Instant Karma - Recap

A wealthy businessman, Roy Randall, is sitting in his garden at home contemplating his dog. He's called to a meeting at home where he ignores his advisors and tells them to get ahead of pipeline oil sales. He then calls the meeting to a close early and goes upstairs. The doctor tells him that his son Jack isn't responding to treatment and they need to get him to a hospital. Jack says he doesn't want to go but Roy says it's necessary and assures him he won't die.

Roy goes to Princeton and tells Cuddy that he wants House. Cuddy says House isn't available and offers Foreman, but Roy won't take no for an answer. Cuddy goes to House and the team and informs Foreman that House will be handling the case despite the fact he still isn't licensed. She also tells Foreman and Chase to prepare the morbidity report on President Dibala for the upcoming conference. They're reluctant to do so but she overrides them. House orders a new series of tests from scratch.

Cameron begins the initial tests and Roy wonders where House is. She notices an odd mass in his abdomen.

Foreman and Chase discuss the lab test and the fact that Chase stole blood from a corpse. Chase points out that Foreman burned the only report and there's no way that anyone can prove they did anything wrong. Foreman warns that the medical board will scrutinize the case because House's team screwed up. House overhears them and wonders what they're discussing. Cameron reports that Jack is constipated and House and Foreman realize that he has Hirschsprung's, a disease which is restricting his colon function.

House meets with Hadley, who is making travel plans to go to Thailand. He wonders if she's calling off her relationship with Foreman so easily, and she informs him that she isn't coming back. House notes that Foreman would just try to get her back and mess up the team, and he'd rather not be leader. He gets up and starts to walk away, and she tells him she's going to Thailand.

The team administers the treatment and the x-rays show improvement. However, Cameron tests his abdomen again and notes that it's getting larger. Jack has a seizure and Foreman orders treatment while Roy demands to know where House is. Foreman warns that the pressure in Jack's skull is growing and they have to drill burr holes, and needs Roy's consent. As they take Jack to the operating theater, Foreman tells Roy they need to do it now and Roy gives his consent. The intracranial pressure drops just in time and Foreman admits to Chase that he has no idea what happened.

The team goes into differential and Foreman realizes the dural layer in the brain was already separated before the build up. House orders a check for brain cancer and congratulates Foreman on spotting it.

As Hadley takes a taxi to the airport for her trip to Bangkok, she calls to make sure someone watches her dog. The driver takes offense, thinking she's suggesting he's a thief. Hadley discovers that her reservation has been cancelled.

Cameron and Chase tell Roy about the suspected brain cancer and try to assure him that they spotted it earlier and can still treat. Chase goes to work on the report with Foreman and tells Cameron that he can handle it on her own.

Hadley goes to see House and accuses him of canceling the reservation to get her back. House insists that he doesn't want her back because Foreman is doing better now that he's not with Hadley. When he claims not to remember where she was going, he points out it was stupid of her to tell him the truth.

Foreman warns Chase that when Cameron ran the test on Dibala's blood, the lab did a full test and the cholesterol levels of the dead woman didn't match Dibala's by 20%.

Cameron wakes up in the morning to discover that Chase never came home.

Chase doesn't believe that the doctors at the morbidity conference will worry about the cholesterol levels. Foreman refuses to lie again. Cameron comes in and gives them the biopsy result on Jack: it's not cancer. Back in differential, House suggests it's cancer but somewhere other than the brain. He notes that Chase isn't paying much attention. Foreman tells Chase and Cameron to perform more tests. House wonders why Foreman sabotaged Hadley's travel plans. Foreman denies doing it and says he's ready to move on, and House admits that he believes him.

Cameron wants to know what's wrong and why Chase is denying it. He finally explains that Foreman is worried about the tests that lead to Dibala's death. Chase tells her not to tell Foreman, who is concerned about how it threatens his leadership of the team. They then give the news to Roy, who blames himself. He explains that he inherited a successful pipeline business and Jack is sick because of karmic payback. Jack has another seizure and they confirm it isn't due to intracranial pressure.

Back in differential, Chase suggests it may be an infection that's resistant to treatment. Cameron suggests a recent manifestation of abdominal epilepsy and it's the best they have. As they begin treatment, Chase tells Foreman to tell them he ordered drug treatment to account for the cholesterol levels. Foreman points out that will just cause more problems and he plans to tell them the truth. However, he then goes to Cuddy and says he isn't going to testify because he's busy with Jack's case. Cuddy refuses to let him get out of the conference presentation.

Cuddy goes to House and asks who hacked into Hadley's e-mail account and cancelled her reservation. House denies it again and Cuddy seems to accept his answer. She wonders if House really wants Foreman in charge, and House admits that he doesn't want the power because it leads to his psych problems. He insists that Foreman wasn't the one who cancelled Hadley's ticket. Cameron then pages House to show him spots that have broken out on Jack's chest. Back in differential, Foreman tells Cameron to run the tests with him instead of Chase, and she wonders what is going on. Foreman lets her think that he wants Chase to overprep for the presentation, Cameron tells him to just be honest in the future. House realizes that it's DeGos Disease, which struck much later. House goes to see Ray and explains that it's untreatable. Roy insists that he's wrong but House warns that Jack only has a day at the most.

Chase goes to see Cuddy and tells her that Foreman can't present the case. He starts to explain that he faked the test but Cuddy is called away. She tells Chase to come clean if he screwed something up and says it can't be that bad.

Cuddy is called to Roy's room, where his lawyers try to stop Roy from making a major business deal that will cost him billions. House explains that Roy wants to get rid of his money to balance out his karma and cure Jack. The lawyers warn that if the hospital doesn't stop Roy from going through with the deal, they'll sue the hospital. Roy refuses but House notes that people get what they get and there's nothing anyone can do about it. Roy goes through with the deal and Jack flatlines.

Hadley comes to see Wilson and thanks him for breaking the law. She reveals that Cuddy traced all the people who logged into her account and discovered that Wilson is the one who cancelled the reservation. He finally admits he did it so she could stay and keep House grounded, and tells her not to throw away her job because of a bad breakup. She says goodbye and leaves. Wilson goes to see House and admits he lied and confessed. Wilson thinks House did it and wonders why. He suggests that House wants Hadley around but won't admit it. As House admits he cancelled the reservation, he comments that he was born with a heart three sizes too small and then gets an idea. He tells Foreman that Jack has obstructed blood vessels brought on by primary antiphospholipid syndrome and orders heparin to see if he responds. As Foreman goes to prepare the treatment, House points out that Hadley went to everyone except Foreman to see who screwed her up, but Foreman thinks that proves she is over him.

Chase checks on Foreman's report and notes there is a new file on top that confirms one of Dibala's former doctors proscribed a drug to boost his cholesterol levels. When Foreman says he didn't put the new file there, they realize who did.

House wakes up and reads an article about Roy bankrupting himself. He goes to see Jack and Roy. Roy's son is recovering and Roy insists that what he did worked.

House goes to his office to find Chase waiting for him. Chase asks how he found it and House figures that Dibala was taking something for his cholesterol. When Chase asks what he plans to do, House says he's more comfortable with murder than misdiagnosis and doesn’t plan to do anything. Chase notes that no matter what, House is still in charge.

Foreman gives his presentation to the morbidity board while Cuddy and Chase watch.

Cameron wakes up, alone, and wonders.

Hadley gets on the plane to Thailand.

Roy and Jack are together, happy despite the fact Roy has no money.

House sits in his office and considers what Chase said.

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