Nolan says the way House described how he broke the bad news to Sydney and her husband was "rough" and asks if he's always that mean to his patients. Actually, Nolan, yes, he is. Your therapy has done wonders. House says Sydney's husband was "being an idiot." Nolan says that might be so, but House had to "punish" Sydney in order to "punish" her husband. Yeah, like House cares. She'll be dead soon, anyway. Nolan asks House why the husband made House so angry. House says he was willing to risk his wife's life to save their marriage. "People's brains stop working when they think they're going to lose someone they love," House says. Or, in Sydney's case, when they're out for their daily 30-mile jog.
Nolan asks who else House pissed off this week, and we go to an expensive house with gardeners outside mowing the lawn using a push mower. Wow, I haven't seen one of those since my dad had one when I was like 3 years old and we were apparently too poor for an engine lawn mower. House is at the home owner's front door offering him fifty dollars to get his pawned book back. The guy refuses, saying he knows the book is a "rare surgical text" in mint condition and worth thousands. House offers him two thousand dollars, only for the guy to make an assholish comment about how he was smart enough to know a good pawn shop find when he saw it, so he wins at life and House loses. And with that, he closes the door in House's face. Sometime later, House is sitting in his car. Alvie enters with the book that he stole from the rich asshole's house. He's so happy about his success that he does a quick freestyle rap. House interrupts to ask if anyone saw him. Alvie says the rich asshole (who is apparently a professor. One of those professors who makes like millions of dollars, I guess) totally saw him outside, but assumed he was one of the gardeners. House smiles at this, and they drive away.