Anyway, and long story short, The Trickster heard these two "yahoos" -- his word, not mine, though it's terribly appropriate, don't you think? -- were in town, and couldn't resist having a little fun with them. He knows they "broke the world," and he knows they've come to request his assistance in setting things aright, but after the history these three have shared over the last few years, he's in no mood to do them any favors, so Our Intrepid Heroes must first survive the next twenty-four hours playing the "game" he's so thoughtfully constructed for them before he'll even consider listening to their arguments in favor of his intervention. And with that, he vanishes in a zap of televisual fuzz, leaving Sam and Dean to negotiate the game without further instruction. DUN!
So, what do they do? Bicker with each other as they continue roaming the seemingly neverending maze of halls there at Seattle Mercy, of course. Brilliant plan, boys. Just brilliant. However, it's not long before Sexy Yet Earnest Doctor Ellen Piccolo accosts Darling Sammy one more time, and when The Ginormotron leans down, and down, and down, and down and down and down and down and down and down into her face to inform her that he is not, in fact, a doctor, Sexy Yet Earnest Doctor Ellen Piccolo reacts with abject horror. "Don't say that!" she gasps. "You are the finest cerebro-vascular neurosurgeon" -- heh -- "I have ever met, and I have met plenty!" She babbles on endlessly about some girl dropping dead under Sam's watch in the OR and claims, "You're afraid to operate again, and you're afraid to love!" Even Dean has to roll his eyes at that one, but he's soon enough engaged in a bit of his own mind-numbing hospital-drama cliché when the scruffy and downtrodden Mr. Beale shambles into the hallway to wonder why Doctor Dean won't perform his wife's face transplant. And I can't believe I just typed that sentence. "It is rather silly!" Pipe down, Raoul. "Hmph!" As the ever-present alterna-ovary moans away on the soundtrack, Dean blares something in the guy's face about how none of this is real before whirling around and bow-leggedly clompy-stomping off down the hallway. Unfortunately for Dean, Mr. Beale's gun works just fine within the confines of The Trickster's Stay Tuned construct, and he blasts a hole through Dean's upper back before skittering off in the opposite direction. "VIOLENCE!" roars Raoul in a frenzy of delight. "WANTON ACTS OF HERETOFORE UNACCEPTABLE BACK-HARMING VIOLENCE AND GOOOOOOOOOOOOOOORE!" Dean immediately drops to his knees in agony, his fresh wound gushing blood onto his previously pristine white coat, as Sam bays for a doctor, still not quite getting the fact that -- in this portion of The Trickster's construct at least -- he is a doctor.