SLE said it better than I could, as usual. In addition, there is only so much you can learn in books about derivatives. Practical experiance is a better learning tool after you get the basics.
25 years ago, most MM were locals. Around 2003 that started to change with multiple listing and automation. Today, most local MM like me are gone. Today, they all work for medium to large size firms. The larger MM are almost all automated and many use a global dispersion strategy. They not only monitor single stock risk but their portfolio risk. They would prefer to trade a lot of options on many strikes, both long and short on many related symbols that are correlated or vs a correlated index.
My view, as I traded, and the view of a retail trader is just not the way they look at the market. They could care less about a 100 lot 1 second after the trade, unless it was follow up with many similar orders which will move their values. It is not done manually at most firms.