The episode's cold opening is set in a school auditorium, where a dedicated mother, Kayla McGinley is watching her daughters, Dory and Niki, perform in a recital.
When Kayla returns for the test, Chase, who was just on the phone, is distracted and fails to ask further questions when she complains of further stomach pains.
Kayla is then brought in again later, and the team finds two bleeding ulcers, one of which has already perforated, resulting in sepsis and major damage to her organs.
During a routine checkup two months later, Chase discover Kayla is running a slight temperature, which should not happen with the medication she's on.
After discovering Kayla will not be able to obtain a legitimate transplant, Sam went to the black market and found a doctor in Mexico willing to perform the operation.
As Chase decides to tell the truth during the hearing, Stacy admits she still has feelings for House, hinting at the possibility of them getting back together again.
The panel decides to penalize both Chase and House; Chase receiving one week of suspension and a letter in his permanent file for lying to both his superiors and Sam, while House is cited for his "troubling" conduct (including allegations of blackmail along with refusing to meet with patients) that results in him having his practice supervised by another doctor for at least one month (as chosen by Cuddy).
Furious about the supervision, House attempts to fire Chase, but is stopped by Foreman who has been appointed to be his supervisor.