In the aftermath of Mark's outburst in the OR, he says he's sorry that she didn't like his judgment call. Addison very rightly reminds him that he put her on a plane immediately precisely because he wanted her judgment call, and cuts him off when he talks about the risk to point out that he acted like a father, which is why parents aren't allowed in the OR. He tries to deny it but clearly that's what happened, as he wouldn't have reacted like he did if he just had his surgeon hat on at the time. She toots her own horn a little saying that while most surgeons wouldn't want to take the risk and do the surgery she could handle it, and tells him that she can go in and try it again but that he will be kept in the waiting room. He tells her it's too risky, so she tells him positively that in that case they will monitor the baby's growth and see what happens. She leaves to go back to her actual job but before she goes, congratulates him on being an actual parent. She smirks while he heaves a pathetic sigh.
Ruthie, meanwhile, is staring intently at the two valves in front of her, waiting for one to sing her a sweet song of love. When she admits that neither is speaking to her, Cristina tries to keep her cool and points out that if her own valve were there it wouldn't speak to her either. Ruthie then remembers that her cousin's wife is a cardiologist and thinks about calling for another opinion, which is it for Cristina. She says that no, this is Ruthie's heart and she should follow her instincts and make a decision right now. "Pig or cow. Don't think! Pig or cow?!" Ruthie finally picks pig, and seems happy to have finally made a decision.
Tom is out of his surgery, and Derek reports that everything went well and Tom will be back on his feet in no time but Tom is clearly not happy with the news. As he is all-knowing, Derek says rather than asks that Tom is scared to play, and thought he was done for good with this injury, but that when he found out he could play again he panicked. Tom doesn't even try to hide it and talks about how he knows guys that are so messed up from getting hit for so many years that they can't remember their own names. He's terrified at his son growing up without a dad, and Derek tells him that this is natural and suggests that he retire. Tom thinks the idea is crazy, though, as he's only two years in to his career. He points out that while he knows he's not a soldier, rocket scientist, or any kind of real hero, he's someone the whole city roots for and he can't let them down. The fear is the tradeoff. He reiterates that he's not complaining, but that he is scared of the hits and wants to remember his own child. Honestly, knowing your own child isn't really an outlandish request in my book.