Mendelson summons House: "House. We want you." It's a meeting of goons. Because House is getting out soon, his tax goes up. He needs to hand over "all of them." Whatever they are, he should be on six; instead he's on four and hands over two. Mendelson wants more than House will actually receive, since he's counting the previous day's allotment. And if House goes for Protective Custody, Mendelsohn threatens him with friends on the outside. "Unlike you, I have friends on the outside." Couldn't House get out and then use some of his stored prescription pads to hook Mendelson up?
House finds a pal named "Porter," who's played, believe it or not, by Jaleel "Urkel" White and says he needs sixteen Vicodins. Porter is okay with that for two hundred bucks. But House has no friends on the outside, so Porter decides to demand House's tuna, stereo, and whatever else he's got. It is a deal!
Lupus Boy shouts in pain downstairs. He bumped into the wall, and now even the lightest touch is painful. House pokes him and declares that it is not, in fact, lupus. "Is that good?" "Does it feel good?" It doesn't appear to.
House wakes up. He's in bed a lot in this episode. He checks under his pillow and finds a four-by-five pill holder with only one pill in it. He doesn't take it. He looks haunted. Sad House! "Sick?" asks his cellmate. No, he's just trying to get by on one Vicodin a day. No, his roommate's cricket is sick. "Fix him." Yes! Throw out all that other stuff. I demand that this show immediately become Gregory House, Insect Doctor. Let's do this!
House tells Adams that it's not lupus because "he broke his arm." Or, she suggests, he's got lupus and also got in a fight. House protests that it was a mere jostle. Admitting to fighting means going to the hole, but, according to House, "He has no reason to lie to me." Adams looks interested. House proposes a viral syndrome. Adams won't let him see the medical file.
See, this is an interesting change to the dynamics of this show. Normally, House bullies everyone and can get away with it because he's both a genius and the boss. But here, he doesn't have any of the power. He has to convince people to do things instead of just ordering them.
Okay, anyway, the patient has not been taking any medications. But he smokes (House noticed his yellow fingers) and thus might have lung cancer. Adams tells him that the X-Ray machine they have to share won't be here until Friday (another great change to the dynamics, since now House can't just test for whatever he feels like), and House says to start him on blood thinners. The doc thinks that proof and tests are a nice thing to include when throwing around treatments, so House goes off to "the proof store." He could just let Adams wait until Friday, but then House wouldn't be around to tell her how right he was.