Patrick's condition worsens, and House presents a difficult option to Patrick's father: either perform a hemispherectomy, allowing Patrick to live normally but not play the piano, or to continue as he is and never live a normal life.
As Patrick's situation worsens, House presents his father with a challenging choice: either undergo a hemispherectomy, which would allow Patrick to lead a normal life but preclude him from playing the piano, or maintain the current course of treatment, resulting in Patrick never experiencing a typical life.