We then spend way too much time watching Alfie's hand get removed. Ew. Chase is in the OR -- not wearing any gloves at all because PPTH doesn't give a flying fig about sterile environments -- and notices something on Alfie's other hand.
Up in the operating theater balcony, Stacy stops by to ask Cuddy if she's "okay." Stacy, you might want to go check out all the malpractice going on just below you instead of talking about feelings, eh? But no, Cuddy says she has wanted to be a doctor since she was twelve years old. Stacy says she wanted to be a lawyer since she was six, and this isn't about you, Stacy, so zip it. Cuddy gives us a rundown of her fabulous career, graduating medical school at age twenty-five second in her class and angry that she wasn't first, second-youngest and first female chief of medicine at thirty-two. "If I had been Alfredo's doctor," she starts, and Stacy angrily snaps that Cuddy is Alfredo's doctor, and Cuddy hilariously turns away from her, looking scared at the ourburst. She says that so far, she prescribed two medicines that only made Alfredo worse and didn't even see the pneumonia possibility or look at her own home as an environmental cause (which actually would have meant that one of those dangerous medicines would not have been prescribed and Alfredo would therefore be healthier right now, but anyway). She would have let him die to save his hand. House was right: Cuddy isn't a "real doctor." Chase walks in and says that Alfie's little finger is "dusky." Cuddy's all, duh, that's why we're cutting it off, but no: Chase is talking about the little finger on his left hand: "The one we haven't chopped off yet." Uh oh. Cuddy reacts to this news with the obligatory dramatic music flourishes for about five minutes before we finally cut to commercial.
Alfie's recovering from his amputation, and I have to say, I really didn't think they were actually going to cut off his hand. Damn. Cuddy checks out his other hand, and his two little fingers are both turning black. Pretty soon, he's going to be a no-handyman.