The next time he wakes up, it's to Sheriff Mills gently nudging him awake. She says she has to talk to Sam privately, so he gets up and walks out of the room. He groans because his ass is asleep and if he thought his back was killing him before, it's performing triple homicide now. He asks the nearest nurse if they could get him something to drink. They comply, handing him a cup of indeterminable liquid which he downs immediately.
That's when he sees Ruby chatting up a male nurse. He walks over and asks politely to talk to Ruby. The guy reluctantly agrees and Dean walks over to the same corner he dragged Ruby off to the first time. When he's sure no one can hear him, he speaks to Ruby in a low voice. It's calm and he knows how much scarier that is.
"I know what you did, you black eyed bitch. I swear to everything in creation, you whore, that if you come near Sammy again, I will fucking hurt you." He leans in a bit closer, "No one will defend a back stabbing cunt. None of my friends are going to miss you. If you hurt him again, I will fucking gut you." Her expression doesn't change. She doesn't even break a sweat. Dean turns around and walks back to Sam's room.
Sheriff Mills walks out as Dean approaches. She smiles grimly, nods and walks away towards Ruby. There isn't a spectacle as they talk, or when Jody leads Ruby out of the hospital. Dean walks back into Sam's room to find him unconscious again. Dean idly wonders how his baby brother can sleep so much, but he supposed that he is recovering.
Dean settles down and thinks about Cas. He knows he made a huge mistake kissing his cheek, but he can't really regret it. He'll judge how Cas reacts to him and act off of that. With that settled, he falls asleep against the wall again wishing he had a blanket.