House is closely examining Cuddy's new old desk when she arrives, annoyed to be called in to do her job. "Need to cut off a guy's head," House greets her, and she turns right back around. He clarifies that he needs to find out if Jeff's pain is coming from his body or his brain. A shot of lidocaine just below the brain stem should do it. Cuddy is furious that House is trying to force her into making a potentially unnecessarily dangerous patient care decision when she has to get her beauty sleep for the DYFS visit tomorrow morning, and accuses House of trying to make her choose between her child and her job. "I'm forcing you to do your job!" House barks. And if Cuddy didn't want House to "'inconvenience" her like this, she shouldn't have made him come to her house in the middle of a diaper change. What did she expect? Frankly, she's just lucky House hasn't come barging in on her DYFS session with file folder of evidence why she's an unfit mother ... yet. Cuddy says that House is experimenting on his patient because he's looking for a solution to his own problem, not because it's in his patient's best interests. The procedure he's proposing could kill Jeff. House says that if they don't do it, Jeff will kill himself anyway, so there's really nothing to lose. Cuddy says House isn't being objective, but then she gets an urgent page (Rachel learned how to dial a phone already?) and has to leave. On her way out the door, she tells House to do whatever he thinks is right. When it comes down to it, Cuddy's decisions are just as selfish as House's.
The next morning, Cuddy is trying to work and prepare for the DYFS visit. Her house is a mess, thanks to her cleaning woman running late. Guess who isn't late? And, in fact, is one hour early: the guy from the DYFS! Cuddy is devastated, but I don't think he's going to care that much about a messy house. Messy house > crack den.
Chase preps Jeff for his procedure. Nice of him to show up this episode. House stops by and takes a few Vicodins for his own pain, and Jeff comments that painkillers used to be enough for his pain, too. Now they aren't, which is probably House's biggest fear for himself. Jeff comments that House must not have a family, and House agrees that he left them back on Krypton. Jeff doesn't laugh, because pain takes away your sense of humor. Instead, he takes over Wilson's job and starts psychoanalyzing House, saying that it's easier for him to handle his pain because he's alone and doesn't have to put up a front for anyone. He also knows that House is having more bad days. House says that's true, which surprises Chase. Not like it really matters what Chase thinks about anything, since he's not really on the show anymore. Jeff says he's House's future when the drugs stop working, and Chase shoots him up to shut him up. House looks up to see Cameron observing from the OR balcony. How is it that Cuddy is so slammed with work that she can't even clean her own house, but Cameron has so much free time? And by the way, Jeff isn't House's future. If the leg pain becomes intolerable even with the painkillers, he can just cut his leg off. I'd also like to say that when I'm in pain, even tolerable pain, I don't have the energy or desire to psychoanalyze complete strangers.