After Karen's death, Ian realizes Karen is Lucy's guardian angel so he & Chris perform a blood transfusion on Lucy and Karen's body and Lucy miraculously recovers. Before Frank can kill Jamal, he gets a call from Karen asking him not to do it. Frank calls Karen's cell phone and Ricky tells him to get the hospital ASAP. After Frank hurries off, Jamal escapes. At the hospital, Kevin, Elizabeth and then Frank learn of Karen's death. Scott arrives and Lucy sadly breaks the news to him as well. Karen goes to Heaven and is greeted by Casey, who tells Karen that her journey has just begun. Lucy thanks Karen for saving her life.