Chase sticks a scope down Jack's throat while Cameron explains to Roy that they're still looking for cancer. "It's my fault," Roy says. Cameron tries to explain that there's nothing Roy could have possibly done or not done to cause this cancer, but Roy thinks it goes higher than that. He inherited millions of dollars at the age of twenty-four and turned that into billions since. All of his financial deals work out extremely well, but things are the opposite when it comes to his family. His wife apparently died long ago, and now his son is sick, too. "It's karma," Roy says. His business life is so great that his family life has to suck to balance it out. "That's obviously not true," Cameron says, not knowing what else to say. How self-absorbed do you have to be to think that someone else's cancer is your fault for being so awesome? Jack starts seizing, except this time they can't blame intracranial pressure. "Then what the hell is it?" Chase asks. Roy knows. It's the universe working against him because he's just that special.
After the break, Jack's seizures have stopped, but now he's in a coma and the biopsies were negative for stomach cancer. And yet, his brain and stomach linings are still taking on fluid. Some non-cancer theories are bounced around that don't work until Cameron suggests abdominal epilepsy. Maybe Jack's seizures aren't a new symptom -- he was having them all along but no one knew it because they presented as stomach pain until they eventually spread to his motor cortex. The only thing that doesn't explain are Jack's fevers, but Cameron says those could be from malnutrition, since people with excruciating stomach pain don't like to eat. Foreman looks to House for the final say. "It's the best we got," he shrugs. Cameron goes off to treat Jack while Chase and Foreman run off together in the other direction, something that does not escape the notice of House.
Chase tells Foreman he has a solution to the Dibala problem: he gave Dibala some cholesterol-lowering statins and simply forgot to write them in the chart. Foreman points out that this would be proven wrong easily by a trip to the pharmacy, where they'll find no records of Chase ordering any statins. Chase says he can say that he saw some hanging around on a cart and took them. That's believable in the sense that PPTH is a joke of a hospital that tends to leave drugs unlocked and unattended, but Foreman points out that there's no reason why Chase would steal drugs that he could easily order from the pharmacy. Foreman says Chase's story will bring up more questions than it answers. "I'll handle it," he says. Chase asks how. "By telling the truth," Foreman says.