...SNOT ROCKET! "EEEEEEEEEEEEE!" Looks like someone's awake tonight. "EEEEEEEEEEEEE!" You just gonna writhe, or do you actually have something of substance to add at this juncture? "EEEEEEEEEEEEE!" I'll continue with the recap, then.
The camera fades up on the interior of This Week's Motel Room, where it finds one of Our Intrepid Heroes slumbering peacefully on one of the beds -- or is he? Dashing El Deano flinches in his sleep, and a quick dive down into his unconscious mind reveals a string of supposedly disturbing images, among them Castiel's reservoir-related disappearance from this season's second episode, Crazy Sammy squeezing off round after round at the invisible Lucifer who's living inside his head and Dead Amy Pond's final moments alive, and should I bother mentioning the fact that Dean wasn't actually present to witness one of these events? "You should not!" All-righty, then. In any event, what any of these things have to do with one another is anyone's guess, but Dozing El Deano's apparently so disturbed by what his brain's vomiting back at him that he bolts upright, all instantly awake and on-edge, and he pants and he sweats and he makes batshit-insane cross-eyes at the camera for a bit until he finally calms down and rises to fix himself a refreshing breakfast cocktail. "Atta girl!"