We open on some terrible CGI of some kind of post-apocalyptic-looking building with shark tanks and pterodactyls. Soon enough, we discover that this is a virtual reality videogame, which means the CGI is not terrible after all. I thought for a second that we were supposed to think that this was all real, which wouldn't have been such a huge suspension of disbelief after last week's episode. A lizard-thing, a monkey-thing, and a cat-thing enter the room and come up with a plan to take out their enemies, which seem to mostly consist of the pterodactyls. Sadly, both the monkey and the lizard are eaten alive by the pterodactyls and their game's ended when the cat-thing disappears from the game. The players re-enter the real world and talk about improving the blood graphics while looking for their boss, Vince, who was playing the cat-thing. They're initially annoyed at him for abandoning them like Leroy Jenkins, but it turns out that he had good reason too: his hands feel like they're on fire.

Okay, these opening credits have gone on long enough. It's been two years! I don't want Olivia Wilde on the show either but she's earned a right to be more than an "also starring."

And, of course, Hadley's the first person we see as she tells ER patient Vince that all of their tests on possible hand-fire conditions have come back negative, so, as she so impressively puts it, "I dunno" what's wrong with him. He'll be transferred to a neurologist. Not so fast, says Vince, who apparently studies the local medical hotshots when he isn't creating his virtual reality games; "don't you have some famous diagnostics guy? What's he doing?"

Why, he's quitting his position as famous diagnostics guy, as it happens. For some reason, Foreman is in Cuddy's office with Cuddy and House and is the first to respond with "you can't quit." "I think you're confusing me with Jake Gyllenhaal," House says. I see the months-long stay at Mayfield had no effect on his ability to make gay jokes, although now they're pretty dated ones. "Are you okay?" Cuddy asks, because that's pretty much what her and House's relationship has become: him doing something unexpected and her asking if he's feeling okay while looking either annoyed or concerned depending on the situation. House says that he and his therapist think he needs to change his environment and his habits in order for his progress to continue. More bad advice from Dr. Nolan -- wouldn't the added stress of having to find a new environment and new habits and a new job (in this economy!) actually hurt House more than help him? On the other hand, it might be even more stressful to go back to a job and workplace where you had your little psychotic break and everyone knows about it. Although they've probably forgotten about all of that by now. The writers have. House wants to go into the research field. Cuddy asks House if he's really sure about this. He is: "I know this will affect both of you. And Thirteen. And the one with the nose. But I just can't risk coming back here." But he can make fun of Taub's Jewish nose, so I guess this newfound concern for others has its limits. Cuddy nods and accepts House's resignation as if she has a choice. Meanwhile, how is PPTH still open? Surely all the patients died when House wasn't around all summer to save them from the shoddy medical skills of Cameron, head of the entire ER; Chase, the only surgeon; Wilson, the worst cancer doctor ever; Foreman, who once had a patient die from a bra infection and is unemployable anywhere else; and Hadley, who got a job despite being responsible for a patient's death during the interview process. I guess Taub saved a lot of lives over the last three months.