Sam checks the pulse of the host, and smiles at Ruby. When she asks how he feels, Sam says, "Good, no more headaches." I don't know about you Sam, but when I'm doing something sketchy and it gives me headaches, I stop right then and there. Heck, when I'm doing something righteous and it gives me headaches, I stop right then and there. Ditto nausea. Sam brings the host to, and helps him to his feet. Just because he's sneaking around with demons, using demon-given power, doesn't mean he's not considerate.
A door on the other side of the room opens. The host is startled, but it's Sam who ought to be. Big brother's watching, always watching, and he's going to kick Sam's butt if he can lift one of his wee bowed legs up that high. "So... anything you want to tell me, Sam?" Sam starts to stammer out an explanation (EXCUSE) but Dean is too angry (PIG-HEADED) to listen, so he cuts him short and nods toward Ruby, whom he has not seen since she was wearing Katie Cassidy's meatsuit. "How about this? How about you start with who she is, and what the hell is she doing here?" Ruby opens her mouth -- sort of -- and tells Dean it's good to see him again, which shouldn't narrow it down for him much, since she's now wearing Genevieve Cortese's meatsuit, and Dean has known a lot of pretty brunettes. Hey! If the show's gone Biblical, I can too.