Rafe gives Casey advice about Ricky. She fears Ricky might be the 5th chair, then accuses Rafe of wanting Alison to die. Rafe finds Ali unconscious and calls an ambulance. Frank treats Ali, who dreams of Rafe. Frank realizes Ali doesn't want to wake up. Casey tells Ricky she likes him and wants to start over. The men Jamal and Ricky conned return and want to win their money back. Casey inadvertently clues them that Ricky cheated. At the hospital, Karen treats an ill Christina as Lucy and Kevin panic when she loses her hearing. Asking if she's going to Heaven, Christina reaches out to Kevin for the first time.