- A wealthy businessman brings his teenage son, who is suffering from inexplicable stomach pains, to Princeton Plainsboro and insists on having Dr. House handle the case. The father of the patient believes the karmic penalty of his financial success is that he is victim to personal tragedy, and that the answer to his son's medical mystery lies in a reverse of fate rather than medical treatment. Meanwhile, Foreman and Chase prepare to present information on the Dibala case.—FOX Publicity
- Open at the mansion of Roy (Lee Tergesen), a super-wealthy captain of industry. His son Jack (Tanner Maguire) is sick and a doctor tells Roy he can't figure out what the child has. It is time to move the boy to a hospital.
Roy meets with Cuddy (Lisa Edelstein) and demands she have House (Hugh Laurie) work on his dying son. The deal will be that Foreman will be Jack's doctor but House will make all decisions. Cuddy reminds Foreman (Omar Epps) he must present Dibala's death at the next Morbidity and Mortality conference. The doctors review Jack's symptoms and House wants to start from scratch.
During a physical exam Cameron (Jennifer Morrison) feels something in unusual in Jack's stomach.
Foreman and Chase (Jesse Spencer) discuss the M & M. With the only evidence of Chase's wrongdoing destroyed, Chase doesn't seem concerned. House enters the room and seems to notice the two doctors have a secret. Cameron comes in with news of Jack's constipation.
Foreman tells Roy they think Jack has a disorder of the colon called Hirschsprung's. They need to do more tests to confirm.
Thirteen (Olivia Wilde) tells House she is planning to travel. She is done with Foreman and wants to leave. She liked working for House but doesn't plan to come back to the department. She is going to Thailand.
Still waiting on a biopsy, Jack is feeling much better. All of a sudden the child begins to seize. They rush him to the operating room and drill into the boy's skull to relieve the cranial pressure. Foreman tells Roy they have "no idea" of what just happened.
The doctors review images of Jack, who is continuing to get worse. House suggests brain cancer.
On the way to the airport Thirteen calls to upgrade her seat, and discovers that her reservation has mysteriously been cancelled.
Cameron and Chase tell Roy about the cancer diagnosis. Chase isn't telling Cameron what is going on with the M & M.
Thirteen goes to House and accuses him of screwing with her reservation. He denies it.
Foreman and Chase go over the Dibala case. There is a dramatic abnormality with Dibala's cholesterol test. They continue the discussion the next morning. Forman thinks they must come up with a valid explanation.
Meanwhile, Jack's colon biopsy reveals that he does not have cancer.
House thinks Jack could have cancer in a different part of his body. House asks why Foreman would have cancelled Thirteen's flight. He denies any involvement, saying he has moved on.
Cameron asks Chase what he is keeping from her. He mentions Dibala's blood panel and the M & M.
Roy tells Cameron he thinks Jack's illness is the result of bad karma. Because he has done so well in business, his family woes are life's way of balancing things out. Jack begins to seize again.
Cameron suggests Jack could have abdominal epilepsy.
Chase has yet another idea for how to explain Dibala's death. Foreman doesn't like the idea of their using complicated lies.
Foreman tries telling Cuddy he doesn't have time for the M & M. It doesn't work.
Cuddy asks House about Thirteen's cancelled flight. She asks whether he legitimately wants Foreman to run the team.
Cameron pages House and he interacts with Roy in person for the first time. She has found red spots on Jack's chest and stomach. House tells Roy his son's mysterious illness is "fascinating."
The new rash makes Chase suggest polyarteritis nodosa. House takes notice when Foreman suggests Cameron perform the testicular biopsy instead of Chase. When Cameron tells House the rash was also on Jack's penis, he says the child must have Degos disease.
House tells Roy that Jack has Degos and there is no treatment. He will die in a day or less. "I'm sorry, I wish there was something we could do," House says.
Chase goes to see Cuddy and very nearly confesses he intentionally caused Dibala's death. She is called away just before Chase can get it out.
Roy has a team of lawyers with him in Jack's room. He wants to intentionally destroy his company and bankrupt himself. "You can't have all the good fortune in one area of your life," Roy says. Against the lawyers' advice he signs the papers. As soon as the lawyers leave the room Jack starts to seize again.
Thirteen tells Wilson (Robert Sean Leonard) she has discovered it was his computer which hacked her E-mail and cancelled her flight. He seems to confess, saying he wants her to remain on the team because she is good for House. "Don't throw it all away because of a bad break-up," he tells her.
Wilson tells House he confessed to Thirteen. House reveals he cancelled the trip to Thailand. During their conversation House has a revelation.
House goes to Foreman and orders a new course of treatment. The child has to have primary antiphospholipid syndrome.
Chase spots a folder on his desk. He goes to Foreman and asks "where'd you find it?" One of Dibala's previous doctors had been prescribing drugs for high cholesterol. The revelation gives them an easy explanation to use at the M & M, but Foreman admits he didn't find the new info.
Jack is doing well. The newly broke Roy tells House "it worked."
House tells Chase he made an assumption based on Dibala's race and weight which led to finding the prescription. House doesn't think Chase should be fired: "better murder than a misdiagnosis." Chase hands House his ball: "Whether you want to be in charge or not, you are, and always will be."
An ending montage shows us the M & M going well and Thirteen getting on a plane. Roy's home is in foreclosure and he couldn't be happier with his now-healthy son.
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