She notices the gum and pauses a moment before speaking. "When did the smoking start? Why that?"

Oh, there's no doubt Dean would have lost his mind and off'd himself if he hadn't had Sam around. Dean needs someone to take care of. Ruby pauses to think about Sam's questions. "The Empty. A least I think that's where I was. There was just...nothing. Dark and quiet. Nothing." For most of her existence she's been terrified of that nothing, of ceasing to exist. In the end, it wasn't terrifying, but she can see how a few hundred years would make it so. She takes a deep breath and notices it. She stops in her tracks. "Sam..."she presses her hand over her hear. "Sam, I--touch my forehead with your hand?" She suspects she'll feel warm to him.

He'll have to start taking care of himself.