It was finale-esque. It seemed safe. It's not really the finale that you'll hear about in a history of great finales (M*A*S*H, St. Elsewhere, Newhart, etc). It's funny though, because I think those early hallucination/bus episodes with House and Amber would have made much a good finale.
At the end though, when House exclaimed, "I am dead", for an instant I thought that meant that Wilson was dead/near death and hallucinating about House.
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