House returns to his room and tells Alvie that he is now his only friend. "And I hate you," he says. He decides it's time to start cooperating. Or at least, to pretend to. Alvie laughs because he thinks it's awesome to be House's friend. Yeah. Look forward to the love of your life dying in a tragic bus-and-flu-medicine accident on top of a thousand other House-created tragedies.
Music montage of cooperation! House participates in group. He gets to Level 1 and is allowed cigarettes. House plays basketball without making Paranoia take his clothes off and goes to Level 2. He gets a keycard that allows him on the grounds beyond the yard. It's very cold outside even though I think it's supposed to kind of be summer right now? House gets to Level 3. Meanwhile, looking at all the other names on the board, I'd really like to know how someone who's been there since last November is only on Level 2 when Hal, who arrived just 12 days before House, is already on Level 5. And some guy who's been there since October is only a Level 3! And House beat the crap out of his roommate! They must really be horrible. House plays a card game against his fellow patients for cigarettes, and the large girl with the glasses and almost no lines makes herself handy by allowing House to see the reflection of his card in her glasses. Way to take advantage of people who are not able to make entirely logical connections in their minds, House. Very impressive. Shouldn't you be hallucinating or something? Anyway, the nurse calls him to the window for his meds, which he happily pretends to take.
Sometime later, he follows the sound of a piano to Lydia, playing in the corner. He says he's been humming to Catatonic Gabby and noticed her swaying, although we haven't seen him doing any of that, so who knows if it's true. Probably not. But Lydia appears to be charmed by it, although she claims that she's still a little miffed at him for telling her that playing for Gabby is a waste of time. She also says that he said that "weeks" ago, so there's a bit of timeline info for us. Lydia says that before Gabby went catatonic, she played cello in the Philadelphia Philharmonic. House wonders if Gabby will respond if Lydia plays the cello for her. Lydia considers it, and says she just might bring a cello in and try it next time. Since Lydia will clearly take advice from anyone, here's my advice for her: don't take advice from a mental patient. He's there for a reason.
Next thing you know, House is chatting with Dr. Medina, because apparently Beasley finally decided to take a vacation and stop hanging around her patients 24/7. Medina says he's just "checking in" with House to see how his medication is working and if there have been any side effects. House can confidently and honestly say no. Medina says that's unusual, as is the fact that House and Alvie's stories about what went down during their fight aren't adding up. It's about time someone followed up on that. Now can someone please follow up on the hallucinations that brought House to Mayfield in the first place? House doesn't have to be a genius doctor to realize that Medina doesn't trust him, not about the fight with Alvie or taking his meds. "Are you?" Medina asks. "Yes," House says, being sure to look Medina right in the eye because he's seen enough episodes of Lie To Me* (*He sees the truth. It's written all over our faces). He says he's willing to take a urine test to prove it. Whoops! Medina calls his bluff. Is there really a urine test that can detect the presence of anti-depressants? And would House's insurance really cover it if there was? I guess if they're covering a long mental hospital stay for someone with no symptoms of mental illness, they'll cover anything.