Sure enough, Foreman, Taub, and Chase have Lane on the operating table and his chest cracked open while House and Martha watch from the OR balcony. While Foreman injects Lane's heart with something I'm guessing is supposed to increase his blood pressure, House assumes that Martha told on him to Cuddy. Martha says she did because she was worried that House's judgment was "compromised." Taub gets impatient, saying that Lane's heart looks fine and House's idea isn't going to work. Foreman shuts him down, pointing out a small leak in Lane's aorta. While the Cottages work to stem the trickle of blood, Martha admits that she was wrong to doubt House. House is still waiting for the action to begin.
And here we go! Lane's aorta tears open and blood sprays everywhere, all over the Cottages, who, for some reason, aren't wearing protective eyewear EVEN THOUGH THEY KNEW THIS WOULD HAPPEN. Now they're having trouble seeing to clamp and stitch the tear shut and save Lane's life at all, let alone within the 60 second time limit before he bleeds to death. Taub and then Foreman seem ready to give up, but Chase is determined to at least try to save their patient's life. After several tense seconds, he's able to sew the hole shut and restore the blood flow to Lane's heart. "It worked!" Foreman exclaims. Everyone is feeling pretty awesome about this except for House, who realizes that not even that will give him the rush he needs.
Lane wakes up to find that he's still alive and Martha stayed at his bedside to keep him company. "I guess it worked!" he says. Martha says it did, but Lane will have to take care to keep his heart rate down for a while until, presumably, the aortic wall can fully heal. She advises him not to have sex for a while, then asks if he'd like to hang out with her sometime. Even though he lives in Oklahoma and, I'm assuming, is going back there as soon as he's out of the hospital. Lane seems taken aback by the question. "Uh... " he says. It's not a rejection, especially since the guy just woke up from major open-heart surgery and may or may not still have that Bartonella infection that caused all of this in first place, but Martha quickly decides to rescind the offer, saying it's inappropriate since she is his doctor (in training). "Goodluckwitheverything," she says, and takes off. She pauses at the door and starts to say something else, but then it automatically slides shut between them, so she gives up and walks away. Well, I guess that could have gone worse. He could have laughed at her so hard that his heart rate went up and he died. Although after being so cruelly rejected, Martha might not mind seeing his heart rip open in a literal display of what he figuratively just did to hers.
House returns to the hotel. He orders a drink at the bar, a "double Scotch doubled." As the bartender pours four measures into a glass, House can't help but overhear a loud party going on nearby. The bartender says the partiers' team must have won a game, and he wishes he was young enough to enjoy life like they are. Why are they celebrating in a hotel bar, by the way? Surely New Jersey has other places to party where the drinks are much cheaper. House watches them for a while, drinking and smiling and having fun in slow motion. All he can do in slow motion is drink.
Sad music plays. House's hotel room is a mess of arrows, bottles, and a hurdy-gurdy. I'm guessing you won't find cash in there anymore, as there is no hooker to keep House company. The Vicodin, of course, is there. And so, House notices, is the balcony.
Wilson asks the bartender if he saw a guy with a scruffy beard who probably ordered a lot of alcohol and drank it quickly. The bartender points him outside.
House approaches the balcony. But we saw this in the previews last week, so I've basically been waiting all episode for whatever's going to happen next. House looks down and then climbs on the railing somehow despite the fact that he's supposed to have a bad leg.
Wilson makes his way outside through the giant party, which has subsided somewhat as the revelers notice a man standing on his balcony, eleven stories up. That gets Wilson's attention. As he watches in horror, House smiles before, much to my surprise, stepping off the balcony and into the air. Well, now, how are they going to get out of this one? I really didn't think House would jump. It would be kind of amazing if he just died and they kept the show going without him. I'd miss him, but that would be a daring move. Wilson screams. So does House: "CAAAANNNOOONNNBALLLL!" It was all drawn out like that because of the slow motion. House lands in the giant pool that up until just now, we had no idea was just under his balcony. Underwater, House is still alive and maybe feels like it for the first time all episode. And his hair transplant is holding up well in the water, too!
House surfaces in regular speed and is joined in the pool by several of the partiers, none of whom seem to mind that it's March. "What the hell are you doing?" Wilson asks. "What do you do when you win?!" House asks. "PARTY!" say the kids. "What do you do when you lose?!" he asks. "PARTY HARDER!" they tell their new hero. One of them hands him a beer. Wilson turns and leaves. Clearly, House doesn't want or need whatever he's offering right now.