We're glad Bree's okay, but we wait to hear the fate of Karl and Orson, who were both badly injured in the plane crash.
While Karl's in surgery, Susan wonders what her life would be like if she hadn't told him to leave. In her vision, she ends up miserable and overweight and Karl ends up leaving anyway. "You could have just spared yourself all this pain if you'd just let me go the first time," he tells her. "You really do deserve better." We see her mixed emotions when the doctor tells her Karl didn't make it. Awww, we loved Karl! Even if he did make the world's worst husband, we'll miss his naughty zest for life.
When Bree learns of Karl's death, she she has to be sedated and she dreams what her life would have been like if he hadn't died. He promises her he'll be a different man, but she says, "I don't want to ever lose that sexy beast who swept me off my feet." Which means that she finds Karl in bed another woman and kicks him out. Years later, she gets a call when Orson dies. She's overcome with emotion when she sees all the photos of the two of them. His landlady tells her, "It was like he died of a broken heart." So when she is told that Orson is "out of danger," she is relieved. But she doesn't know how to react when she learns that Orson is paralyzed.
Angie can't believe that Mona, her blackmailer, wasn't killed by the plane. Angie imagines what would happen if Mona lives to tell what she knows: She's in FBI custody and they want her to give up someone named Patrick Logan, who was her lover. Angie hasn't spoken to Logan since that night 18 years ago. "You guys weren't the ones I was running from," she tells the agent, saying they have no idea how scary Logan is. In her daydream, she's given a life sentence, so she's beyond relieved when she's told that Mona is dead.
Gabrielle thinks that Celia, who only has a mild concussion, has been saved to fulfill some great destiny. She drifts off to sleep and imagines what it would be like if Celia started acting. Except in her dream, Celia's lack of talent doesn't stop Gaby from being a relentless stage mother and driving Carlos away. Gaby ends up a scary old lady on food stamps who's still trying to push Celia into stardom. "I figured out what she has to do to be special," she tells Carlos on waking. "Absolutely nothing."
Lynette seems fine, but one of the twins was injured and needs to be operated on immediately. Lynette imagines what it would be like if he was born disabled. At first she just can't cope, but then, even though it's incredibly hard, she teaches him to do things for himself. As valedictorian of his law school, he thanks her for her courage. When she wakes, she's sure she can handle the challenge, but she's not prepared to hear that, while the other twin is fine, they've lost him.
Gabrielle comes to visit her and says, "I don't know how to say thank you for saving my child's life and how sorry I am." We're so happy to see that these two have made up, even if the circumstances are so tragic.