The final 10 fellowship candidates compete ferociously when House splits them into two teams by gender. They are assigned to diagnose and treat a wheelchair-bound man with muscular atrophy who is slowly suffocating. As the two teams are trying to one-up each other, complications arise when one team treats the patient but doesn't follow through to make sure their treatment was executed. While the students are busy with their assignment, House experiments on himself to see what happens in the moments when people hover between life and death. Meanwhile, Foreman runs his own team of fellows in his new job at another hospital, and resorts to using a very "House-like" treatment to help a patient.