Not like Valerie is conscious enough to care right now, though -- she's being wheeled to the OR to take care of a sudden liver problem that has caused her to vomit blood. Foreman says this rules out cancer (good thing they gave her radiation therapy that she didn't need. OOPS!), but now they can only hope her liver lasts long enough to figure out what's really wrong. Foreman needs Ugly Husband's permission to bypass the blood flow to Valerie's liver to stop the bleeding. But that operation comes with its own set of risks, namely that if the blood flow to the liver is bypassed, the liver won't be able to do its job and filter out toxins. If the liver isn't bypassed, the bleeding will "probably" kill Valerie before those toxins will. Ugly Husband frets and doesn't want to make any important decisions, as those were always left to his psycho wife. He begs Foreman to tell him if Valerie was cheating on him or not before he decides. Foreman's silence on the matter tells him everything. Ugly Husband leaves the decision-making up to Foreman with a "do whatever you think is right." Well, at least he didn't tell Chase to do that. Then his wife would surely be dead.
After the operation, Valerie has one or two days to live, according to Chase in the meeting room. Also, her husband is planning on staying with her while she's sick but leaving her when she's better due to her cheating ways. Diagnoses are shot around and shot down until Taub comes up with primary hepatic fibrosis, which House says is their "best guess." Yes, well, so was lymphoma and we all saw how that worked out, didn't we? Meanwhile, Valerie will need a new liver. But the Evil Transplant Committee won't even put her on the list without a confirmed diagnosis and Hadley has decided that no one in her immediate family will give part of his. Just because you figured out she was a psychopath doesn't mean Valerie's family has, Hadley. "Man, one false accusation from a psychopath and you turn out to be a real bummer," House says. He decides to go to one known reliable source of live donation livers: Wilson.