Cameron has been chosen to hook Alfredo up with the deadly poison. Alfredo's mother and brother watch.
Cuddy no-nonsense-walks into her office, but she's being followed, since her one-time assistant is apparently on a coffee break. Alfredo's brother, Manny, introduces himself and then volunteers to work for Cuddy in Alfredo's absence. Cuddy turns him down, saying that Alfredo wants Manny to finish school before he mows lawns. Wow, she and Alfredo have had some deep conversations there. Much more so than her "you're trying to get out of work to watch soccer" attitude at the beginning of the episode suggested. "Like you care," Manny says, which throws Cuddy off-guard. Manny is pretty disgusted that Cuddy hasn't been in to see Alfredo at all since he fell off her roof. Cuddy doesn't have an answer to that. "Bitch," Manny mutters as he leaves. That just proves that he's too young to work. Anyone can call someone a bitch under his breath as he's walking away from the bitch-in-question. It takes a real man to do it to her face. A real asshole man, but a real man all the same.