At work, Cameron says she has a "genetic timebomb" for the team to take on. House thinks the father, grandfather, and great-grandfather's deaths are just a coincidence and doesn't see any reason to treat Donny. But Cameron is determined to help Donny so that he'll stop living his life as if he's about to die and settle down and start a family, which he was always afraid to do before because he didn't want to die on his kid like his father died on him. This apparently works on Foreman, who says they'll take the case. House doesn't respect Foreman's authority, bringing up how Chase called him the "de-facto boss" last week. Foreman says that as long as House's "de-facto medical license" doesn't actually count for anything, he is still in charge. He orders Chase and Cameron to start testing Donny's heart for everything. On their way into Donny's ICU room, Chase has a flashback to Dibala's death, which also occurred in the ICU (and probably in that same bed, since PPTH's ICU only has one room) and can't go any further. He slips his watch into his pocket and tells Cameron and Foreman that he left it in the locker room and has to run back to get it.

Cuddy enters House's office (even though it's really Foreman's office, House has made himself quite at home behind the desk) to find out what his plans are. House makes a Nazi joke, and Cuddy clarifies that she meant his employment plans. He likes the status quo, but Cuddy doesn't feel like paying a doctor's salary to a guy who doesn't have a medical license. He has to re-qualify for the license, and that means doing 120 hours of medical rounds. House wants her to just sign off that he did them, but she refuses which is perfectly valid since she'd get in a lot of trouble if the state board found out that she was lying to them. But I'm sure House won't understand that and will make this a lot harder than it has to be.