So House goes before the transplant committee and tells them that Carly needs a heart transplant immediately. Nothing gets by Cuddy, who asks why House put Carly on the list before doing the tests that proved her eligibility for it. "I had a hunch," he says. "You don't have hunches. You know," Cuddy says. As Vogler enters the room -- because being the chairman of the board suddenly allows you to go anywhere you want in this hospital -- House says he figured it would be better to put Carly on the list if there was a chance she needed it, and that he would have taken her off if the tests showed that she didn't. This way, they won't waste any time. Cuddy asks if there are an "exclusion criteria" they should know about. House goes through a list of everything Carly doesn't have to avoid saying what she does. Cuddy asks about psychiatric conditions, and House says Carly is a "little blue," although that might be because she's dying. "If you subvert or mislead this committee, you will be subject to disciplinary action," Cuddy says, meaning that House can't avoid the question anymore. He'll either have to tell the truth and kill Carly, or lie and risk losing his license. He lies, and he couldn't be more obvious about it, looking at Wilson and Vogler before finally giving his answer.
It's raining in New Jersey. Wilson enters House's office, and House says it's "beautiful organ-donor weather," which is probably true. Those brain-killing car and motorcycle accidents happen much more frequently when the ground is slippery and wet. Wear your seatbelts and helmets, kids, or else your heart will be given to a woman CEO who will probably barf it out a few weeks later. Wilson asks House if he lied to the transplant committee, and House says he didn't, and adds that if Wilson thinks House did, Wilson should have voted against giving Carly a heart. Wilson says that House is his friend. House says that friendship isn't more valuable than ethical responsibilities are. "Our friendship IS an ethical responsibility!" Wilson says. That, and so much more. House gets a page: Carly is getting a new heart.