JR threatened Jake, who just wanted to see if Amanda was okay. Meanwhile, Amanda checked her pregnancy test — positive. After a spat with JR, Jake left. Amanda came out of the bathroom and suggested JR leave to check up on his son. Once he left, Amanda rushed out.

David needed to speak with Zach — Kendall was dying. Angie asked one of the doctors to test the pills. Greenlee arrived to see how Kendall was. David was about to answer when Kendall flatlined! After stabilizing her (as much as he could, at least), David informed Greenlee that Kendall wouldn't survive the night. Greenlee went to sit by Kendall's side. She told Kendall that she was right about Ryan. "You never give up," Greenlee tearfully said to Kendall.

David caught Jake at the hospital and questioned him as to what he was doing on hospital grounds. Jake covered his tracks. Jake ran into Amanda and tried to tell her that JR was a train wreck. When Amanda tried to brush him off, Jake showed her the large check that David wrote to her. After talking in circles, Amanda admitted the truth and declared herself a whore — right before passing out! When she came to, Amanda told the doctor that no one could know the results of her pregnancy test. The doctor confirmed for Amanda what the home pregnancy test had already told her: she was pregnant. Jake came back into the room and asked Amanda who the father was. "That's the problem. I don't know who the father is," Amanda said sadly.

Erica pleaded with Josh to let Reese go. Jesse told Josh the getaway car was there. Reese tried to break free and a struggle ensued. Zach pulled his gun and shots rang out. Josh went down. Erica rushed to his side. Near death, Josh apologized for everything and begged Erica to tell Kendall he loved her. The EMTs arrived. "Keep him alive at all costs," Zach ordered, "I need that heart." Erica was horrified as Zach explained that Kendall needed a new heart. When they got to the hospital, Erica didn't know what to do — save Josh, or sacrifice her son to save her daughter? Zach spouted orders to David to take Josh's heart and put it into Kendall. Zach rushed to his wife's side and begged her not to give up. Angie delivered the devastating news to Erica that Josh had no brain activity. Zach begged Erica to allow Josh to be taken off life support. David told Erica that it was Kendall's only hope. Erica, in a state of shock, told David and Angie to do whatever was necessary.

In the waiting room, Reese reassured Zach that Josh's heart would be a match for Kendall and thanked him for saving her life. Reese broke down in tears after recalling how she thought she was going to die. David informed everyone that the tests were underway. Bianca and Erica went to say goodbye to Josh. At his bedside, Erica apologized to Josh for not being able to give him a second chance. Erica sadly kissed her son on the cheek.

Angie asked one of the doctors to test the pills. After testing them, the doctor told Angie, "You're not going to believe what was in those pills." When Jake arrived, Angie told him that most of the ingredients in the pills were not FDA approved. Jesse interrupted their conversation. Jesse was not pleased to find out that Angie had been snooping around

At the Chandler mansion, Colby and Adam played with Little A. After sending him up to bed, Colby and Adam discussed the custody hearing. Adam warned Colby that David would come after Little A soon enough. Colby mentioned that the red car David got Little A was his favorite hristmas present. Colby went upstairs to tuck in Little A. When he was alone, Adam started to hit the toy car with a fire poker. JR arrived to find that Adam had melted the car! He promised to get Little A a new one in the morning. "Who is the 4 year-old here?" JR asked. Adam scolded JR for his alcohol abuse. Adam suspected that David had something to do with JR's falling off the wagon. JR lost it when Adam suggested JR go to rehab. Colby tried to calm the two men, but JR wouldn't listen to reason. Adam begged JR to think of Babe the next time he wanted to drink. When Colby tried to get through to JR, he screamed at her to get out. JR remembered Babe wanting to have another child.

David announced that Josh's heart was a match. Erica held onto her son's hand and walked with the doctors into the elevator. "I'll always love you. I'm so sorry," Erica told her son. Zach walked with Kendall into the OR. Erica and Zach watched as their loved ones' lives were about to change forever.