It centers on an idealistic young doctor who begins his first day under the supervision of a tough, brilliant senior resident who pulls the curtain back on all of the good and evil in modern day medicine. Lives may be saved or lost, but expectations will always be shattered.

Bret takes an inexperienced Rose rock climbing in the High Sierras, but then Bret falls and gets injured. With no way to retreat off the wall, the only way down is up and their fate is in Rose's hands. It's "climb or die".