With no ice packs in the room, Cuddy decides to take her into the shower, whereupon House berates her and says that it was good that she failed to be a mom, "because you suck at it."
House, on a controlled amount of pills rather than a free prescription due to Cuddy, concludes the kid has necrotizing fasciitis, and decides her only chance for survival is amputation of the infected limbs.
Chase, playing with a laser pointer, realizes that Alice has erythropoietic protoporphyria (an allergy to lights that made her get worse every time she was put under surgery), but House ignores the diagnosis and punches him in the face.
Chase tells Wilson that he cannot stand the situation anymore, and that he's become impatient with waiting for House's approval and abruptly leaves the room.
Wilson asks for his "thirty pieces of silver", a reference to the price for which Judas betrayed Jesus.