PS and Foreman do the CT scan. PS says he's toast, but Foreman doesn't agree; saying PS is a test result away from being House's frontrunner. All House cares about, ultimately, are good ideas. Then why did he fire Weird Beard? His ideas were awesome! Sigh. PS starts talking about how he sees a regular kid when he looks at Kenny because, as a plastic surgeon, he sees what could be rather than what is. Foreman says that kind of talk will get PS fired, no matter how many good ideas he has.
House decides to go do some investigating. He goes to PS's former plastic surgery center, where a doctor Nip/Tucks, "Tell me what you don't like about yourself." It soon becomes quite clear that House made the consultation under false pretenses and doesn't want work done; he just wants to know why PS doesn't work there anymore. "Personal issues," the doctor answers. He won't say any more.
So House goes back to the office, grabs the CT scan from PS, and heads for Cuddy, who is less than thrilled to be back on camera. House shoves the scan in front of Cuddy's face so she can decide the results, since House is sure to read them his way and PS is sure to read them his. If CT scans can be interpreted so loosely, why do them at all? While Cuddy goes off to check the scan out, House starts asking PS about his personal life and former job. Apparently, House met PS's wife, who told him PS left his practice because he lost a patient. He also brought her a huge diamond guilt ring. PS's former co-workers, meanwhile, said PS left for personal reasons. PS panics and tries to drag House away from the camera and into a room where a patient is having a pelvic done. Someone at PPTH who actually has respect for his patient's privacy screams at the camera crew to leave. They do, but PS and House stay, much to the patient's chagrin. She is ignored, and PS admits to House that he cheated on his wife with a nurse. When his partners found out, he had to resign. He told his wife he lost a patient because he didn't want her to find out, obviously. "We all have our vices," PS says, pointedly providing pill-popping as an example.
The two head outside, where Cuddy says she doesn't see any evidence of intracranial pressure. So now PS has been proven wrong, and House knows his deepest, darkest secrets. This is a bad day for PS. Cuddy orders PS to stay away from Kenny's family and House to stay away from PS's family.
House finally comes face to face with Kenny. "Wow. You are ugly!" House greets him. "Wow. You're an ass," Kenny spits back. House tells Kenny he's lucky he's not one of those animals whose parents eat defective children at birth. After this stunning, trust-earning opener, House tells Kenny's dad that he and Cuddy agree that Kenny has JRA and needs steroids. Shockingly, Kenny's dad doesn't trust House. House says he only trusts PS, because PS thinks the surgery is important. House doesn't think the surgery is important; saving Kenny's life is. Kenny says he doesn't have a life without the surgery. No one treats him normally, not even his dad. "If you take your steroids, then you get to live and you can do your surgery. But it will only change your face. It won't change who your face made you," House says. I think that's a compliment?
That night, House and Wilson head for the room where the camera crew is keeping their equipment. House ably unlocks the door thanks to the set of keys he got from "Lou the Janitor." "What?" Wilson asks. "That's his name," House says. Hooray! The Weird Night Janitor Who Wears His Pants Backwards finally has a real name! Surely a cameo is soon to come.