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 health declines, House presents his father with a tough choice: either opt for a hemispherectomy, which would allow Patrick to lead a relatively typical life but at the cost of his piano playing, or stick with the current treatment plan, ensuring that Patrick will never experience a normal life.