It's trauma, drama and a piglet in peril. A piglet named Winston is rushed into Dr. Pol's clinic after his owners become worried about his sudden decline in health. Dr. Emily worries that it's Tetanus, which can be lethal in small animals, so all of the vets must join forces to help Winston pull through. Meanwhile, the clinic is busy with bloated calves, cats with grubs and even an injured emu.

As the leaves change during autumn in Michigan, the crew at Pol Veterinary Services are falling into the same busy routine! Dr. Pol handles a dramatic three-day baby reindeer emergency, while Dr. Emily helps a bulldog that appears to be choking. And Christmas comes early for Dr. Brenda when she is tasked with a herd of Santa Clauses and their reindeer.