At the hospital, Spinelli surprised Ellie with a half dozen balloons in anticipation of her job promotion. Moments later, Brad entered the lab to announce that he was the new lab manager. Ellie was outraged because Brad was an incompetent lab technician. Spinelli was baffled as to why Britt and the board had decided to give the promotion to Brad rather than Ellie, so Brad suggested that Spinelli and Ellie question Britt and the board. Brad tested his new position by reminding Ellie that she wasn't permitted to fraternize with her boyfriend while on the job.
Ellie explained that she was on break and then stormed out of the lab. Brad smiled victoriously as he grabbed the balloons, which he decided belonged to him, since he had been promoted. Spinelli picked up a pin then promptly popped each balloon. Moments later, Spinelli caught up to Ellie in the hallway.
Spinelli wondered if Tracy had been behind Brad's promotion, but Ellie doubted it because Tracy had the relish recipe and therefore didn't have any reason to deny Ellie the promotion. Ellie suspected that it was karma, punishing Ellie for keeping quiet about Maxie's baby. Ellie regretted that she had uncovered Maxie's secret, but Spinelli argued that it had been a "victimless crime." Ellie tearfully confessed that Spinelli was wrong; someone was getting hurt.
Spinelli appreciated that Ellie had a profound sense of responsibility, but he was curious who Maxie's secret was hurting. Brad called out to remind Ellie that her break was over, so Ellie returned to the lab without answering Spinelli's question.
Later, Brad noticed that Ellie was distracted, so he tried to make peace with her by apologizing for the promotion. Ellie confessed that something else had been on her mind. She admitted that she had been hiding something from Spinelli.
In an examination room, Maxie was surprised when she saw Britt in a wheelchair. Britt explained that Britt had been ordered to bed rest for the remainder of the pregnancy, so Maxie would have to find another doctor. Maxie was shocked when Britt claimed that Patrick had invited Britt to move in with him. Maxie couldn't understand why Britt needed to stay with Patrick, so Britt reminded Maxie that Britt was still recovering from a broken leg thanks to Frisco. Maxie argued that there wasn't any proof that Frisco had been responsible for Britt's accident but suggested that Britt shouldn't have been blackmailing Maxie to do terrible things to Sabrina.
Britt was unapologetic because Sabrina hadn't suffered irreparable harm. Britt was annoyed that Maxie couldn't at least pretend to be happy for Britt, so Maxie wondered why she should. Britt reminded Maxie that Britt hadn't told anyone the truth about the paternity of Maxie's baby and didn't plan to. Britt even offered to change Maxie's medical records so Maxie's new doctor wouldn't know that the baby wasn't Dante and Lulu's child. Maxie wasn't worried about Britt talking or the new doctor finding out, but she was concerned about Ellie exposing the truth.
Britt was stunned when Maxie revealed that Ellie had hacked into the hospital's computer system to access Maxie's medical records. Britt offered to have Ellie fired, but Maxie declined, so Britt took satisfaction in knowing that she hadn't given Ellie the promotion. Britt was curious why Maxie had told Ellie the truth about the baby, so Maxie explained that Ellie had threatened to confirm her suspicions by checking on Dante and Lulu's frozen embryos.
Maxie assured Britt that Ellie had promised to keep the secret. Britt thought that it was generous of Ellie, but Maxie admitted that Ellie had acted out of fear, not generosity, because Maxie had warned Ellie that Spinelli would break off his relationship with Ellie if he knew about the baby. "And he would," Maxie insisted. Britt was confused because she thought that Maxie wanted to be with Spinelli.
Maxie explained that she didn't want Spinelli at the cost of hurting Dante and Lulu because she wasn't like Britt who was willing to trample over other people to get the man that Britt wanted. Britt argued that Maxie wasn't in a position to judge because Maxie and Ellie intended to give Dante and Lulu a baby that wasn't Dante and Lulu's biological child. Britt warned Maxie that the ruse would be over if a doctor decided to do genetic testing on Maxie's baby.
A short time later, Spinelli burst into the examination room, looking for Britt. He was startled when he saw Maxie, but Maxie assured him that she was fine. Spinelli explained that he had wanted to talk to Britt about why Britt hadn't given Ellie a promotion. Maxie blamed it on Britt being a "bitch." Maxie grumbled that she needed to find a new doctor then started to leave, but Spinelli followed her because he was curious how Maxie planned to keep her secret from the new doctor.
Maxie nervously asked Spinelli what he was talking about, so he confessed that Ellie had told him everything. Maxie carefully asked him what he knew, so Spinelli revealed that he knew about the miscarriage and the secret implantation of Dante and Lulu's other frozen embryos. Maxie was annoyed that Ellie had confided to Spinelli, but Spinelli reminded Maxie that he and Ellie didn't keep secrets from each other.
Sabrina was changing out of her scrubs when Patrick entered the locker room. Sabrina quickly threw on a blouse then kissed him. After the kiss, Patrick talked to Sabrina about the situation with Britt because he had been losing sleep over the thought of Britt moving into his home. He explained that "no way in hell" could he let Britt move in, so he needed to find another solution.
Later, Sabrina carefully kept her eyes averted while Patrick showered and continued his conversation with her. He admitted that he had felt pressured to take Britt in, so he had made some inquiries to find out how much an apartment and full-time care would cost him. However, he realized that he couldn't afford it, so he had no idea what to do because he didn't want Britt to live under his roof. After some thought, Sabina announced that she had an idea that might work. Patrick heard Sabrina out, but he was leery about her plan. Sabrina assured Patrick that it was the perfect solution.
Moments later, Britt made her way into the locker room, careful to give the impression that she was frail and exhausted. Britt glanced at Sabrina then pointedly announced that she would be ready to go home with Patrick after she cleaned out her locker. Patrick revealed that there had been a change in plans. Britt's mouth dropped open when he told her that Sabrina had offered to take Britt in.
Britt flatly refused to consider it, but Sabrina pointed out that Britt would have access to round-the-clock professional nursing care from Sabrina and her friends. Patrick insisted that it was for the best because he had work obligations and Emma to take care of. Sabrina agreed that Emma was too rambunctious for someone in Britt's condition. Britt was forced to reluctantly accept Sabrina's offer, so Sabrina promised to collect Britt's things from the locker and meet up with Britt. Britt decided to say goodbye to a few more people and left.
Afterwards, Patrick wondered if it was weird that he had enjoyed Britt's frustration. Sabrina smiled, but Patrick warned her that it wouldn't be easy for her to live with Britt. However, he was happy that he could finally focus on Sabrina. Sabrina beamed joy when he leaned down to kiss her.
At the Quartermaine mansion, Tracy thanked Nikolas for stopping by. Nikolas confessed that he had almost ignored the invitation because it had occurred to him that she might want to retaliate for what had transpired in New York City. Tracy assured him that she wasn't interested in revenge, but Nikolas admitted that he had worn proper groin protection just in case.
Tracy promised Nikolas that she didn't want to hurt him; she wanted to hurt A.J. Nikolas warned Tracy that he had promised Elizabeth that he would let A.J. self-destruct on his own. He deftly changed the subject by asking how Tracy had managed to get away from his guards. Tracy credited Edward for helping her, but Nikolas doubted that Edward's ghost had hit the guards from behind. Nikolas suspected that Tracy had knocked the guards out with the amazing strength that she had exhibited in the lobby of the hotel and then later when she had encountered Nikolas outside of the green room.
Tracy felt bad for hurting Nikolas, so she decided to make it up to him. She revealed that Luke had tracked down Franco's daughter, so Tracy would soon regain control of ELQ. Nikolas was curious how that benefited him, so Tracy explained that she needed a million dollars to secure her niece's support. Tracy promised to repay Nikolas with interest if Nikolas loaned the money to her. Nikolas refused to risk losing Elizabeth by helping Tracy.
Tracy argued that Elizabeth had made it clear that Elizabeth wasn't interested in Nikolas, but Nikolas disagreed. He explained that Elizabeth was stubborn and determined to believe in A.J. Nikolas was confident that Elizabeth would have a change of heart when A.J. screwed up. Tracy admitted that A.J. had already made a mistake by sleeping with Carly behind Elizabeth's back. Nikolas was shocked and wondered if Tracy had any proof. Tracy assured him that she did, but for a price.
Outside of Kelly's, Elizabeth was curious what A.J. had wanted to tell her regarding Carly. Elizabeth sensed A.J.'s hesitation, so she assured him that they could work through anything together. A.J. was about to tell Elizabeth about his tryst with Carly until Duke walked up. Duke was shocked when he spotted a familiar face through the window of the diner, so he asked A.J. and Elizabeth if Stephen Clay was alive. A.J. and Elizabeth quickly filled Duke in on Stephen's brother, Silas, and Lucy's reaction to meeting the elder Clay brother. Duke chuckled because there was never a dull moment in Port Charles.
Duke switched gears by inquiring after Elizabeth's health. She assured Duke that she was fine, but she refused to believe that A.J.'s relish had caused her food poisoning. Duke disagreed then revealed that the cooking talk show had decided to test both relishes tested to find out what had made everyone sick. The results of the test suggested that someone had tampered with both jars of relish. Duke assured A.J. that the police had been notified and were investigating the incident. Elizabeth was happy for A.J.
Moments later, Elizabeth's phone rang, so she excused herself to talk to Audrey. After Elizabeth stepped away, A.J. confided that he was delighted by the turn of events because it meant that Tracy couldn't force A.J. to take responsibility for the tainted relish by threatening to expose his indiscretion with Carly. A.J. quickly dropped the subject when Elizabeth returned to the table.
Duke promised to keep A.J. updated about the saboteur and then left. Elizabeth reminded A.J. that he had been about to tell her something when Duke had appeared, but A.J. insisted that Tracy needed to know about the relish tampering, so he had to leave. Elizabeth couldn't believe that A.J. would do that for Tracy after everything that Tracy had done to him, but it reaffirmed to Elizabeth that A.J. was a good man.
After A.J. left, Nikolas walked up. He explained that Audrey had told him where to find Elizabeth. Elizabeth was curious why Nikolas had been looking for her, so he revealed that he had something to tell her.
Meanwhile, A.J. arrived home to tell his aunt that the tampered relishes. Tracy was curious who would want to sabotage them, but A.J. didn't have an answer for her. However, he pointed out that he no longer had to tell Elizabeth about Carly, since the public would soon learn the truth about the relishes.
At the penthouse, Alexis advised Rafe to stay positive and not to worry about Silas. Rafe feared that they hadn't heard the last of Silas, but Alexis was certain that Silas had already left town. Rafe wondered if Silas could take custody of Rafe without Rafe's consent. Alexis conceded that Rafe's uncle had some rights, but she reminded Rafe that Silas and Stephen had been estranged for years, so Silas probably wouldn't be interested in developing a relationship with Rafe. She quickly changed the subject by offering to get Rafe something to eat before dropping him off for his counseling session.
In the hallway, the mystery man stood outside of Sam's penthouse and listened at the door. Seconds later, Alexis opened the door a crack, but then stopped to dig through her purse for her sunglasses. The mystery man quickly ducked out of sight before he was spotted. After Alexis and Rafe left, the mystery man deftly picked the lock on the front door then quietly let himself into Sam's home.
Inside the penthouse, the mystery man looked around until his eyes landed on framed photographs of Sam, Jason, and Danny. He picked up one of the pictures and used his computer tablet to zoom in on Jason's face then snap a picture of the photograph. Afterwards, the man pulled out the DVD, turned on the television, and then inserted the DVD into the DVD player.
At Kelly's, Silas gave Sam a copy of papers that he had filed with the courts, petitioning for custody of Rafe. Sam objected to Silas taking Rafe away from her, so she put her son in the stroller then confronted Silas about his plans. She wanted to know why Silas wanted custody of Rafe, so Silas reminded her that he was Rafe's uncle. Sam argued that Silas hadn't seemed interested in Rafe when she had told Silas about the trauma that Rafe had endured.
Sam questioned Silas' sudden desire to be a part of Rafe's life. Silas suggested that Sam sounded paranoid, but she insisted that she a concerned mother. She feared that Silas was playing some kind of game, so she made it clear that she would not let Silas get away with it. Silas assured her that he wasn't playing any games. Silas resented how Sam had talked about Stephen as if Stephen had been a monster. Sam assured Silas that Stephen had been a horrible person, but Silas argued that it was wrong to suggest that Rafe was somehow tainted because Rafe was the son of a madman.
"Dr. Clay?" Alexis asked as she and Rafe entered the diner in time to hear Silas' remark. Silas immediately tried to salvage the situation by greeting Rafe with a handshake. Rafe ignored Silas' extended hand and demanded to know what was going on. Rafe's worst fears were realized when Silas announced his intentions to take custody of Rafe. Rafe vowed that he would not let it happen, so Sam assured Rafe that she would fight for Rafe.
Rafe reminded Sam that biological relatives had certain rights. Silas explained that he and Rafe had a special bond because they shared the same blood, so Silas accepted Rafe for who was. Rafe was disgusted when Silas suggested that Stephen had passed down some gifts to Rafe. Rafe insisted that Stephen had been a "psycho," but Silas wanted Rafe to know that Stephen had been a brilliant man prior to the breakdown.
Rafe argued that Stephen had murdered people, including Rafe's mother. Rafe ran out of the diner, so Sam followed Rafe to remind Rafe that she would do everything in her power to keep him with her. Rafe feared that he would be ripped away from Sam and Danny, whom Rafe considered his family. Sam promised Rafe that she felt the same way about Rafe.
Inside, Alexis wrapped up a phone call as Silas approached her. He warned her that he wouldn't leave town without Rafe, so Alexis informed Silas that she was an attorney as well as Sam's mother. Alexis vowed to make Silas regret trying to take Rafe away from Sam.
The mystery man was sitting on the coffee table in the living room when he heard Sam insert her key into the front door as she arrived home with Danny.