House spends some time outside the hospital with Lucas discussing Wilson's new girlfriend. House says Wilson wanting to save Debbie from prostitution makes sense. He likes to save the women in his life: his first wife had a wooden leg, while his second was Canadian. I wonder if that's true about the wooden leg. Did Wilson marry a pirate? Why haven't we met her? She sounds awesome. Lucas says there's not much he can do here, since the embarrassing fact about Wilson's girlfriend is already out in the open so there's nothing to blackmail her into dumping Wilson with. House tells Lucas to find something, and then Taub strolls up. He calls Lucas Mannix because Taub is old, and therefore references old TV shows. Lucas can only wish he was Mannix, by the way. Mannix was hardcore, and survived being shot like every episode. Lucas is afraid that the hooker might have an overprotective sister who will beat him up. Taub hands House the lung biopsy results.
Hadley is slowly cleaning out her locker when House walks in. Oh, no. No no no. Do NOT give her her job back! Do not! First he offers up his assessment of Hadley's recent behavior. He thinks she's going after hot women because men and ugly women are way too easy. She's reaching for the stars for the challenge and to feel like she has control. And controlling hot women is apparently the substitute she can get for controlling her Huntington's. I think House is projecting here a little bit. He's the one who's such a control freak that he can't stand not to know where his best friend was for an hour one day. House says he's graciously giving her the opportunity to have even more control over Spencer and "play God" by telling her she has ten years to live. She has LAM, which sounds like a cute, innocent baby sheep but is actually a degenerative lung condition. Hadley accepts the challenge for the sole reason that if she delivers the bad news, House won't. And, as Hadley says, no one should have to get that news from an asshole like House. And she's kind of right there, although I think when we've seen House deliver bad news like that he usually reigns himself in.
Hadley is rocking a leather jacket when she stops by Spencer's room. I want that jacket. Do I have to take Ecstasy to get it? If so ... it might be worth it. It is a very cool jacket. Hadley tells Spencer that her biopsy showed the presence of smooth muscle cells, which is the telltale sign for LAM. They can remove the cysts surgically, but they'll come back and keep coming back, until they've replaced all of Spencer's lung tissue and she's dead. "I'm gonna die," Spencer says, clearly in shock. "Yes," Hadley gasps; "I'm so sorry." And she almost sells me on it, too.