President Dibala is in the U.S. to talk to the UN on behalf of his African country. He takes an unscheduled trip with his aide, Joseph Ntila, to see his son at the university. A black van cuts them off and a man gets out and tries to give Dibala a subpoena for a civil lawsuit. As he leaves, Dibala starts vomiting blood.
Cuddy asks Chase and Cameron to temporarily join Foreman's diagnostic team now that Taub has left and Foreman fired Hadley. They're only needed until Foreman can hire a new team. Cameron objects, noting that their new patient, Dibala, is a ruthless dictator who engages in ethnic cleansing of the Sitibi people in his country. Cuddy points out that Dibala is a guest of the U.S. government and they have no choice but to try and cure him.
As they go to the conference room, Chase wonders why Foreman broke up with Hadley, and Foreman admits that it looks bad but he didn't have any other choice. They discover House waiting for them in the conference room. He informs them that he won't have his license for another thirty days and until then Foreman is in charge. Dibala has claimed that his illness is the result of someone trying to poison him with radioactive pellets but there are no signs of radiation. Foreman quickly diagnoses that Dibala's suffering from malaria brought on by an insect bite on his hand. House points that he's rushing through the differential because he doesn't like having House there. House suggests that it might indeed be dioxin poisoning and Foreman okays initial treatment for the dioxin.
Chase and Cameron treat Dibala, who determines from Chase's accent that he grew up in England at a Catholic school. Dibala comments that he likes priests, but none of them were able to do anything for his sister when she died of consumption.
Foreman and House go to see Cuddy, and Foreman complains that he only fired Thirteen because he thought House was gone for good and he was taking over. House apologizes and admits that he needs to practice diagnostic medicine to help fight the pain in his leg. He even agrees to try and clear things with Hadley. Cuddy agrees to let House sit in unofficially but warns that he can't proscribe treatment or have patient contact. Foreman goes to Hadley's apartment and tells her that they can get back together once House takes over and Foreman is demoted. Hadley isn't impressed and figures that he was just looking for an excuse to break up with her. He invites her to dinner to talk about it but she refuses.
Chase meets with a follow-up patient, Ruwe, who soon admits that Dibala had his Youth Labor League kill his wife and leave her body in his yard. They carved the word "cockroach" on her stomach, a common insult directed at the Sitibi people. Ruwe says that the UN will do nothing and that Dibala is preparing to wipe out the Sitibi once and for all. He asks Chase to assure that Dibala recovers but the doctor refuses.
House goes back to Wilson's apartment where he's staying and realizes two things are amiss: Wilson isn't eating garlic and he's not wearing shoes. House pounds on the floor and someone pounds back. Wilson explains that his neighbor, Murphy, complained about noises from House's cane and the cooking odors. Murphy is on the condo board and Wilson wants to get permission to expand his garden, so he wants to stay on Murphy's good side. Wilson warns that Murphy is a Vietnam vet with a missing right arm, but is a complete jerk. Cameron calls to tell House that Dibala is having a heart attack.
At the hospital, House argues that Dibala has Lassa fever. Foreman disagrees, noting that Dibala couldn’t have been exposed. House responds by noting that Dibala was recently at an Egyptian trade conference and met with Liberian trade union delegates who suffered a recent outbreak. Foreman reluctantly gives in and orders ribavirin treatment. As he gives Dibala the treatment, Dibala realizes that Foreman is dating and that his girlfriend is standing outside. Foreman goes out to talk to Hadley, who tells him that Harvard has offered her an interview. When she points out she never sent a resume to Harvard, Foreman admits that he called in a favor from a friend. Hadley agrees to have dinner with him.
House returns to the apartment and runs into Murphy in the hallway. Murphy complains that House is banging around with his cane, making it impossible for him to sleep. He gets in House's face despite House's best efforts to be polite.
Dibala summons Cameron to his room and introduces her to Ama, a Sitibi woman from his country who had Lassa fever. His advisers believe that her blood could provide a vaccine to cure him. They have Ama's signed consent but Cameron realizes that Dibala is threatening her family to gain her consent and refuses to help. She takes Ama to Cuddy but Cuddy warns that they have no choice and Ama insists that she's voluntarily helping.
Outside in the hallway, Chase sees Ruwe, disguised as an orderly, going to Dibala's room. Chase shouts a warning and hears gunshots. He runs into Dibala's room and finds the government agent, Bass, struggling with Joseph who is beating Ruwe. Ruwe missed with all of his shots. However, when Chase checks Dibala, he discovers that one of his eyes is bleeding internally. As Chase tends to Ruwe's injuries and Ruwe explains that his wife is fine. The woman dumped in his yard wasn't a relative, but Ruwe warns that Dibala plans to do the same thing to all the Sitibi people.
That night, Chase goes home and Cameron admits she was worried about him endangering his life. She suggests that the next time, he not yell a warning.
The next day, the team realizes that the new symptom indicates an enlarged lymph node, which eliminates Lassa fever. House decides not to speak but mimes his diagnosis of an infection to Chase, who translates for the others. Foreman disagrees and stands by his diagnosis of lymphoma. As they leave, House notes that it's too bright and suggests Foreman close the blinds. Foreman discovers that House predicted his diagnosis by writing it on the blinds before the meeting started.
Murphy complains to Wilson, who complains to House that he's provoking the man by acting like a jerk. House insists he's innocent, but then tells Wilson he should blackmail Murphy to get his garden extension by threatening to tell people he isn't a Vietnam vet. He points out that Murphy is too old to have been in Vietnam. Wilson figures House is up to something and tells him to learn how to be nice to someone who isn't nice, and write Murphy an apology.
Chase tests Dibala for lymphoma and asks if he's going to go ahead with his plans for genocide. Dibala argues that he's trying to prevent genocide because the Sitibi took over the southern part of his country. The dictator blames the American papers for misrepresenting his position, and his son hasn't spoken to him for years because of what they say about him. When Chase asks about Ruwe's claim that the Youth Labor League killed the woman, Dibala admits that the people under him have abused their authority and he will make sure it doesn't happen again.
House takes his apology letter to Murphy's apartment. Murphy is out and the housekeeper is taking the garbage out. House slips in a puddle of water and spills the bucket into the apartment and onto the letter. He takes the letter in and puts it on the desk, and notices a Canadian flag on Murphy's wall.
Chase asks Cameron how she's doing and says she shouldn't joke about letting a patient die. Cameron insists that she wasn't joking and she insists that letting him die is justified. However, she determines that the test is negative and Dibala doesn't have lymphoma.
House sits outside Murphy's apartment and confronts the man when he comes home. He tells Murphy to drop the act because there were no Canadian soldiers in the Vietnam War. Murphy angrily explains that he was part of a force that Canada sent to reinforce the 1973 accords and he lost his arm pulling a boy to safety. For the last 36 years he's been plagued by phantom pains in his missing arm. A sheepish House slinks away.
Chase and Cameron tell Dibala that he doesn't have lymphoma. He asks the same questions over and they realize that he's suffering brain damage that is causing deterioration of his cognitive functions.
Foreman and Hadley have dinner and they discuss his job. She suggests that he had a third option: he could have quit. When Foreman questions whether they should keep discussing the mater, Hadley insists that she wants to understand him. Foreman stands by his decision and Hadley walks away.
Joseph asks Cameron if she thinks that Dibala has any chance of recovering. She tells him that Dibala's neurons have already deteriorated and won't heal. She warns Joseph that anything Dibala says could be the result of delirium and that he's no longer competent to command. Chase notifies them that Dibala's condition is getting worse as his fever spikes.
Back in differential, House examines Dibala's admission photo and argues that the tight skin means he has sclerodoma. Foreman sticks with his diagnosis of a blastomycosis infection. Chase sides with Foreman and Cameron tentatively backs House. She admits that she doesn't really care. House tells her to take a stand and Cameron goes with the infection diagnosis. When House threatens to go to Cuddy, Foreman tells him it won't do any good and they'll treat Dibala with anti-fungals to treat the infection.
Cameron prepares to inject the anti-fungals and Dibala grabs her hand. He accuses her of preparing to inject an air bubble into his IV and tells her that he knows she tried to undermine him with Joseph to set him up for a coup. He dares her to kill him when he knows what she's doing, insisting it's not so easy to kill when she's the one who has to pull the trigger. Cameron injects the anti-fungal into his IV and nothing happens. She storms off and Chase tells Dibala not to touch her again. Dibala says that he showed Cameron that she was too weak to do what she believes in, just like most other people. Dibala insists that he's one of the few people strong enough to make the tough decisions and kill who needs to be killed. When Chase asks what he's going to do with the Sitibi, Dibala admits that he'll do whatever it takes to protect his country.
Wilson tells House that he's negotiated with Murphy. The Vietnam vet won't press charges as long as Wilson kicks house out of the apartment. When House considers doing something further, Wilson tells him to let it go and insists that House has changed enough to realize that he has to stay out of it.
With time running out for Dibala, Cameron tests him for sclerodoma to confirm House's diagnosis. The test proves positive but Foreman insists that it merely points to sclerodoma, but doesn't confirm it. Foreman insists that they'll wait for the anti-fungals to kick in. Cameron questions whether Foreman is refusing to give in because he realizes he made a mistake in firing Hadley. She warns him that if he is too stubborn here, Dibala will die. Foreman reconsiders and orders steroid treatment for sclerodoma.
When Murphy returns home, House drugs him and ties him up. When Murphy wakes up, House apologizes for having a setback in his psychiatric treatment and shoves Murphy's stump into a cardboard box. He then takes Murphy's left hand and arm and pushes it into the box next to the stump. House takes off the lid and reveals a mirror which reflects Murphy's left arm, making it appear that he has a right arm. House tells him to clench both hands. Murphy concentrates and House tells him to let go. Murphy breaks into tears and thanks House because for the first time in 36 years, his phantom limb no longer bothers him.
Dibala's lungs fill with blood and Chase and Cameron try to revive him. Chase inserts a probe into his lung and discovers that there are dozens of ruptures in the dictator's lungs. They're unable to save Dibala.
House goes to see Foreman, who is plagued with doubts. House points out that Foreman doesn't know if Dibala died because Foreman stuck to his opinion too long, or changed his mind at the last moment. House tells him that he needs to know, and to remember what House originally hired him for: because he could break into homes. He notes that Dibala's body is locked up in the morgue and his government will be taking it away the next day.
Later, Foreman goes to Chase and explains that he couldn't get into the morgue. However, he did get the morgue sign-in sheet and discovered that Chase signed in before Cameron performed the sclerodoma test. One elderly woman in the morgue had died of sclerodoma and Foreman accuses Chase of taking a sample from her body to contaminate Dibala's test and undermine Foreman's diagnosis so they would switch the dictator to the wrong treatment. Chase admits that he did tamper with the test, and explains that Cameron had nothing to do with it. When Foreman questions him, insisting he murdered a patient, Chase says that he couldn't just stand there and let Dibala recover so he'd kill millions. Chase stands by his decision and warns that if Foreman goes public with his knowledge, Dibala will become a martyr and Chase's efforts will have been for nothing. He tells Foreman to at least let him know if he calls the police so Chase can warn Cameron first. Foreman warns that Chase can't kill a man and avoid the consequences, and Chase admits that he plans to live with the consequences.
House goes back to Wilson's apartment. A suspicious Wilson notes that Murphy called and sounded surprisingly happy. He dropped the charges, approved the garden expansion, and agreed to let House stay. Wilson asks House what he did and House simply says that he was nice. Wilson looks at him and wonders what he did, and House asks him if he really wants to know. Wilson drops the matter and says he'll give his friend the benefit of his doubt.
Dibala's son goes to get his father's body and cries.
Chase goes home, looks at Cameron sleeping peacefully, and goes to bed.
In his office, Foreman burns the morgue sign-in sheet. Share this article with your friends