House lies on his floor and loses himself in a world of music, listening to some of Giles's greatest hits on vinyl, the way they were meant to be heard. Foreman enters and informs House that Giles just signed a DNR. House says that most people who think they have a terminal degenerative disease would do the same, but that if he were the lead on this case, he'd be giving Giles some intravenous immunoglobulin therapy, which would cure Giles if he had multifocal motor neuropathy. Foreman says thattGiles doesn't want any treatment. House says that a DNR doesn't mean you can't treat a patient while he's still alive. But if Foreman's planning on doing nothing, he might as well hang on to that DNR, because the signature on it will be worth a lot of money soon. You know, because Giles will be dead.
Foreman walks out of House's office and immediately calls someone to order the immunoglobulin. Aw, he loves House just as much as the other Cottages do!
Clinic time! A patient's "little guy" is having problems standing up lately, and it would like some Viagra. House finds it annoying that his patient insists on referring to his penis in the third person, and says that Viagra is not the best idea for someone who is cheating on the diabetes he doesn't want anyone to know he has. House says that the guy's hands and feet show signs of diabetes-caused nerve damage, while his pants show signs of multiple powdered donut ingestion. House has to cut the insults short, though, as he gets a page for a Code Blue in Giles's room. He gives the patient a prescription for the Viagra, saying it won't kill him any more than the heart disease he gets for ignoring his diabetes will, so he might as well go out having fun. Did House just give that guy a death sentence on a prescription pad? Well, all I could find out in a brief online search is that for men with untreated diabetes, Viagra "may not be the best match for your other health needs," so I don't know. But as we'll soon see, House isn't the most respectful guy in the world when it comes to medical ethics.
Over in Giles's room, Giles gasps for air while the Cottages tend to him. Machines beep all over the place. Chase says that the only way to save Giles is to "intubate him -- stat!" I think the "stat" went without saying, but it doesn't really matter since Giles's DNR prevents them from doing it at all.