Chase and Cameron start to administer the olestra to Dibala, who asks if they're sure about the diagnosis. Silly Dibala! Of course they are! What kind of idiot would prove a diagnosis with treatment instead of tests? Cameron is quick to tell Dibala that they aren't sure, while Chase tries to be more diplomatic and explains that this is their "best guess" and the olestra will bind to the dioxin and flush it out of Dibala's system if it's what's wrong with him. Yeah, flush it out with anal leakage. Dibala demands to know where Chase is from, noting a British tinge to his Australian accent. "Most people don't notice it," Chase says. Well, most people are Americans who think all those accents sound the same. Chase says he spent a year in England to attend seminary, which obviously didn't work out. Dibala decides to tell a story about the Catholic priests in his childhood village who were "good people" but couldn't do much when his little sisters were dying from TB.
Apparently, House didn't bother to go to Cuddy for permission to return to PPTH before he just waltzed into the meeting room and started "helping," so now he and Foreman have to have a discussion about it in Cuddy's office. Foreman is pissed because he only fired Hadley because he thought House was gone for good. Really, is that the argument you want to make to your boss? Whining about how you fired your girlfriend? Ugh, Foreman. House says he "need[s] this in [his] life." That is also a bad argument -- this isn't about your life, House. It's about the best thing for PPTH. But I guess personal arguments like this are the best way to approach Cuddy, who is just as unprofessional as everyone else. She says that House said last week that he needed to not be at PPTH. "It's a process. I'm learning," House says. "Screwing me over as you go," Foreman says. Because it's all about you, Foreman. Cuddy says that House can stay on in an unofficial capacity (does that mean unpaid? Because what a great deal this is for Cuddy!), but Foreman is ultimately in charge and House can't do any medical procedures or associate with any patients until he gets his medical license back. House is just fine with this.
Foreman runs to Hadley's apartment. Ew. Wasn't she fired? Then why is she still on the show? Taub won't be appearing in this episode, so why her? When will the writers get over their massive crushes on this woman and give her the same amount of screen time as everyone else who isn't Hugh Laurie?? Anyway, Foreman graciously offers her her job back, saying that now that House is returning, his days as her boss are numbered so they can soon go back to being co-workers and get along like none of this ever happened. Hadley turns both the job offer and an invitation to dinner down flat.
Chase is doing Clinic duty for some reason. His patient is a black man with a vaguely African accent just like Dibala's. That's because he's from the same country. "You must not treat him," he tells Chase, who turns around and tries to leave. But the guy pulls him back with a picture of his wife, who was a trade unionist and a member of that Southern tribe Dibala is accused of trying to kill. The tribe has a name, but it's not a real tribe and it sounds really hard to spell, so I'm not going to try. Let's just go with "Southern tribe," shall we? While the man was at work, members of Dibala's "labor league," which is just a name for a group of young men Dibala's people recruit, supply with drugs and alcohol, and set loose to torture Dibala's opponents. They returned the wife two weeks later, raped and tortured with the word for "cockroach" (which is what they call members of the Southern tribe) carved into her stomach. I'm not sure if she was alive or dead. I guess that doesn't really matter. Chase says that's too bad, but he's just a doctor who can't discuss his patients with anyone. He recommends that the man get a lawyer or talk to the UN about what happened to his wife, because that always works. Lawyers are so effective against tyrannical dictators. The man points out that the UN did nothing when the Tutsis were being murdered in Rwanda, so he doesn't hold out much hope for them helping the two million Southern people now. "[Dibala] can't recover," the man says. Chase looks rattled, but just says "I'm sorry" again and leaves the room.
House returns home to find Wilson eating Chicken Florentine sans garlic, watching the TV at a very low volume, and not wearing shoes. Wilson thinks he can distract House from his suspicions with a reference to True Blood, which they no doubt watch together every Sunday night. It doesn't work: House puts everything together and comes up with a whiny downstairs neighbor, a hypothesis he proves by banging his cane on the floor a few times and hearing the neighbor angrily rap on a pipe in return. Wilson admits that his neighbor, Murphy, isn't a fan of the "extra noise" and "cooking smells" associated with living below House, and Wilson doesn't want to piss him off further because the guy is on the condo board and Wilson is hoping for a renovated back garden. And apparently a renovated back garden is worth the loss of self-respect that comes from kowtowing to an unreasonable jerk. Although I guess that's nothing new for Wilson. He is friends with House, after all. House assures Wilson that he now knows some useful coping skills he can employ while talking to Murphy, but Wilson says Murphy is a decorated war hero who lost an arm in Vietnam and so demands everyone's respect despite being a giant asshole. House agrees to stay out of the man's way. Then he gets a call from Cameron to tell him that Dibala is currently having a heart attack. She talks to House on the cell phone casually while Chase does everything to save Dibala. Foreman is nowhere to be found. They probably didn't even call him about this. I wouldn't, either.
Upon entering the meeting room the next day, House immediately calls out his diagnosis of Lassa fever, figuring that if Foreman was mad at him for holding the diagnosis back last time, this should make him happy. No one is buying that House is concerned about Foreman's happiness. Foreman rejects the diagnosis, saying that Lassa is not present in Dibala's always-unnamed country. House raises his hand like that annoying know-it-all kid in class, and Foreman pointedly ignores him until Cameron just points at House, giving him no choice but to call on him. "Don't people sometimes travel?" House asks with fake innocence. I'll bet the expression on his face as he said this was awesome, too, but I can't see it because everything on either side of the screen has been cut off for a second week in a row. Is this my TV's fault or does Fox assume we all have widescreen sets now or what? Foreman turns his suggestion down, saying that none of the three countries Dibala visited in the past two years had Lassa, either. House points out that one visit was to an African Union conference, which would therefore expose him to someone from a country that did, in fact, have Lassa fever. It's a stretch, but Foreman has no choice but to agree with the diagnosis, although he could at least try to test Dibala for it first before treating him. But he doesn't. House cheerfully says it's great to have the old team back. Chase just raises a coffee mug in agreement, because this is a lot easier than all that surgery he was doing before.
Ntila is getting a little wary of these doctors with their multiple diagnoses that are wrong. But Dibala insists that they know what they're doing, and damn if he doesn't sound wise. I really think that James Earl Jones could tell me to do anything and I would blindly follow, just because he can make it sound like it's for the best. He asks Foreman if he's married or dating the woman standing in the hallway outside with a "complicated expression on her face." Well, that can't be Hadley he's talking about, since she only has two facial expressions and neither of them is complicated. And yet, it is Hadley outside. I guess I don't believe everything James Earl Jones tells me after all.
Foreman leaves Dibala to deal wi