Stacy says that Wilson was right because he's always been House's good side. House parries with a lame pun about being photographed poorly. She says that House has never developed a conscience. And that he'll be better off without Wilson. She stands and offers him her hand. He stands up. The camera swoops around and we move from the fiery building to a pleasant house where, um, House and Stacy live together with a baby. House says this could never happen because Stacy is married and Cuddy is gone. He says it's just a fantasy and lies back down. Stacy tells him to get up because he doesn't have to die in here.
Back to the inferno, House wonders if Hell is just an endless succession of people trying to convince him to live. Dr. Cameron (you remember her) shows up and asks who said she was trying to convince him to live.
House is surprised that Cameron hates him. She says she loves him. But she still wants him to die as a reward for all that suffering. Weird. She thinks he deserves a chance to give up. House says, "Like Wilson did." Cameron says he accepted Wilson's decision to die.
Foreman and Wilson get to a vacant lot that the patient gave as his address. Then they smell smoke. They see a burning building and run toward it because obviously House is going to be inside. Just look around for the worst possible place, and that's clearly where House is.
House and Cameron are lying on the floor. She tells him to go to sleep. He says he had a chance to avoid this. She says he had many chances and blew them all up. Then she starts telling him how he's arrogant and self-destructive. House goes back to the chunk of conversation he skipped over with the patient. It starts with House telling the patient he'll be dead very soon. The patient offers to take the fall for House's prank. He wants to thank House for trying to save him. Just fake the records and show him coming into the clinic the previous week and he'll say he got treated like crap and flushed the tickets. House thanks him and walks around him. He says the patient is doing this because he's dying. He's a better person dying that he ever was living, which means that House did the world a favor by not saving him. But then House tells him he's not symmetrical. Cameron cuts in and accuses House of taking the coward's way out by lying there and letting the fire kill him. And he's too cowardly to admit that he's taking the coward's way out.