Puffy Sam looks around as if he's suddenly stumbled across a cunning plan as the camera tracks back down the hall away from him before it cuts to find Spectral Dean on a Rag Clot hunt. Just as I'm about to get distracted by his fine self in those scrubs again, a woman's voice calls out, "Can't you see me? Why won't you look at me?" "Now what?" Dean grumbles to himself before heading towards the voice's location, which happens to be downstairs in the reception area, where he finds an attractive brunette, similarly clad in t-shirt and scrub pants, screaming at the oblivious medical staff and patients around her. "Can you see me?" Dean asks. Affirmative. Dean hops up to exchange introductions with "Tessa" on the stairs. Tessa wonders if she's dead. Dean's all, "...maybe?"

Cut to the two at the door of Tessa's room. "I don't understand," she gapes as they stare at her comatose self on the bed. "I just came in for an appendectomy." "I hate to bear bad news," Dean winces, "but I think there were some complications." Tessa starts babbling about how it's all just "a very weird, unbelievably vivid dream" until Dean shuts her up with an explanation of "out-of-body experiences." Long story short, they're both now spirits of people close to death. Like we didn't know that already. Oy. Dean gives Tessa a little pep talk before we cut back over to...