Alison thinks that she and Casey should get married in Vegas because she doesn't it is fair for their parents to pay for it. After talking to Henry, Katie asks him to take her to the hospital. Chris wont allow a Lvad to be installed and to die whilst hooked up to machines. Katie tries to get him to change his mind. Casey and Allison learn about Chris' condition. Henry is told by Barbara that Katie is going to need somebody to support her through everything that is happening. John has to give the bad news that the doctor in Bay City ended up using the heart on a patient of his own. Barbara attempts to offer Katie some comfort after she breaks down. Bob and Kim learn from Alison and Casey about their engagement. Reid informs Luke that he is going to go to Bay City to get the heart himself and that he tell him that he loves him before he leaves. His car ends up stalling on some railroad tracks as a train approaches.