Ryan and Kendall made love at the penthouse while, back at the Slater house, Zach tended to a weepy Ian. He decided to bring the boy to the hospital and called Kendall, but she was showering with Ryan so he left a message. When Kendall heard the voicemail, she raced to get dressed and asked Ryan to come with him.... Zach brought Ian in to the hospital and Joe told Gayle to page David as a precaution.... Ryan and Kendall arrived at the hospital and Ryan excused himself to call Erica. "I think there's something very wrong with our boy," sighed Zach to Kendall.

Scott came to the hospital and Erica told him about Adam's seizure. Scott expressed concern about Adam's health and when talk turned to Chandler Enterprises, Erica was impressed by Scott's passion about the heart valve. Scott and Erica also discussed Cindy. Scott thanked Erica for being there for his uncle. Ryan interrupted to let Erica know that Ian was also at the hospital.

At ConFusion, JR pondered taking a drink. Marissa advised him not to drink. David wandered in and when Marissa told JR that she's living with David and Krystal, JR blasted his former father-in-law. David interrupted with his own negative words about JR. After they traded barbs, JR left and David ranted about JR to Marissa. He warned Marissa never to defend JR to him again or he'd kick her out of Wildwind.

In the darkened Chandler mansion, Krystal came across Tad, who was looking for evidence of Adam's involvement in Dixie's death. Tad told Krystal about Stuart having seen Adam with the ribbon at the gate and about Adam's seizure. Tad was able to crack Adam's safe and found an envelope with Krystal's name on it. Tad handed it over to Krystal at her request. He urged her to tell him what she's hiding. JR came home and told Krystal that David and Marissa were together. Krystal told Tad that Marissa was an old friend. JR told Krystal to tell Marissa to keep her nose out of his business. After Krystal left, Tad and JR continued to look for clues about Adam's possible role in Dixie's death. Krystal went back to Wildwind and lit the envelope on fire in the fireplace. When Marissa returned home, she lashed out at Marissa for spilling her secrets to JR. Krystal apologized for losing her temper and ran out. Marissa went over to the fireplace and was baffled when she found the charred remains of a photo of her.... At the Chandler manse, JR had a new memory of the day that Dixie died — of Adam smiling....

Joe told David that he thought they should get an OR prepped for Ian. David informed Zach, Erica, Kendall and Ryan that Ian's heart was failing and he required more surgery to replace the valve. When David said that Ian would die without surgery, Kendall began crying and collapsed into Zach's arms. As Erica and Ryan discussed Ryan's certainty that Kendall's future is with him, Zach observed Kendall telling Ian that nothing would ever come between them again.... Erica urged Ryan to give up Kendall, certain that she and Zach were far from over.... Scott approached David to ask if his heart valve could help Ian. David said that it didn't matter because Jake and Ian's parents would have to agree to let their baby be used as a guinea pig.... Kendall told Zach how bad she felt that she had been with Ryan when her baby needed her. Zach told her not to feel guilty about living her life.