Dave Costello had survived a cancer scare and was being kept alive by a mechanical heart, but he was so determined to take his wife, Audrey, to a church concert that he wrote "date night" on the calendar one February evening in 2013.
Costello, who suffered from a rare heart disease, had been on the transplant waiting list at the Mayo Clinic in Rochester for more than four years. Complications from his condition had also damaged his kidney, so he knew his chance for a long life were getting slim.
"I knew I had lived a good life and if it was time to go, it was time to go," said Costello, 61.
At the concert, there was talk and music about getting through dire times, and promises of better days ahead. Costello turned to Audrey and said, "I think we're here for a reason."
The Costellos were heading home afterward when they noticed the caller identification on their phone read: "Mayo Clinic."
The message was one they had been waiting for: "We have a heart and a kidney with your name on it."
But it wasn't simply the joyful moment you might expect.
"When we got the call, I knew someone had passed," said Costello. "I had a hard time with the notion that somebody had to die for me to live."