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Josie is timid at school, comfortable at home, and confident when she and her dog Clementine are volunteering at the pediatric ward of the local hospital; Oscar is acting out and in trouble at school, miserable at home, and forced to volunteer as a punishment; Gabby is popular at school, but her perfect life is threatened because she is hiding a dangerous medical condition--but at the hospital the three children are brought together by Clementine at Christmas.

Fourth-graders Maisie and Hank, who has autism, become friends as they devise schemes to save a neighbor's dog, Booler, from being tied to a tree because of his epilepsy.