Foreman goes to Wilson to try and convince him to do the lung biopsy on Adam instead of him. Wilson walks right into that one and says that they should do a lymph node biopsy instead. We cut to him trying to do a lymph node biopsy on a screaming autistic child, while Foreman probably sits in the gift shop and rubs his hands with autistic-child-avoiding glee. House enters the room and asks if someone can shut the kid up, and everyone reacts to his inappropriateness with your typical "who is this asshole?" glares. House takes a seat and introduces himself to both the parents and Adam, who gets to watch him breathe in the soothing fun gasses of the sedation mask before getting the chance to do it himself. "Out of Vicodin?" Wilson snorts, as if this was an appropriate thing to discuss in front of a patient and his parents. Adam observes House using the mask in Autisto-vision, and calms down and breathes in the mask and conks off. His parents are in awe of House, the Autistic Whisperer. House assures them that he was just employing the old principle of "monkey see, monkey do" in this instance, and their kid has not made any special breakthroughs. A groggy House stumbles around the operating room and breaks stuff.
House is still apparently feeling the effects of the gas later on, while Cameron and Wilson prepare slides of the lymph biopsy. "You have pretty hair," House tells Cameron. Meanwhile, Wilson lectures House on not being sensitive to his patient's parents. Cameron, meanwhile, tries to conceal her glee at House's drugged-up compliment while also thinking about all the hidden meanings a fight over carpeting could have. One thing she most assuredly is not thinking about is the case. House says that the parents should get a dog if they want something that will be happy to see them all the time and react to positive reinforcement and give love back. Cameron doesn't think that it's weird for parents to want their kid to be normal, and House gives her a little social lecture about how middle-class white people like her want everyone else to behave like them. Those who don't are institutionalized, "or worse, pitied." The way House sees it, Adam gets a free pass from acting the way society tells us to with being polite and having conversations with people and not screaming in public. Why are his parents trying to change that? "I don't pity this kid," House says. "I envy him." Yeah, I'll bet autism is so much better than having to say please and thank you. What a great life is in store for autistic people! And they always seem to be having so much fun, too. Wilson says he can't find any cancer in the slides; but more importantly, he isn't finding any lymph cells on the slides, either. There are liver cells where Adam's lymph node is supposed to be. House wonders what Adam's got where his liver should be. I'm going to guess two undescended testes. If it's another liver, then that just gives House one more thing to be jealous of: if House had two livers, he'd be able to do even more Vicodin without having to worry about liver damage!