Foreman reports to Adam's room to get the fecal smear, since Adam is apparently constipated like that Clinic woman was and won't go on his own. Adam's busy playing his videogame again, but Foreman manages to ask if he should wait for him to finish without being all sarcastic and asshole-y. He does, however, point out that Adam might not be sick at all and the parents may have just overreacted. They almost believe Foreman, until Adam starts doing his choking thing again. This time he spits out some nasty white stuff, too.
House has moved his traveling tantrum show into Wilson's office. He writes down Adam's newest symptom -- pleural effusion -- while Cameron the Clueless asks House what they're doing in Wilson's office. While Foreman, Chase, and House discuss their patient, Cameron keeps butting in to ask him about his problems with the new office carpeting. House won't answer her, and starts raking Wilson's dorky mini-Zen rock garden while he orders the Cottages to give Adam an echocardiogram. Then Wilson walks in the room and makes the perfect look of surprise, and yet not surprise. While he wonders aloud what everyone's doing in his office, House orders the Cottages off and ignores him.
The Cottages depart, with Cameron giving Wilson a strange nod that is probably their secret tattletale code on her way out. Wilson says that while he and House share "stories, feelings, and toys," they do not share offices. I want to know which "toys" those two share. And what straight man talks about his feelings with another straight man? While House admires the various silly trinkets Wilson has on his desk, gifts from grateful patients, I admire that Touch of Evil poster on the wall. I want one. Maybe not with Orson Welles's face so big on it, although it may not be possible to get Orson Welles in any size except big. House asks Wilson about some cheap little doctor teddy bear figurine, and Wilson says that it was a joke he and one of his child cancer patients shared with each other. She's dead now, though. So House throws the gift in the trash. Asshole!
Foreman tries to do an echocardiogram in Autisto-vision. It's not going well. When Foreman finally does complete his task, it's even worse. "Is his heart okay?" Dad asks. "No," Foreman gravely whispers, like he even cares.
So now Adam has a conduction abnormality in his heart. It doesn't explain the pleural effusion, so they're looking for something that would cause that and the heart problem. They rule out infection, while Cameron rules out House and Cuddy's fight being a power play. OH, MY GOD CAMERON! PAY ATTENTION! How does she still have job? I get yelled at when I ask my boss if we can get a fish tank to make the office look prettier, and she gets away with this? What the hell? Anyway, Cameron has pieced the clues together and figured that since they are now working in an empty office space, House can't be doing this just to piss off Cuddy, but must have a sincere issue with his new carpet. Then a parade of serious, suit-clad businesspeople enter the room and crap on her parade. This empty room is actually the site of a meeting Cuddy had booked for right now. Ha ha! Anyway, House won't leave the room until he's good and ready. And once he's assigned the Cottages to do more tests on Adam, he is. The Cottages take off, and Cuddy asks to speak with House outside.