Dingy Room. House tells CTB that the patient is happy.
House is still in the patient's room, taking a hit off the oxygen mask. Foreman comes in and yells at him about House passing off all his cases after Foreman promised the parole board he was needed. House doesn't care, since Foreman was already essentially perjuring himself. So why not make it real perjury, right? Man, what a jerk. Foreman asks why he's destroying himself. House tells Foreman there's no risk, because he knows Foreman will lie for him. Foreman says, "No."
Dingy room. House, CTB and a corpse. House says, "He's happy." CTB says, "He's dead."
CTB tells House he wasn't really worried, because his plan didn't matter. His backup plan didn't matter. The only thing that mattered was the puzzle.
House tells the patient that he's dying because his thumb is shaky. He's got Lou Gehrig's disease! The patient seems to accept that. Then House says he's not symmetrical, and CTB pounces on a continuity error where House teleported to the other side of the room. House says he just skipped some boring stuff (man, I know the feeling!) but CTB thinks he's avoiding something. House returns to his story. He spots that the patient's veins aren't symmetrical, so he drags a machine over to his bed. I believe it's an ultrasound. The new thing is that the patient inhaled a small branch, which a non-junkie would have coughed up. And it caused an autoimmune problem.
Dingy room. CTB catches House smiling. She recommends he let Wilson die, grieve for a bit, then get back to having fun solving puzzles. He thinks it's a waste of time since everybody dies. She tells him to go home. House gets up and picks up his cane. He walks down the hallway to the exit. Unfortunately, the room on the other side of the exit door is on fire.