Jax rushed to the unconscious Carly while Morgan called 911. When the EMTs arrived, Morgan watched in horror as they worked on his mother. At the lake house, Michael told Kristina he's sure he drove Claudia off the road. Kris suggested it could have been any car. Michael admitted he wasn't even sure which road he was on, but when he asked if she knew anyone else it could have been, she had no response. He fretted about telling his father he caused his stepmom's crash. Kris begged him not to call Sonny, and then Morgan called with word of their mother's collapse. "I hurt my mom and her baby too," he gasped. Later, at the hospital, Kelly suggested Carly might have suffered a stroke. Morgan begged her to wake up, then Jax gave Jason a moment to speak to her. "Now would be a good time for you to wake up," he said. Morgan stepped into the hall to encourage Michael to talk to her, but Michael insisted he couldn't because the accident was his fault. Jax told the sleeping Carly that she holds the family together. And then she woke up! Later, Kelly returned with her test results, but wanted to talk alone. When Jason took Michael into the hallway, the boy said Michael had been there, but said the accident was his fault and went to the police station to turn himself in. Kelly told Carly and Jax there were "serious complications."

As Dante hid at Olivia's place, Jason told her that Claudia and the baby may not make it. He added that Sonny wanted her to know that regardless of his feelings for her, his responsibility is to his wife and child. "Sonny owes me nothing," Olivia snapped, sending Jason away. When Dante emerged, he dialed his grandmother, saying he's going to send his mother back to Bensonhurst. He guessed that Sonny is the "married man" she's involved with, but she denied it. "You are in danger," he said, flipping out over the prospect of her dallying with the top mobster in town. "It's nothing I can't handle," she scolded. He accused her of coming to Port Charles just to get close to Sonny again. She said she's not encouraging Sonny, and she left him and the old neighborhood behind before Dante was born. Then Dante got an urgent call and left.

At G.H., Sonny wondered if his son has to die for his wife to live. Patrick said dangerous surgery is the only other option. Johnny demanded to know why Sonny would risk Claudia's life for a baby he doesn't even want. Johnny urged his sister to take the medication, but Claudia insisted on the operation. At the Hub, a suspicious Robin demanded that Patrick prove his sprained finger would not interfere with the operation — by slicing into an orange with a key. Later, Patrick called in Matt, and told him, "I want you to do the surgery." When Patrick brought Matt to see Claudia, Johnny flipped. But Claudia trusted Patrick's judgment. Left alone, Sonny apologized to Claudia for being hard on her, and promised to give the baby a great life together. "I'm gonna hold you to that," she sniffed. In the corridor, Johnny threw Patrick up against a wall and warned that if Matt botches his sister's surgery, "I will personally put a bullet in your brother's brain." Matt overheard that part.

Diane brought Alexis to the police station to deny any involvement in Carly's accident. Lucky pointed out Alexis drives a small car matching a witness' description of the one that caused the crash. Andrea arrived and loudly proclaimed that Alexis was at her house in a hysterical state around 9 p.m., and driving crazy on Harbor View Road. And she was willing to sign a statement to that effect. Alexis admitted to Andrea that she slept with her husband once and apologized, but a smug Andrea was only too happy to make Alexis look guilty. Mac asked for permission to examine Alexis' car, then let her go. Back at the lake house, a stressed Kris called Keifer, but hung up when Alexis returned. She eavesdropped as Diane asked Alexis if there was any possibility Alexis caused the crash. Meanwhile, at PCPD, Michael told Mac, "It was me." Jason burst in and ordered him to stop.

In the waiting room, Johnny accused Sonny of wanting his wife to die, then left. When the door opened again, Sonny shouted, "C'mon, bastard." It was Dominic, who replied, "I've been called worse." When Olivia arrived, she was horrified to see Dante and Sonny talking.