Who really killed General Hospital's Sam with Digitalis?

After weeks of worry (in real-time), General Hospital's Lucas (Van Hansis) now knows that he is not responsible for his sister's death. He might have been the surgeon who operated on Sam (Kelly Monaco), but his actions did not cause her heart attack. An overdose of the heart medication Digitalis is what killed Sam, but how did she ever receive this drug?

Elizabeth's error?

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For the moment, Portia (Brook Kerr) is looking into everything head nurse Elizabeth (Rebecca Herbst) and her team did during Sam's post-op care. Elizabeth swears that she didn't give Digitalis to Sam and kept meticulous notes documenting all medications that Sam was prescribed.

The idea that she could have done something that caused Sam's death haunts Elizabeth, but what if foul play was involved and Elizabeth and her nurses did not make an error at all?

This is the second time something odd has happened at GH involving Lulu's (Alexa Havins) liver. Before Sam and Lulu's surgeries, Lulu's ventilator mysteriously stopped working. Could the two incidents be connected?

Is General Hospital's Cyrus really looking out for Lulu?

When Laura (Genie Francis) first learned that Lulu's liver was failing, she was surprised to discover that her ex-con half-brother Cyrus (Jeff Kober) had been visiting her daughter for months. The doctors informed her that Cyrus would sit by Lulu's side and read bible verses. He did the same when she was transferred to GH and is back now that she is at Turning Wood.

Cyrus has no idea that Lulu is no longer comatose and knows he is there, but he is still telling her that he will protect her. The question remains — what does protecting mean in Cyrus' warped mind?

Could Cyrus want to put Lulu and his sister Laura out of their misery? After all, Laura has been tortured for four long years, watching her daughter linger in a coma with no real sign of recovery (or so Cyrus and Laura believe). Soap Central already speculated that Cyrus could have been the one to fiddle with Lulu's ventilator. Could he have done it believing he was committing a mercy killing?

Could Cyrus' warped mind have thought that killing Sam was the right thing to do because she had saved Lulu when Cyrus felt Lulu had no chance at a real life ever again? We know Cyrus has found God, but Cyrus also seems to have an odd interpretation of religion and could truly believe his way was the right way. Perhaps he swiped a syringe with a medicine Sam was prescribed with one containing Digitalis.

Lulu's coma cause

Cyrus' obsession with Lulu makes sense. After all, he was the reason she was comatose. While Julian (William deVry) was the one who planted the bomb at the Floating Rib, resulting in Lulu's head injury and coma, Cyrus was the one who ordered Julian to do it.

He was trying to kill Jason (Steve Burton) and didn't expect the restaurant to be full when the bomb went off. The last thing he intended to do was kill his niece or at least send her into a coma for the next four years. Could Cyrus' guilt have led him to do all sorts of strange things, including trying to end Lulu's misery and ultimately kill Sam? Something tells us an investigation into what went wrong won't lead to Elizabeth...

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