A happy couple who have been brutally mauled by a bear arrive at Hope Zion Hospital. With the woman in critical condition, the staff is charmed by the man's folksy attitude and concern for his partner - until Charlie (Michael Shanks) begins to suspect there's something more to the case.
Between Charlie's conversations with the woman's Spirit and Alex's (Erica Durance) own suspicions, Alex and Charlie take it upon themselves to figure out what's really happened to the couple - and are forced to confront their own issues with each other in the process.
But Charlie and Alex aren't the only ones scrutinizing their relationship - Gavin (Kristopher Turner) and Maggie (Julia Taylor Ross) are still dealing with the complications her pregnancy has brought into their relationship.
Meanwhile, Joel (Daniel Gillies) is forced to confront his own personal issues when a hunchbacked Buddhist tries to teach him how to live in the moment.