He goes straight to the hospital, where he wakes up Alice and busts her for saying she was in a skiing accident when in fact he just realized that it was a car crash that resulted in the screws in her leg. He adds that the shoulder strap cut into her neck and damaged her thyroid gland. "You don't have lupus. What you have is curable." She doesn't seem overjoyed, just telling him to go away. Even she knows it's never lupus. He adds that he read her book. "Sucks, by the way." She doesn't believe him until he starts dropping plot points, then he loses her as she grabs the printout from him, so she probably doesn't hear him say she has hypothyroidism. "With medication you'll feel twenty years younger. Or whatever age you were the last time you didn't want to kill yourself." He tells her to finish the story the way Jack Cannon deserves. At the mention of his name, she starts getting upset all over again, but no seizure this time -- she just freezes and collapses to the bed. Acting those other two seizures must have really taken it out of her. "What did you do to me?" she demands from her immobile position flat on her back "I can't move. I can't move anything!" Well, at least she's learned enough about House to know that bad things that happen to her are his fault, even if her premises aren't as solid as her conclusion.
While House and the Cottages loiter outside Alice's room the next day, House wonders how he could be both right and wrong. "I deduced car accident because the thyroid fit the symptoms, but damaged thyroid wouldn't explain the paralysis." Wouldn't it explain it if the thyroid exploded and the shrapnel hit her spinal cord? I'm telling you, I could totally do this job. Taub suggests a "post-traumatic syringomyelia," which I guess I could buy, if I had to, this late in the episode. In Taub's theory, it's slowly been growing in the 15 years since the car crash, pressing against her spinal column. Resulting in the symptoms we've been seeing, up to paralysis and death, although the death hasn't happened yet. But the good news is that if they take it out, she'll get better. Chase suggests finding the location using her old medical records from the time of the accident, and House tells them, "do it." They whine about how they haven't slept for four days, and House sarcastically says, "Aw, that's sad. You know what's even sadder? Thirteen was the only man on my team." Unabashed, Foreman suggests House hire someone to replace her, then, and House says go ahead. "Cuddy wants it to be a girl." Foreman stars talking, but House informs him, "I was talking to Chase. I was just looking at you to screw with you." Sure, leave it to Chase to find women. That...makes sense, I guess.