Karen aggressively confronts Dr. Hayes, demanding something back and forcing her to kneel and beg. Nora, witnessing this, accuses Dr. Hayes of stooping low despite her high status. Karen escalates the conflict by threatening and ordering others to beat Karen when she tries to resist. Despite Karen's attempt to fight back, the situation turns violent, leaving her defenseless under Karen’s control. The episode ends with Karen asserting dominance and the outcome uncertain as Karen refuses to relent.