Little Jake is on life support because he got hit by a car and Carly asked Jason (Jake’s biological father) if he could ask Elizabeth (Jake’s mother) and Lucky (Elizabeth’s ex-husband/ the man who basically raised Jake) if her daughter (Joselyn) could have Jake’s kidneys because she has cancer.
Elizabeth just slapped Jason for even asking, mostly because he didn’t even raise Jake. He let Lucky act as the father because his mob life was too dangerous. I, personally, do not blame her in the least. Who asks that question within an hour of the surgery?