Taub lectures House about how he's being an ass to Wilson. House shouts at him about how life is pain and how he's thought about suicide a lot. Lots of people hear him. House leaves and Taub looks sad.
Park is waiting for House when he comes out of the elevator. She tells him they had to delay the surgery because Derek drank ammonia from the janitor's cart. He didn't want to live without his brother's voice. House limps off angrily. He enters the patient's room and loops something around Derek's neck. Derek fights for life while Park and his mother try to fight House off. House shouts about how this proves that Derek wants to live, but he keeps strangling. Park whops House over the head with his cane, which stops him. She says that he's spent his life looking for the truth. And this time, the truth sucks.
Wilson and Foreman. Wilson tells Foreman that he'll be leaving "quite a bit earlier than we had talked about." In the next day or two, in fact. Foreman gently asks if it's something to do with him and House. Wilson says he can't be responsible for House's happiness. Foreman says he is, though. He's kept one best friend for twenty years amid three wives. Foreman: "Enduring pain to do some good for someone you care about. Isn't that what life is?" Man, are you kidding me with this? At this point, I think Wilson should kill himself just to show House he won't be pushed around.
House holds a bag of ice to his neck, alone in his apartment. He takes out some Vicodin and looks at it. We see Wilson alone at home. House plays the piano. Wilson gets some wine and sees a bag of Oreos in his cabinet. Derek's mother watches him sleep/ Derek wakes up and asks if she took his picture of Christopher. She did. Did she throw it out? Nope. Will she bring it back if he agrees to the surgery? She takes his hand. Surgery. Something is removed from Derek's ear. House continues to play piano. Wilson knocks on his door.
"I'm ready to start the next round of chemo?" "Why?" "Because you need me. And I don't think that's a bad thing anymore." "No. You're the only one I listen to." And when he stopped, he almost killed his patient. House says Wilson is smarter than him. He's not okay that there are only five months left, but it's better than nothing. House says he won't tell Wilson he loves him, which Wilson is pleased about. "You got any Oreos?"