Back in the differential-diagnosis room, Cuddy takes a look at Alfredo's chest x-ray as Cameron explains that Alfredo's hand is getting worse, and now he has a high fever and "lung infiltrates." Cuddy suggests that the fall caused acute respiratory distress, and House pops a few pills and says that he'd prefer it if their diagnoses didn't depend on Cuddy's personal guilt. Cuddy responds by rolling her eyes and actually clutching her pearls, which makes me sad. House proposes that Alfredo was sick before he fell off Cuddy's roof, and Foreman says that pneumonia is consistent with Alfredo's symptoms. Chase and House rule that out, saying that Alfredo would surely have noticed the breathing problems that accompany pneumonia that severe before he ever got on Cuddy's roof, and then Cuddy sighs and tells them how Alfredo complained of breathing problems but she thought he was lying and sent him up to the roof anyway. "Well, why didn't you just take out a gun and shoot him?" House cruelly asks before even more cruelly yelling at her for leaving that little detail out because she was so certain that Alfredo's problems were her fault that she couldn't see any other reason, and now they've lost a day and made Alfredo's brain bleed. Cuddy looks sad, so Cameron, the self-appointed People-Picker-Upper, says, "If it's just garden-variety bacterial pneumonia, he's gonna be fine." Yeah, except that I really don't think garden-variety pneumonia is accompanied by black fingers. House orders some antibiotics for the pneumonia, and then says that they'll have to go break into Alfredo's house to look for environmental causes, calling him "Julio" and "Rico," because the only thing House even noticed about his patient was that he was Hispanic, and all Hispanic people have interchangeable Hispanic names. Cuddy says she'll go get a key to Alfredo's, and House yells after her that she is no longer capable of deciding what's best for his patient, just to get that last little dig in there. She leaves, and House nods at Cameron to accompany her.