Despite Esme's complaints of pain, Nikolas can't figure out whether she is truly in need of medical attention. On the Thursday, Nov. 17 episode of "General Hospital," Elizabeth will have to make a difficult decision about Esme's future.

In the ABC promo video, Elizabeth tells Nikolas (temporarily played by Adam Huss) that they need to call an ambulance for Esme (Avery Kristen Pohl). "GH" spoilers reveal Liz goes out on a limb.

In the previous episode, Nikolas planned to move Esme to a new location, where it would impossible for her to escape. However, she conveniently began suffering from pain and insisted her baby was in danger.

Nikolas then left to call Elizabeth for help. When the two returned, they found Esme passed out on the floor.

It appears Liz will insist on taking Esme to the hospital, but Nikolas will be hesitant about calling the ambulance since Esme has tried to escape in the past.

Elizabeth has previously expressed her disapproval of Nikolas' decision to keep Esme locked away at Wyndemere but agreed that the young woman shouldn't be in jail while pregnant.

Is Liz the key to Esme's freedom, or will Nikolas convince Elizabeth to treat Esme?

Elsewhere in the promo video for the ABC soap opera, Laura (Genie Collins) wonders whether Holly (Emma Samms) is hiding something. "General Hospital" spoilers tease Laura calls it like she sees it.

It appears Laura will have a sit down with Holly and Robert (Tristan Rogers). Laura previously told Robert she suspects Holly is hiding something and plans to bring her suspicions to Holly.

Viewers are aware that Holly is secretly being forced to work for Victor (Charles Shaughnessy). Will Holly let Laura and Robert in on the truth, or will she continue her innocent act?

Other "GH" spoilers tease Selina (Lydia Look) issues an invitation, Sasha (Sofia Mattsson) marks a sad milestone, and a mysterious figure approaches Felicia (Kristina Wagner).

"General Hospital" airs on weekdays at 3 p.m. ET on ABC.