While eating his lunch, Adam gags as if choking, grabs at his chest, and screams loudly.
While House and his team are doing the differential diagnosis for Adam, he notices that the blood-stained carpet in his office has been replaced.
It takes time because Adam must first finish a video game, which his father insists that the team does not want to interrupt.
Foreman consults Wilson, who recommends taking a biopsy of the lymph node under Adam's arm to look for cancer.
Another differential in Wilson's office suggests that Adam may have suffered liver damage, leading to its cells flowing into the lymphatic system.
House orders anti-parasitic medication and laser eye therapy to clear up the problems.
He comments on their lack of genuine joy, inventing an arbitrary happiness scale and giving them a relatively low score.
While House is treating Adam, the seventeen-year-old daughter of a clinic patient in the last episode has developed a crush on him.
Cuddy tells House that Ali (Leighton Meester) is stalking him and that she will call security.
Having recently experienced an earthquake in Fresno, he deceptively explains to her that she likely inhaled a fungal spore – Coccidioides immitis in her brain, which was released during the earthquake, lying about the disease's symptoms to explain away her obsession; milky tears and loss of inhibition are not symptoms of this particular infection.