House reports to Cuddy's office wearing his other tie. "Wow," Cuddy says. He asks for his letter of recommendation, but he should have known better. Cuddy isn't writing any letters of recommendation. She clearly hates doing them, as she manages to get out of it every single time. Instead, she hands House a list of requirements for him to stay at PPTH and on the methadone, including weekly drug tests and supervised administering of doses so he can't screw up or overdose. House demands a raise. He doesn't get it. Ain't no one getting raises in this economy, House. He then demands a bigger office, but in the same spot as his existing office. Heh. He doesn't get that either, since it's physically impossible. "We both know this is where you belong," Cuddy says. House agrees, and sincerely thanks Cuddy. And for all that House did to change his appearance to look all employable and stuff, he still didn't brush his hair.
House enters the meeting room. Kumar and Taub are already there, and greatly concerned to see their boss looking so well put-together. House removes the tie as quickly as possible. It would have funny if his stubble had instantly grown back, too, but I guess that would be too cartoony. Taub updates House on their patient's diagnosis, only to be shot down by Hadley, who runs in and says it's not scleroderma after all. Foreman follows her in the room and sees House, greeting him with "you're back. Good." It's not very sincere. House still hasn't caught onto the obvious and asks when Hadley and Foreman came up with this theory. "We ran into each other in the lobby," Hadley says lamely. House tells the Cottages to go over the case again to figure out what they missed. Taub starts listing off all the diagnoses they've already ruled out. When he says "dehydration," House says "oh crap" and asks Kumar if Jackson likes energy drinks. Kumar says he saw a few empty bottles in Jackson's team's locker room. With that, House leaves, but not before noticing that Hadley is wearing the heels Foreman likes. Please don't let this stupid plot stretch into next week. Please.
House reports to Jackson's room and blames his parents for his current problems. Apparently, all Jackson was suffering from when he came to PPTH was dehydration. The kind of dehydration that gives you a stomach ache and makes you pass out. They initially ruled it out when the ER's attempts to treat Jackson for it didn't work, but what they didn't realize was that the strain the energy drinks put on Jackson's kidneys simply delayed their effectiveness. Way to go, Cameron. You weren't even in this episode and you managed to screw up. Then, before Jackson could get better, his parents insisted that House do that MRI. The contrast material they injected him with for it should have been filtered out naturally, but, again, Jackson's kidneys weren't doing so well. Instead, the contrast, as we see in a welcome visit from the Magic Schoolbus Cam, floated around in Jackson's system, affecting any organs it touched. Thus and therefore, the MRI of DOOOM!! has claimed another victim, and in truly spectacular fashion. House blames the parents for being way too overprotective but says Jackson will be fine after a few weeks on dialysis. Mom is too relieved to be angry, or to realize that this is kind of PPTH's fault for not making sure Jackson's kidneys were functioning normally before injecting him with something that could kill him if they weren't. "You gave birth to a freak of nature. Doesn't mean it's a good idea to treat him like one," House says on his way out.