After finding the wounded slayer, Caleb gloats about being right again while Rafe was wrong. He takes Rafe back to the loft, where he and Olivia tend to the slayer's stab wounds. Rafe believes that Caleb is only helping him in order to maintain the balance of good and evil, since they're not certain what will happen if one of them dies. He tries to go to Alison, but he doesn't make it past the door before collapsing. Caleb advises him to help himself first, because if he dies, there won't be anyone to save Alison. Although Joshua tries to convince her otherwise, Alison maintains that she never wanted to hurt Rafe. Joshua gives her some time alone with Jamal, expecting to be notified when she's ready to take full responsibility for the slayer's death. As she tries to explain what happened, her watch alarm sounds again, causing her to see Joshua's face instead of Jamal's. Confused by Alison's strange behavior, Jamal suspects that Joshua is behind what happened to Rafe. He removes her watch and tries to get her out of there immediately, but Joshua catches them before they can leave. After ordering Frank to get rid of Jamal, Joshua informs Alison that she will spend eternity knowing that she is responsible for the deaths of the two men who loved her most--other than him. Chris tranquilizes Kevin to get him out of the way more safely than anything Ian would do. He promises to continue helping Ian but points out that they don't happen to have any angel blood on hand. Elizabeth tracks Kevin down at the hospital and finds him in restraints. She completely misinterprets the situation, thinking that he and Karen are up to something kinky. She refuses to set him loose until he informs her that he needs to get to his dying wife. Devastated over losing Casey a second time, Ricky goes to talk to Karen about it. He is shocked when a battered and bleeding Karen tells him that a car came out of nowhere. Colleen pulls Chris and Ian away when Karen is brought to the hospital. Despite their best efforts, Karen flat lines and can't be revived. Devastated, Chris spends a few moments alone with his friend. He tells her that she was very special and that he always wanted to be more like her. While Ian is with Lucy, a smiling Karen appears at the foot of the bed. Only Lucy can see her angel, whom she now realizes is Karen.
Chris: Ian -- Ian, let him go! Ian, come on. [Kevin groans] Chris: Here, get this. Get this. Come on, help me get him on the gurney. Ian: Did you tranquilize him? Chris: Yeah, I tranquilized him to keep you off death row. Come on, we don't have time. Get the door. Ian: I owe you one. Chris: You're working up a tab. Hey, take Dr. Collins up to isolation, will you? Orderly: Yes, doctor. Chris: I'll be up to check on him later. Listen, hey, I'm going to help you all I can here, but Collins had a point. I mean, you know, angel blood -- even if it works, I mean, where are we going to find it? [SCENE_BREAK] Ricky: Oh, Casey. Casey? Casey: Did you hear that? Ricky: Hear what? No. Casey: Ricky -- Ricky, ok, look, you've got to understand, ok, that no matter what, I have no regrets. I have no regrets about this. Ricky: Whoa, whoa, whoa -- Casey: Ok? And I will watch over you and protect you from wherever I'm at. Ricky: No, no, shut it down, shut it down, ok? You're still here. Maybe that's a sign. Casey: You want a sign? Ok. Ok, I'll give you a sign. I love you. Ricky: I know. I love you, too. Casey: No regrets, ok? Just no regrets. Ricky: I know, no regrets, no. Casey: I love you. [Thunder] Ricky: I should have never made love to you. I lost everything. My angel. Karen? Karen, I need to talk to you. It's Ricky. You were right. You were right. Karen! Karen, please open up. Karen? Karen: Ricky? Ricky: Karen. What happened to you? Karen: A car out of nowhere. An accident. Ricky: An accident? God, Karen, do I need to take you to the hospital? Karen: Oh, I'm fine. I'm fine, no. I'm wonderful, Ricky. I'm fine. Ricky: Karen? Whoa -- Karen! Karen! Don't -- please, Karen. Karen, look at me. Karen! [SCENE_BREAK] Alison: I would never -- I never wanted to hurt Rafe, ever. Joshua: Obviously, a part of you -- Alison: No, no, there was no part of me that would ever want to do that. You tricked me somehow. You tricked me. Joshua: Precious, precious, you've got to stop that. You've got to stop blaming me. I'm not the one who stabbed Rafe and left his body out in the woods. Jamal: Hey, Joshua, everything ok? I heard something's going on. Alison: Jamal -- Jamal: Hey, hey, what's up? Alison: I'm sorry, I'm sorry, I'm sorry -- Jamal: What happened? What happened? What happened? Alison: I'm so sorry. It was me. Jamal: What was you? What? Alison: I killed Rafe. Jamal: It's ok. It's ok. [SCENE_BREAK] Caleb: Let me guess, I was right, you were wrong. "No, Alison -- she's not under Joshua's spell. She'd never do anything to hurt me." When are you going to start listening to me? Rafe: If I'm going to die out here, I'd rather do it alone. I don't want you standing over me telling me, "I told you so." Caleb: Who said anything about dying, slayer? [SCENE_BREAK] Caleb: Olivia! Get some bandages, get some blankets! Hurry up! Livvie: Caleb? Caleb: We got company. Rafe: Why did you -- Caleb: Bring you here? It was my place or leave you in the woods for some animal to tear you apart. Livvie: Rafe, what happened? Caleb: It was just a little love in the afternoon with Alison. Here, drink this. Livvie: Alison did this? Caleb: Yeah, as predicted. Livvie: Almost as hard to believe as you saving him. Caleb: Yeah, well, I couldn't let the slayer bite the dust before he helps us destroy Joshua. Livvie: Right, lucky for him. Rafe: Lucky? Ah! You're enjoying this, aren't you? Caleb: Yeah. Livvie: Stop whining, ok? You got to hold still. You're lucky he's even helping you. Rafe: Lucky? The only reason that he's trying to save me is the same reason that I saved him when we were trapped in that villa by Joshua. Livvie: What reason? Rafe: She doesn't know, does she? We even each other out. Livvie: What is he talking about? Rafe: Good and evil. You know, you remember, we came back to life at the same time. Livvie: Ok, I think he's delirious right now. Rafe: The universe has a good way of balancing everything out, you know? Like if one of us dies, we don't know what's going to happen. We don't know what's going to happen. If one of us dies, the other one might end up dying, and then you'll end up back in hell where you belong. That's the real reason you're trying to save me, isn't it? Just to save your own miserable life, right? [SCENE_BREAK] Joshua: My poor lamb. I do sympathize with your pain, but this is all a little too noisy for my very delicate ears, I'm going to pop out and take care of some low-volume business while you purge yourself with Jamal. Now, Jamal, can you calm her down organically, or shall I whip her up a little potion? Jamal: Organically. Joshua: All right. Well, you let me know when she's taken full responsibility for the slayer's death, and then I will come back and I will comfort her tortured soul in my own special way. You know, spilt milk, under the bridge, etc. Life does go on. Jamal: Straighten up, straighten up, come on. Alison: No -- Jamal: I don't know how much time we have. Come on, Alison. Sit down. Let me help you out. Come on, straighten up. Alison: I can't. Jamal: What happened? What happened? Alison: I don't know. Jamal: Come on, what -- Alison: I don't know. I -- I was here. I mean, Rafe rescued me from this place, and now I'm back here. Jamal: Ok, what next? What happened? Alison: We were in the woods, and he was telling me how much he loves me, and -- I don't know. Jamal: Come on, I know you can do this. Stop, come on. What happened next? Alison: I was talking to him, and I was looking at his face, and he was telling me how much he loved me, and then all of a sudden it was Joshua's face. That's all I could see. And he was telling me that he wasn't going to let me go and I was going to stay with him forever. I wanted to run, but I didn't know what else to do. Jamal: Ok. What next? Was that it? Alison: No. Next thing I knew, I was -- I was stabbing him over and over. I thought it was Joshua, but then I looked down and it was Rafe and he was in a pool of blood. I would never do something like that. Why would I do something like that? Jamal: Alison, I know you couldn't have done anything like that. Not you, not by yourself. Alison: What? Jamal: Not by yourself. I know you never would have hurt Rafe on your own. Alison: Oh, God, Jamal. I would never do something like this. Jamal: I know. Alison: But Joshua kept on saying that maybe for some reason, like, I would want that in the back of my mind. But you know me. I would never do that, not to Rafe. Jamal: I know, I know, I know. Alison: Not with anyone. Jamal: I know, I know. [Watch alarm sounds] Alison: Never. Joshua: Alison -- Jamal: [As Joshua] Are you all right? Alison: It's time, isn't it? Joshua: Time? Jamal: [As Joshua] For what? Alison: It's time for tea. Jamal: Tea? Alison: One lump or two? Jamal: Ok. [SCENE_BREAK] Kevin: Elizabeth. Thank god it's you. Come here. Elizabeth: This is cozy. So this is where the two of you have been hiding, huh? Kevin: What are you talking about? Elizabeth: Oh, I know all about you and Dr. Wexler. But this is an interesting location for your little horizontal mambo. Kevin: Does this look like a love shack to you? Elizabeth: Now, I never would have dreamed that she had a kinky side. Kevin: Well, I'm not tied up for fun. And for the hundredth time, there is nothing going on between me and Karen. Elizabeth: I saw you kissing her. Was that just an example of her friendly bedside manner? Kevin: I'll make you a deal. I'll explain if you get me out of here! Elizabeth: You know what? I think you are right where you belong! Kevin: Hey, Elizabeth -- Elizabeth, please, I need to get to Lucy. Elizabeth: You are amazing. Like messing around with one woman isn't enough. First, you have Karen. Now you actually want to go back to your ex-wife? Kevin: Lucy's dying. Please, I need to get to her. Help me. [SCENE_BREAK] [Monitor beeps] Chris: Hemoglobin's at 8.3. Saturation's up. Ian: Just one thing at a time. Lucy's hanging in there. Chris: Hanging in there while she waits for the blood of an angel. Not like you can pop down to the corner and pick up a gallon. Ian: I know. Casey's gone back upstairs, but let's go to plan B. Chris: Which is? Ian: Buy some time and look for another source. Colleen: Doctors, the E.R. Is full, and we've got a hit-and-run coming in. Chris: Got it. Bring them on in. Colleen: Ok. Ok, guys, bring her in. Chris: What do we got? Paramedic: She's unstable. B.P.'S at 74. Second paramedic: We tubed her in the rig. Chris: Garza, get out of here. What are you doing? Ricky: It k Karen! You got to help her! Chris: Oh, my God. Ian: Karen Wexler? Colleen: All right, doctors, let's hurry. Ian: What happened? Ricky: She just said a car hit her. I don't know. Chris: The abdomen's distended. Probably internal bleeding. Colleen: B.P.'S dropping fast. It's 60. Chris: Call trauma, set up an O.R. We're going to need x-rays, neck and back. And get a bigger line. Ian: You need to get out of here. Ricky: No, I'm staying right here. No! Ian: Ricky -- Chris: Just get out and let us do our job, ok? Go! Ian: If we don't get her to the O.R., We're going to lose her. Chris: I'm not going to lose her. Ian: There's rib fractures over the hepatic region. Chris: It's most likely liver trauma, massive. Let's get her in shock position, please. Colleen: Now. Chris: Saturation's dropping. Serious hemorrhaging. Lucy: Wait! Wait for me. I don't understand. Where are we going? Chris: Is everything set for that exploratory laparotomy yet? Colleen: They're working on it. Ian: We need five more units of o-neg, please. Chris: Put in that central line as soon as it gets here. Colleen: Yes, doctor. She's becoming more tachy at 138. Ian: Chris, she's bleeding out into her abdomen. We're running out of time. [SCENE_BREAK] Elizabeth: She's dying? No, what -- wait a minute. I knew that Lucy was sick, but I had no -- why can't Ian help her? Kevin: Ian? Because Ian's waiting for an angel to fly in the window and save her. And they put me in the loony bin. Elizabeth: Oh, my God. I'm so sorry. I had no idea. Kevin: Look, please, just help me get out of here. I've got to get Lucy the medical help she needs. Elizabeth: Absolutely. Hold on, it'll just take me a second. Kevin, listen, I'm really sorry -- Kevin: Just hurry, hurry, please. Elizabeth: I didn't know that you were trapped here. I thought that you were messing around with Karen. I'm sorry. Kevin: Elizabeth, please -- thank you. Elizabeth: Oh, wait a minute, I'm right behind you. Hold on. [SCENE_BREAK] [Watch alarm sounds] Jamal: Alison, look at me. What do you mean, "it's time"? Huh? Time for what? Alison: It's time for tea. Jamal: For tea? What's wrong with you, Alison? Alison: Nothing's wrong with me. Don't you want your tea? Jamal: No, I don't want any tea, Alison. I hate tea. And I hate the sound of that alarm on your watch. Alison: What alarm? Jamal: This one, the one that's on your wrist, Alison. This one right here. Alison: No, don't take that off, Jamal. [Alarm stops] Jamal: No, look at me, look at me, look at me. Look, you got to focus. Look into my eyes, Alison. Look at me. Do you understand what I'm saying to you? Alison, come on back. Come on. Look at me. Alison: Jamal -- Jamal -- Jamal: Look at me. Alison: Did you see that? What is happening to me? Did you see that? Jamal: I don't know. I don't know. I don't know, but I know it's time to get you out of here, no matter what it takes. Come on. [Alison gasps] Joshua: That's quite a promise, Jamal. One that's going to be very hard for you to keep. "Whatever it takes," isn't that what you said? Jamal: You stay away from Alison. Joshua: I'm sorry to disappoint you, but you've disappointed me. You know, how hard though it is to believe, I set my suspicions aside when it came to you. I was treating you like a loyal servant. This is a tragedy for both of us, but most of all a tragedy for you. The fact is you are a traitor. And I think we all know what happens to traitors in times of war. [SCENE_BREAK] Rafe: Admit it. That's why you're trying to save me -- because you're afraid that if I die, you might die, too. Caleb: You talk too much. You know, I saved you because with Joshua wearing my father's ring, you're the only one who has the power to destroy him. That's the priority. Rafe: That's right. [Rafe coughs] Rafe: It is. Livvie: No, no, no, no. Where are you going? Rafe: Where do you think? Livvie: Get a grip. Do you have any idea how much blood you've lost? Rafe: I don't care! Alison is being brainwashed by Joshua. I got to get to her. Livvie: You'll never make it. Caleb, stop him, please. Caleb: He's not going anywhere. You know, it's -- it's hard always being right. Caleb: Slayer? You awake? Livvie: Rafe? Caleb: Wake up. Rafe: Alison. I got to help her. Caleb: No, you got to help yourself first. Try getting up again, you'll probably kill yourself. Then who's going to save her? Livvie: Yeah, you got to stay still, ok? Get used to the idea of being here because you're not going anywhere. Caleb: Just relax. Keep breathing. Try to stay alive. [SCENE_BREAK] Joshua: Frank, get him out. Alison: No! Don't take him! Jamal, please! Jamal! Please -- no! Don't! Let me go! Let me go! Jamal -- don't -- Joshua: How very noble and very brave and very useless. Now, all thanks to you, poor Jamal will be a very dead undead friend, indeed. Alison: No -- Joshua: What a terrible burden this is for you. The two men who loved you most in the world -- except me, of course -- Jamal and Rafe, are dead -- Alison: No -- Joshua: All because of you. It's a terrible, terrible thing you have to live with. And for eternity. [SCENE_BREAK] [Monitor beeps] Chris: Come on, Karen. Don't you quit on us now. Come on. Come on, who's going to keep me in my place, right? You think about that. You got to fight, ok? Colleen: There's nothing. I can't get a pressure. Chris: Sinus tach. Ian -- Ian: There's no pulse. [Monitor flat lines] Chris: She's in P.E.A., Then. Ian: Starting C.P.R. Chris: Right. Come on, Karen. Ok? You work with me. You're no quitter. Let's go, Karen, come on! Colleen: Still no response. Chris: Karen, fight. You got to fight. You hear me? Now, I know you can hear me in there. You're not going to make me look bad in front of everyone. You're not going to make me look bad. Come on! Just give me something, huh? Give me something. Come on. What are you doing? Keep going! Ian: Chris -- Chris: No, no, get your hands off me. If you don't want to help, you just get out of my way. You just gave me a whole speech about not quitting. Come on! [Monitor stops] Ian: She's gone. Chris: No, she's not gone. Come on, Karen, you can do this. You're not dying. Not today, not today. Not on my table, Karen, come on. Come on, you can do this. Come on, a little peep, just anything. Come on, Karen. Karen, come on! Somebody help me! What's wrong with you? Come on, come on -- Ian: Chris -- Chris: No, no, she's -- Ian: Chris -- Chris: She's -- Ian: Doctor! She's gone. Chris: No. Chris: Time of death, 22:10. Ian: Gentle passage, my friend. Colleen, I'm going to check on Lucy. Keep an eye on him. Colleen: Yeah, I'll stay with Chris. Chris: No, no, no, I'm good. Thanks. Ian: Yell if you need me, ok? Chris: Mm-hmm. Just a minute alone, please? Chris: Why you want to do this to me, Wexler? Huh? I'm the last one left. You realize that? There used to be seven interns. I'm the last one left. You know something? I knew you'd be the heart of the group. I always knew it. You're a hell of a doctor. You really were. And you had a big heart. That's what -- that's what made you special. Chris: I -- I always wished I could be more like you. You never knew that, did you? I still do. Oh, my God. I'm going to miss you. I got -- I got to do this sheet Karen. I'm sorry. [SCENE_BREAK] Ian: I'm here, right here. What? Are you trying to say something? What is it? Lucy: Karen? It's been you the whole time? Oh, Karen. You're my angel. My angel. Stay tuned for scenes from the next "Port Charles: Desire." [NEXT_ON] Jamal: Frank, you have a choice. Frank: And I choose to do what I have to do. Kevin: Lucy's dying. Please, I need to get to her. Help me. Lucy: I'm not really ready to go, but I guess I better be ready. Ian: You're not going anywhere. I'm not going to lose you.