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.
Cristina has finally made it into the OR and is operating away while Teddy reads a magazine. Why is that the prop of choice for the surgeon who is there to supervise someone's first solo surgery? I remember the Chief doing it too, and it just seems super contrived.
Upstairs in the gallery, things are coming to a head regarding Reed's possible surgery prostitution -- Alex tells her that he told Callie to let Reed scrub in if there's a surgery later, and tells Reed to book an on-call room. She seems disconcerted by his laying it out just like that, and tries to flirt about drinks first, but Alex deems drinks a waste of time and thinks they should get right to it. Mere is watching with a disgusted look, and then asks Reed pointedly if she knows Izzie. Reed's claws come out for the first time in weeks and she snarks about meeting Izzie before she got fired, and Alex tries to shut up his friend as she reminds Reed that Alex is still a married man. Reed cuts her off effectively, though, when she points out that Cristina has had something go wrong with her surgery. It's weirdly refreshing to watch Reed be a bitch again since she was so hardcore the first couple of weeks -- and I just don't believe that Alex's burnished glow put her in such a trance that she'd be nothing but sweetness and light now.