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Cuddy decides to spend more time at home to take care of her newly adopted baby and passes some of her day-to-day responsibilities off to Cameron, including supervising House. Cameron is forced to play House's games and becomes involved in a power struggle as he and the team take on the case of a Special Education teacher who collapsed after spitting up blood in the middle of class. As House tests Cameron's tolerance for his extreme measures, the patient continues to fall ill and House insists the teacher's seemingly inherent goodness is actually a pathology. Meanwhile, Foreman must make a critical decision regarding Thirteen's participation in the Huntington's drug trial.