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House has beaten the drug charges and is back at the hospital after a short stint in rehab. Cuddy comes to collect on House's debt for perjuring herself on the stand and keeping him out of jail. She forces House to pay off the debt in clinic hours, requiring him to carry out a series of less-than-desirable patient exams in the clinic. Tired of House's incessant whining about his disdain for the patients, Cuddy turns his clinic duty into a game, with the stakes raised to a level that speaks to House: money. At the clinic, House encounters patient Eve, who has tested positive for an STD and admits she's very recently been raped. Knowing he can't do anything more for Eve medically, House refers her to a psychiatrist, but she refuses to talk to the doctor and will only be treated by House. He repeatedly tries to dismiss himself from her case, but finds himself forced to unravel a very different puzzle than the sort he's used to and is compelled to come to terms with events in his own life in order to help Eve make sense of her own. Meanwhile, at the clinic Cameron encounters a homeless man with terminal cancer who, in spite of her pleas to let her ease his suffering, admits to her his basis for refusing pain medication during his final hours.
Dr. Cuddy: You are going back to the clinic. Or jail.
Dr. House: You perjured yourself to keep me out of jail. How're you...?
Dr. Cuddy: I only did that because I thought you were getting clean.
Dr. House: So it's do clinic duty or go to jail.
Dr. Cuddy: Yes.
Dr. House: Then it'll be finish your paperwork or go to jail. Help with fundraising or go to jail. Do your job or go to jail. I think I'd rather go to jail.