family?

"Your mom is just doing her job," Uncle Richard stammered. "You're her flesh and blood; you should understand her better than anyone..."

A sharp spasm seized my chest. I fumbled for the pill bottle in my pocket, dry-swallowing two tablets before the pain could floor me.

"Uncle Richard, do you know why Mom banned me from her department?"

"Why?"

"Because she's terrified of gossip. Scared people will say she's using her position for personal gain, or that she favors her own child." I steadied my breath. "That's why my records are at a different hospital. My own attending physician doesn't even know I'm Paige Henson's daughter."

"She performed Max Dickerson's surgery herself. She is personally monitoring every single one of his post-op labs." My voice trembled. "You tell me, Uncle Richardwho is her real child?"

Silence. Just his heavy breathing on the other end.

Finally, he sighed. "Don't say that, Sam. In your mom's heart, you are"

"Where?" I cut him off. "Where is my place in her heart? Which page of the transplant list am I on? Which bed number do I occupy during her daily rounds?"

My knuckles went white around the phone. "I am her daughter, yet I don't even qualify for fair medical treatment. If being someone else's kid means getting backdoor access to life-saving organs, then I'd rather cut ties with this family completely."

A shuffle on the line. The breathing pattern changed.

Mom. She'd been listening the whole time.

"Samantha." Sharp. Professional. "Can't you look at the bigger picture? That Dickerson boy... he couldn't wait any longer."

"And what about me?" I laughedhollow, broken. "How much longer can I wait? One year? Two? Five?"

"You need to understand"

"You know the statistics better than anyone," I snapped. "Average wait time for a heart is 3.8 years. I've been waiting for twelve."

Her tone stayed infuriatingly calmthe voice she used to deliver terminal diagnoses. "Medical resources are scarce. We must prioritize patients based on urgency and survival probability."

"I know." I nodded to the empty room. "You're the Department Director. Dad's in management. Your ethics, your resourcesyou give them to whoever you choose."

My chest ached. "But my life is mine. And from now on, so are my choices."

I ended the call. Powered down the phone.

The transplant opportunity was gone. Stolen. All I could do was wait.

But disease doesn't understand patience. My heart failure was accelerating. Breathless spells becoming frequent. Fatigue settling bone-deep.

My cardiologist suggested a Left Ventricular Assist Devicean LVADto keep blood pumping while I waited. A mechanical bridge to transplant.

The cost was astronomical. Even after insurance, out-of-pocket exceeded a hundred thousand dollars.

I'd planned to ask my parents for a loan. But if they'd burn their connections to save a stranger instead of me, they certainly wouldn't pay for a machine to keep their own daughter alive.

I had to survive on my own.

The university counselor, terrified I might drop dead in the dorms and cause a liability issue, gently suggested another leave of absence.

I didn't argue. Just packed my bags and moved out.

Funds were tight. I found a shared apartment in the Urban Villagea chaotic, run-down district where rent was cheap and the desperate gathered.

One of my roommates, a young guy hustling to make rent, took pity on me. Introduced me to livestream e-commerce.

I threw myself into the work. Streamed for hours, selling cheap goods, desperate to earn enough to buy myself more time.

My parents found me a month later. They'd stumbled across my livestream while scrolling social media.

They cornered me in the narrow, trash-strewn alley outside my rental.

Mom looked around at the peeling paint and overflowing dumpsters, eyes welling. "How... how can you live in a place like this?"

She reached for me. "Your health is critical. Pack your things. You're coming back to the hospital with us."

I stepped back. My phone buzzedlivestream starting in five minutes. I tried to step around them.

Dad grabbed my arm, grip bruising. His face twisted in disgust.

"We raised you better than this," he hissed. "Is this why we educated you? So you could do this kind of lowly, degrading work?"

He gestured at the slums. "You might not have any shame, but we do! If my colleagues find out my daughter is a street hawker, how are we supposed to hold our heads up?"

There it was. They didn't care about my heart. They cared about their reputation.

I yanked free. "I make money with my own two hands. What's there to be ashamed of?"

I straightened my spine, staring him down. "There's no distinction between high and low work. Or do you think wearing a white coat makes you a superior species?"

I stepped toward him, forcing him back. "Actually, you're right. Doctors are supposed to have benevolent hearts. You're so noble you can sacrifice your own biological daughter to save a stranger. Truly saintly."

Mom grabbed my hand, panic rising. "Sam, please! We came to take you to treatment. Stop fighting us. I've already found a potential donor match"

"Is that necessary?" Ice coated my voice. "If I take it, won't I just become another person using connections to cut the line?"

"Samantha"

"Save it." I turned my back on them. "I don't want your charity."

"Rest assured. I'll stay out of your way until the day I die, just to keep your reputations clean."

I spun to leave, just as the upstairs neighbor squeezed past me in the narrow hallway, wrestling a massive dog on a leash.

"Filthy beast! Keep it away from me!" Mom shrieked, recoiling like the animal was radioactive. "Do you know how much bacteria those things carry?"

Her high-pitched scream set the dog off. It snarled, snapped its leash taut, and lunged straight at me.

"Watch out!"

Too late. I stumbled backward, lost my footing on the slick concrete, and tumbled down the stairs. I hit the landing hard. Teeth sank into my calfwhite-hot, searing.

My heart slammed against my ribs, skipping beats in a terrifying, erratic rhythm. The hallway lights blurred into gray as oxygen failed to reach my brain.

Not now. Please, not now.

My trembling fingers clawed into my bag for the pill bottle. I popped the cap and dry-swallowed, choking it down.

Mom snatched the bottle, reading the label with widening eyes. "Are you insane? This garbage? Do you have any idea what it does to your liver?"

I slumped against the peeling wall, gasping as the chemicals forced my heart rate down. "I take it because it's cheap. And because it works fast."

Countless late-night livestreams, endless hours of exhaustionI needed the heavy stuff just to suppress the agony in my chest.

Tears welled in Mom's eyes. "I'm calling an ambulance. We're going to General Hospital right now."

I took a shuddering breath and pushed myself up. "Don't bother. Just pay for the rabies vaccine. That's all I need. I have a stream in twenty minutes."

Dad's face turned violent red. "Work? At a time like this? Is money more important than your life?"

He grabbed my arm to stop me, his grip so tight it tore my sleeve.

Something inside me snapped.

"I care about work because I can't afford a cardiac assist device!" I screamed, my voice echoing off concrete. "Because my parents used their connections to help a stranger snatch my donor heart! Because you'd rather save the world than help me front the medical expenses!"

Silence.

"I have to work myself to death just to stay alive!" Tears burned my cheeks. "Livestreaming is the only job my body can handle. You look down on it? Fine. But at least it puts food in my stomach!"

Dad froze, his hand dropping to his side.

The neighbor, looking thoroughly awkward, shoved three hundred dollars into my hand. "For... nutrition," he mumbled, dragging his dog upstairs to escape the family drama.

He shook his head as he went. Even a stranger understood what my parents didn't.

Mom and Dad stood rooted to the spot. Their expressions shifted from anger to confusion, and finally, to something that looked painfully like guilt.

I didn't let it linger. I limped past them, squeezed through the doorway, and slammed the door in their faces.

I livestreamed straight through until midnight.

My heart ached, my leg throbbed, but I kept the smile plastered on. When I finally signed off, a coworker went downstairs to grab our takeout. She came back looking uneasy.

"Sam... your parents are still at the door."

I went to the entrance. They were still there, shivering in the night air.

Mom stared at the greasy takeout box in my hand. "Sam, your health is terrible. You can't eat that garbage. Come home with us. Mom will make you chicken soup."

Even Dad's tone had softened into something pleading. "We failed you before. We know that now. We'll find a way to get the surgery done sooner. Please, don't be stubborn."

I let out a harsh, dry laugh.

"Was I living well at home before? You were always 'busy with work.' I grew up on frozen dinners and instant noodles. I haven't had a decent meal from you in years. Why do you suddenly care now?"

Their faces flushed crimson. Not anger this timeshame. The memories of their neglect seemed to hit them all at once.

Mom opened her mouth, but no words came.

"If you really want to do something for me," I said, voice cold as ice, "then leave. Don't show your faces here again."

I gripped the door handle, knuckles white. "Because right now, looking at you makes me physically ill."

I slammed the door.

Under the dim streetlights, their shadows stretched long and thin, looking small and pathetic. But I refused to look back.

Not long after, I saw Mom on the local news.

Max, the poor student who received the heart meant for me, was on screen. He choked up, thanking Mom and calling her his "second mother."

On screen, Mom wiped a tear from her eye. "It is simply a doctor's duty," she said humbly.

General Hospital's reputation soared. Mom's professional ranking climbed another level. She was a hero.

She had gotten what she wanted. I assumed I was of no further use to her.

Then my phone buzzed.

Sam, the hospital has arranged a slot for your surgery. Don't be afraid. This time, Mom will definitely save you.

The paperwork looked legitimate. Every stamp crisp, every signature in place. Director Hammond had even called personally, claiming my mother pulled every string to secure this slot.

I debated it for a long time. In the end, I decided to go. I wasn't gambling with my life out of spite. This surgery was what I deservedwhat I was owed.

But when I walked into the inpatient ward, no surgeon waited for me.

Instead, I found the people I loathed most in this world.

Max Dickerson and his mother.

I shot a sharp look at Dad.

He wouldn't meet my eyes. Stared at the floor, guilt radiating off him, yet his grip on my arm was iron-tight as he yanked me into a chair.

"Max feels terrible," he muttered. "He wanted to apologize personally. And... if your mother hadn't set this up, we knew you wouldn't come back."

The room went cold. My throat constricted.

"So the surgery was a lie?" I rasped. "Your ultimate goal was to ambush me with this charity case?"

Max stood up to play peacemaker.

"Sam, Dr. Henson saved me, but I know it hurt you. It's not her faultit's mine. I'm so sorry."

He dropped to his knees. Theatrical. Instantly trapping me in a moral deadlock. If I didn't forgive him, I was the villain.

Mom looked at me with that familiar, heavy disappointment.

"Look how sensible Max is. Unlike you, throwing tantrums over nothing. Let it go, Samantha. In fact, you should help Max out more. He comes from a small town, and fighting rejection post-surgery is expensive. It's not easy for him."

Dad nodded enthusiastically. "Exactly. The kid is pitiful. He's had such a hard road."

A bitter laugh escaped me.

I tossed my medical records and the stack of overdue bills onto the table.

"I'm not exactly living the high life either." I said coldly. "General Hospital says without a transplant, I'm on borrowed time. I'm dying."

I glared at the boy on the floor. "Max, if you're so sorry, prove it. Give me my heart back."

Mom slammed her hand on the table, springing to her feet.

"It was bad enough you ran away and refused to come home, but now you're forging medical records to trick us?" Her voice rose to a shriek. "How can you be so vicious? Max is still recovering, and you're talking about stealing his heart?"

I laughed. No humor in it. She hadn't even glanced at the diagnosis. She didn't care about my condition at all.

Even back in the Urban Village, her tears had been nothing but performance.

"Who told me my parents were rich enough to buy a heart for a stranger, but required their own daughter to die for it?" I sneered. "Whatever. If I die, your careers go down with me."

I looked at Mom with open mockery.

"I just don't get it. You'd give your heart and lungs to an outsider, but you're ruthless toward your own flesh and blood."

"I used to think you had principles. Thought you were ethical. But seeing what you did for Maxit's just double standards." My voice dropped. "You're nothing but a hypocrite."

I knew exactly why she saved him.

The election for Deputy Director was coming up next year. She needed the reputation. Saving a poor student from a destitute, single-parent family? Gold for her campaign. Perfect publicity.

At such a critical time, she couldn't risk giving her own daughter priority surgery. People might whisper about nepotism. Might affect her votes.

But that heart was mine. My place in line.

In her scheme, she got the glory, Max got a new life.

And I was the fool sacrificed on the altar of her ambition.

Now I couldn't even afford my medication.

I pulled out my phone and turned on the camera.

"Since you care so much about this poor student, let's make it official. Right now, in front of the entire internet, acknowledge him as your son. It'll definitely pave the road for your promotion."

I turned the lens toward her terrified face. "And as for me, publicly sever our mother-daughter relationship. I'm done being the burden you hide to avoid suspicion."