Open with a 38-year old man named Joe giving a seminar called "Marriage Rescue." He collapses on stage.
House (Hugh Laurie
) tells the team most of Joe's tests came back normal. He spiked a fever and collapsed. House has some fun at the expense of Joe's theory of getting men to act more like women. The plan is to start with a D-dimer test. House tells the team he's searching for somebody to fill Foreman's "team leader" job.
House's wife Dominika (Karolina Wydra
) shows up at the hospital. She tells him the green card interview with immigration in coming up in four days. House doesn't seem thrilled with the idea of lying to the government. She responds. She will make him an offer he can't refuse.
Joe used to be a corporate coach. He tells them he changed his philosophy after being beat up over a sports argument by three men. He realized he was sacrificing his health for no good reason. The final piece of the puzzle was meeting wife Marlene who helped give him a new direction, including diet.
Wilson (Robert Sean Leonard
) thinks House is a fool if he tries to help Dominika and risk going back to jail. House says she offered him $30,000 to help her.
Joe's test came back normal. House tells them team leader comes with a $50 per week raise. When House learns of Joe's fight, he takes them to his room.
Joe tells House he was kneed in the groin several times during the fight. When Joe doesn't look at Adams' (or Chase's) butt when she bends over, he diagnoses a low level of testosterone.
A blood test confirms House's theory. Marlene seems intrigued when Taub (Peter Jacobson
) says the testosterone will increase Joe's sex drive. Just after Taub gives him the injection, Joe wets his pants.
The incontinence issues means Joe's issue is likely neurological. House is having difficulty recalling any of Dominika's family history. The team leader position is shaping up to be a competition between Park (Charlyne Yi
), Adams (Odette Annable
) and Chase (Jesse Spencer
). They decide to run a few tests for multiple sclerosis.
Chase talks about seniority mattering for the position. Taub thinks what House wants is for them to fight over it.
During his lumbar puncture, Joe says he's worried about how he feels after taking the testosterone. He's concerned if his great life change was just chemical.
Chase wants Foreman (Omar Epps
) to drop the team leader idea. Foreman thinks structure could help.
Dominika begins putting some of her stuff at House's place. She is a big fan of dance aerobics. Park drops by to help House study for the interview.
Chase and Taub talk about masculinity while watching Joe's clean MRI. Joe begins having double vision.
While House takes pictures with Dominika in front of a green screen, Taub suggests Myasthenia gravis. House likes the diagnosis. After the team leaves, Taub meets with House to tell him the search for a No. 2 is a mistake. House makes fun of him.
Joe tells Adams he feels great and immediately makes a comment about Marlene's rear end looking good. He then makes a decision about a business idea he'd been putting off.
Park's tutoring seems to have paid off. Wilson wonders if House might now know too much about Dominika's life to be believable.
Park makes a comment about Chase wanting to be the team leader because he needs the money. They notice what appears to be jaundice in Joe's eyes.
The liver problems put the team back at square one. Park thinks Lyme disease. House goes with it.
Joe has shifted their business in order to give Marlene a salary bump. This was something they had previously agreed was a bad idea. Marlene looks concerned.
An immigration agent named Weinmann pays House and his "wife" a visit.
Chase tells Marlene to "give him time," since he's basically going through puberty. She shows Chase a video from a seminar before she knew him. Joe was pretty much an Alpha Male. She says she never would have dated somebody like that.
Weinmann seems happy with what he hears from House and Dominika, but needs to get a "corroborating statement" from a neighbor. He knocks on a door across the hall. Wilson answers using a British accent. Just before Weinmann can leave, the actual resident of the apartment shows up and busts Wilson. Weinmann glares at House and says "be in my office tomorrow at 10."
House talks to the team from the lobby at the immigration office. The antibiotics aren't working yet. Wilson calls him and suggests he throw Dominika under the bus.
Adams walks in on Joe and Marlene arguing. He wants her to step aside and "let me be the man in this relationship." She leaves. He sounds conflicted. Adams looks down at his food plate and says she wants to do another test.
Weinmann is ready to deport Dominika and tell House's parole officer he engaged in fraud. But Dominika makes an impassioned plea. Even if she can't stay in the country, House shouldn't go back to jail. She says she loves him. Weinmann basically gives them another chance, saying he will have them investigated regularly for six months. House looks stunned. In the hall, she admits it was for show.
Adams performs a test indicating Taub's earlier theory about Celiac was correct. They get a page. Joe is having trouble breathing.
This new system leaves the team without a good answer for their now-dying patient. There is a suggestion of Strongyloides, based on Joe having recently traveled to Puerto Rico. The treatment is dangerous if they're wrong. A subdued House gives the go-ahead.A
House watches one of the old Joe seminar videos over Taub's shoulder. Taub notices his voice seems deeper than it is now. This gives House an idea.
House tells Joe he has silent thyroiditis, which is a symptom of Type III Polyglandular Autoimmune Syndrome. He would have developed Celiac if it wasn't for the gluten-free diet. Once he started eating gluten, things got worse. He should be fine after a steroid treatment but the testosterone is still necessary.
House tells the team since nobody "won," they will now compete for the position with a doctoring competition.
Joe asks Taub about taking a much lower dosage of testosterone in order to save his marriage and career. Taub tells him there are health risks associated with low testosterone. He says he'll chance it.
While watching the rest of the team competing, Taub says "I'll split the extra 50 with you." House says "deal."
House comes home to find Dominika working out. He pauses before saying, "Honey I'm home."