Faced with the choice of taking Chase’s advice to use antidepressants to deal with her OCD or ignoring him, thus preserving her perfect memory and remaining in exile, Nadia argues that her obsessive memory makes her special: it is who she is. How many times has House been in that position over the course of the series, whether confronted by his own subconscious (“No Reason,” season two) or actual choices (“Painless,” season five) he needs to make: whether to sacrifice what he believes makes him special? Going all the way back to season two and Wilson’s accusation that House let Stacy (the love of his life) leave in order to remain miserable and a better diagnostician, House had most often “chosen” to keep his uniqueness at the peril of losing perhaps a last chance to be happy. “Merry Little Christmas” in season three reminds us that even if he cannot be “normal,” it’s not something he would choose if he had the chance really to alter his life.
Now, by season seven, House has changed his life. Forced at the end of season five to give up on opioid drugs to control his chronic pain, and under the care of a psychiatrist, House found himself by the end of season six in a position to love again (and be loved). And, although it’s never been directly addressed, House is still a super-diagnostician—still the cracked genius he’s always been.
So here he is at an opposite pole to his patient, who is faced with House’s perenniel dilemma. And in the end, Nadia makes the choice that sacrificing a bit of what makes you unique may be worth the risk if it can lead to less misery.
The corollary question is whether House’s risk has paid off? Is House happy? I agree with Cuddy, who says in “You Must Remember This,” that part of House doesn’t really believe that he deserves happiness—and that happiness is fleeting at best, and always conditional. But he’s as secure with Cuddy as he’s been since we first met him nearly seven years ago. So, although he can be distracted (he’s always been distractable—since season one) by his relationship, he doesn’t seem to have given up much (if any) of his diagnostic super powers.
But the season is still young (we’re just halfway through), so who knows what challenges and obstacles will lie in House’s path. And we know they’re coming. And I have to wonder if there's a certain amount of foreshadowing in Nadia's choice.