The dream was symbolic. He was in a war (against his pain) but thanks to the drugs he was happy and smiling. The music was playing, they were rolling down the road, but then the music stopped (his bladder shut off) and it all went to hell. His leg was pulled into it via the missing leg that got tied off. When he woke up, his position closely mirrored that of him in his dream. His leg even appeared to be amputated.
– IG
Thank you. I am so glad I am not the only one.
Of course, it was never really the rubber ducky I was trying to get a glimpse of when Bertie was in the bath 
I liked the overall episode very much, but this Cameron/Chase subplot is annoying. They have no chemistry at all (funny considering they are engaged). And, totally irresponsible. I don’t care if they bop like bunnies on their own time but let’s not put patients in danger. m’kay? (I know that the test was supposed to be a whole lot of nothing, but let’s face it at that hospital reading an eye chart can turn out to be nearly fatal). They are very lucky Foreman kept his mouth shut.
Ok then…in the second dream sequence: House walks into the room where Chase and Foreman are sleeping and turns on the TV. The newscaster is talking about an accident at Exit 91 of the Garden State Parkway.
The reveal comes, House wakes up, walks into the room where Chase and Foreman are sleeping and turns on the TV. The newscaster is talking about an accident at Exit 91 of the Garden State Parkway (this time slightly reworded to note that the accident is inconviencing Brick residents).
So how in the hell did House know there was going to be at accident at Exit 91 on the GSP?
(I generally don’t notice things in that great a detail – but spending my first 30-odd years living minutes from Exit 91 made that stick out to me. 
Isn’t it a safe bet then, that if you had an a dream about local ‘work’ or getting there, that there just might be an accident on 91 in your dream? (I’m making an assumption that there are lots of accidents at that exit IRL, just like there are at 110 here in lexington) - so more coincidence that his brain pulls things out.
If he had radio/tv on in the background, that detail could’ve been inserted by that as well.
He also mentioned something about knowing how Riley’s condition had progressed… I think the writers were trying to show how his brain makes connections and sees conclusions several steps ahead, almost precognitively.
I still say he’s just making a move to foreshadow his appearance on Heroes next season!
– IG
Anyone see the sky turn purple in Princeton lately?
Or better yet - maybe the Lost island is off the shores of…New Jersey!