With his team still in a state of flux following his stint in prison, House uses the case to probe the nature of honesty.
Bob is admitted after experiencing sudden chest pains and a collapse. As the team investigates, he begins to suffer from a range of seemingly unrelated symptoms, including skin rashes and respiratory failure. The ConfessionHouse M.D. : Season 8 Episode 5
The team eventually discovers that Bob has Kawasaki disease , a condition usually found in children that causes inflammation in the walls of some blood vessels in the body. In Bob's case, it had been dormant or misdiagnosed for years. The physical stress of his guilt and the subsequent psychosomatic symptoms complicated the clinical picture. House and the Team Dynamics With his team still in a state of
True to his mantra "Everybody Lies," House is convinced Bob’s saintly persona is a facade. He spends much of the episode trying to break Bob’s spirit, eventually succeeding in getting the confession that gives the episode its name. The Wilson Subplot The team eventually discovers that Bob has Kawasaki
The episode argues that secrets can manifest as physical ailments. Bob's recovery only truly begins once he unburdens his conscience.