House leaves Kara's room, and tells Foreman that Kara, being of sound mind and body, refused treatment for her cancer. House knows that there's nothing he can say to change her mind, but he tells Foreman, lover of life, to go in there and remind Kara that every day is a wonderful blessing and it's great just to be alive. Foreman doesn't move, and House says he knows that Foreman was faking his whole newly enlightened happy thing because he wanted to believe that his brush with death meant something, which, House says, it didn't. "Why are you doing this to me? I was happy!" Foreman says. House doesn't think so; Foreman was trying to be content, which is different than happy. Foreman starts yelling and arguing with House just like he used to, and House smiles because he knows he won. "I need your self-worth to hang on this job," House says. And if Foreman is happy without it, then he wouldn't be inspired to push himself to excel. House doesn't need anyone on the team like that. I guess that's why he insists on hiring people like Cameron and Chase who have some obvious self-esteem problems that House has trained them to think can only be helped by his approval over their work. Twisted! "I can live with that," Foreman says. "No, you can't. Not anymore," House says.
Neither can Kara, it seems. Brent comes to see her. He doesn't touch her or even try to pretend that they can have a life together after this. He just asks her to tell Michael he's sorry when she dies and gets to see him again. Excuse me while I go kill myself.
House and Wilson are in the elevator. It stops on the first floor and the doors open to reveal Cuddy about to get on. She waits for House and Wilson to make fun of her for wanting a baby, but they don't say anything. So she gets on the elevator and they step off. I usually prefer to let people step off of the elevator before I get on it, but that's just me and my inability to create dramatic tension in life. The doors close behind them, and Wilson asks House whether he told Cuddy about the cancer test he did. House says he did indeed. "And?" Wilson asks. "Wasn't a date," House says; "turns out she has some skin lesions." Wow, after all that privacy-violating House did to poor Cuddy, he didn't do it this one time. Wilson gloomily agrees to go home with House to watch The L Word, his hopes of scoring with Cuddy destroyed.
Foreman studies some flashcards with medical terms on them. Judging by his reaction to it, he's not doing well. He slams the pile on the table and glowers, his sunny disposition gone. Then Cameron walks past, and he picks them up again. This time he does a little better.