Douglas Spain

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.

Jane orchestrates his own undercover operation using Van Pelt as bait as the team investigates the murder of a young waitress in the Napa Valley.

Gibbs and the team are called in when a couple of kids stumble upon the body of a missing Marine in a frozen lake. As the team searches the frozen lakebed for clues, they come across three more bullet-ridden bodies.

Upon discovering a cultural symbol drawn in the ground on a planet that was used by his ancestors to "heal the land", Chakotay tries to contact the beings his tribe called the "Sky Spirits."

The family tries to determine what is best for Olivia when her brother tries to gain custody.