Hadley tries to steer the conversation back to the patient and her mystery pregnancy while Foreman sympathetically asks Wilson if there's anything they can do. Wilson would appreciate it if they told their boss to respect his decision, as if that would change House's mind at all. House says Wilson's decision doesn't deserve respect. Hadley says the patient is having hallucinations and her heart is still acting all funky. House leaves the office, saying the patient is pregnant on his way out.
House introduces himself to Lou by waking her up with a rapping on her bedside table and then pulling up her gown for another ultrasound. Lou is understandably confused at this turn of events. "Hey, who are you?" she asks. "This is Dr. House. He's too brilliant for introductions," Hadley says as she enters. He is, though. As for Taub, Kumar, and Foreman, apparently they decided to stay behind in Wilson's office for some awkward conversation instead of watching their genius boss at work. By the way, said genius boss just called Lou's vagina a "pleasure portal." Gross. But just when you thought he was being a jerk, he takes a moment to compliment Lou's youthful looking skin, which gives her face the appearance of a woman ten years younger than her age of thirty-seven. And he's found the baby. It wound up missing both the uterus and the fallopian tubes and implanted itself in her intestines, causing all of her symptoms and the rectal bleed. "Yank the fetus. If she survives the surgery, she'll be fine," House says with great sensitivity.
House isn't done yet, though, as Hadley follows him into the hallway to demand that they give Lou the option to keep her baby, even though that's pretty much impossible. Not completely impossible, though: I saw this special on Discovery Health where a woman managed to give birth to a health baby boy that was implanted in her abdomen. Not only that, but I think the kid was also part of a set of triplets, the rest of whom managed to stay in the uterus and resist the urge to go out exploring. That's pretty rare, though, and House has no interest in seeing if it'll happen this time around. He's already decided that Lou doesn't want to keep her baby. Hadley says they don't know that, and it is possible to transplant a fetus. House says killing the fetus attached to patient's intestines is going to be dangerous enough. Implanting it is just crazy talk. But Hadley persists, so House chalks her sudden pro-life leanings up to her Huntington's diagnosis and says he wouldn't have insisted she get tested if he knew it would color all of her medical decisions. Hadley says death sentences tend to have an impact on a person. "People DIE. You, Amber -- everyone. Don't act like you just figured that out," House says; "I gave you a diagnosis. You don't like it, there are exits on every floor." Hadley, just punch him in the face and quit. Life's too short for this. Especially your life.