President Dibala, the president of the country where she used to live was sick. Dibala threatened Ama's family saying that he would eliminate him unless she gave her blood to help Dibala get better. Dibala brought this to Houses team's attention, however they all thought that it was obvious that he had made Ama do it. They took it to Cuddy, where Ama claimed that she was doing this of her own free will, they figured out that Dibala had threatened Ama's family, Cuddy consented because she didn't want to be held responsible for the deaths of Ama's family. Later on, Chase used her blood to disguise Dibala's illness which resulted in his death.