Della is hooked up and sort of breathing again, but she's in worse condition than ever. Her parents will have to make their decision now. Meanwhile, Cuddy tells House that HR can't find House another supervisor, as everyone they asked would rather quit PPTH than deal with House. As well they should. Although, isn't Wilson a department head? Why not him? Or that neurosurgeon guy from last week? He seemed cool. House says they'll just have to find a way to work and sleep together. Cuddy says she thinks House should tell Della's parents about Hugo and the lung after all. House is happy for that, as he admits that he did that several hours ago. He says the dad came to his office and begged, so House felt like he had to do it. Cuddy pouts, then says she should be more angry at House than she currently is. And then, the parents walk up and tell House they made their decision not to let Hugo do the transplant. Um, did they even ask Hugo about this, by the way? You'd think he'd want to be consulted. And then he and Della can have a race to see who can kill himself first in order to save the other.
Cuddy steps forward with reassuring words for the parents, but not House, who expresses his displeasure with their decision by accusing them of sucking on a crack pipe. "Our daughter doesn't want it," Flo says. House says their daughter is a "mindless teenybopper," so her opinions don't matter. Unless they are House's opinions, in which I'm sure he would say they were very important. Cuddy spins around and tells House to stop antagonizing the parents and their "impossible choice." House begs to differ, saying they have just a "crappy choice" and they just chose the crappier option, trading decades of Della's life for four or five more years of Hugo's, in which he won't be able to move anyway. Cuddy argues that Hugo is a human being, not part of a mathematical equation. House says they have to make decisions like this all the time in their job, although not so much Cuddy since she's more of a paper-pusher than a doctor. Cuddy starts in with him now, calling him a bully, and then everyone turns around and notices Hugo sitting there. Oops!