Stacy returns to Chase with coffee and a bad mood. She asks Chase why he didn't ask Kayla those necessary questions, and Chase figures out that she talked to House. He maintains that he made a simple mistake that doctors make all the time. Stacy asks what happened after Kayla's operation.
Cameron tells Kayla's brother, Sam, that Kayla's kidney damage can be treated with dialysis, but that the liver damage can only be fixed with a transplant. Sam volunteers part of his own liver, but Cameron says thatsurgeons won't operate on a living donor unless he's had a lot of time to really consider his decision. "There's black markets," says Sam, who has apparently been reading too many of those urban legends about the guy who brings a girl home and then wakes up in a bathtub full of ice and "call 911 or you will die" written in lipstick on his chest. Chase rolls his eyes at the stupidity while Cameron tries to stammer out an answer that won't make Sam mad enough to punch her in the face.
Kayla groans from her bed. Her stomach hurts. Her monitors beep. She has a clot, and has to go back to the OR. Back in the present, Chase explains that the sepsis lowered Kayla's blood pressure, causing clots. They cut off the blood supply to her liver, totally killing it. She needed a transplant immediately, or she'd die. Stacy is shocked that Cuddy would put someone in such bad health on the sacred transplant list. If only Kayla were a famous alcoholic; then she could have all the livers she wanted!
But she isn't, so Cuddy has no intention of putting Kayla on any transplant list. House tells her that the reason Kayla is in such bad condition is because a PPTH employee didn't do his job properly. Chase tries not to cry as House continues to say that the jury won't take kindly to a mother of two dying as a result of a hospital employee error. Cuddy says she's well aware of the hospital's liability in this case, but still won't put her on the list. And Cuddy still won't get a wardrobe that isn't tragic. Who thought that high-and-wide collared blazer was a good idea? Besides, of course, Queen Elizabeth I. This show really needs to stop raiding the period costumes wardrobe department for Cuddy's clothes. (I also think they should stop raiding the "hip guy in his 20s" t-shirt drawer for House's clothes, but a lot of people seem to disagree with me there.) House points out that if Kayla's family wins a lawsuit against PPTH, it'll put the hospital out of business, and then they won't be able to treat anyone at all, so denying Kayla a liver really does compromise patient care. That doesn't seem like a very good argument to me, but Cuddy tells them to "start praying for a twelve-car pileup on the Turnpike, 'cause we're not exactly swimmin' in livers over here" as she signs the transplant papers. Well, that was easy. I guess the transplant committee had the day off or something.