I've always liked this episode but there are several things I noticed this time around that I hadn't really thought about much before. The first I found out while I was getting screencaps. This episode has loads of dialogue. Which means lots of closeups on the boys faces. The setting is always the same. Hospital grey/white and blue gowns except for in the very beginning and there is really not much action at all. It takes a lot more effort to make an episode like that interesting, but they pull it off. Another thing about this ep is it's similarity to Folsom Prison Blues not only because of them both being in an institution where they have to go out of their way to be admitted, but the hunts are on the request of people in the institutions. Folsom, on the request of a guard, and here, on the request of an "inmate" but both who had somehow saved John's life and whom Sam or Dean thinks they are obligated to help. It is also a rare episode in that both Sam and Dean are affected by the venom and we are able to have a taste of the hidden fears/issues of both Sam and Dean. I'm really looking forward to delving into it all!
(No music this time!)
We start with Dr. Fuller talking to a patient, Susan, in his office. It seems she has not been taking her medicine because she is scared the monster will come and get her in her sleep like it got her room mate.
Dr. Fuller tells Susan that there is no such thing as monsters, and that she is a schizophrenic so, whatever she is seeing is not real. But Susan is sure the monster is real even though her dead boy which she sees behind the doctor is not. And I'm thinking, wait, he could be a ghost? But we will never know because Susan is killed by the monster, who comes through the vent that night. (This talk of real and not real also reminds me of Sam in Season 6.)
A man, Ted, in a room across the hall from Susan sees her struggling with the monster and being pulled back from her door. When a nurse finally comes to investigate, she finds Susan lying on the floor with two pools of blood under her cut wrists.
Next scene, Sam and Dean are sitting in the same office with Dr. Fuller. Let me just start squeeing right here. I love everything about this scene from the very first pan up of Dean and then Sam as Dr. Fuller looks at them both.
He asks about the Dr. Babar that supposedly sent them to him and how that's the same name as an elephant in a children's book (LOL). I wonder who wrote up that letter? Was it Sam? or Bobby? or... Dean?? :D I like the idea of Dean reading Barbar books to Sam :) Dean tells Dr. Fuller with a straight face that he doesn't own any elephant books so he doesn't know and then goes on to implore the doctor to check Sam out because he's...
The Doctor turns to Sam to hear his side. Sam, after telling the doctor oh he feels fine, elaborates by telling him that he may be a bit depressed because he started the apocalypse...
SAM: Well, yeah, I mean...I killed this demon, Lilith, and I accidentally freed Lucifer from hell. So now, he's topside, and we're trying to stop him.
and now he and Dean and an angel were trying to put Lucifer back in hell...
DR. FULLER: Oh, you mean, like a...like an angel on your shoulder.
SAM: No. His name's Castiel. He wears a trench coat.
Now that Dr. Fuller is sure there is something seriously wrong with Sam, Dean turns the doctor's attention to himself and digs himself a hole too.
DEAN: See what I mean, Doc? The kid's been beating himself up about this for months. The apocalypse wasn't his fault.
DR. FULLER:It's not?
DEAN: No. There was this other demon, Ruby. She got him addicted to demon blood, and near the end, he was practically chugging this stuff.
DEAN: My brother's not evil. He was just...high...yeah? So, could you fix him up so we can get back to traveling around the country and hunting monsters?
I love watching Sam during Dean's talk here. First as Dean talks about the demon blood he looks sad and ashamed, but at the end, as Dean asks the doctor to "fix Sam up," Sam is eagerly bobbing his head like a marionette.
Now personally, I'm not sure that two schizophrenics would agree on a story like the boys do, but the doctor is convinced that it is a "codependency" problem and quickly admits them. He cancels lunch, I assume so that he can give them a session right away, but we never find out what they talk about. The next we see, Sam and Dean - Dean looking pleased and Sam looking very much the cute little puppy dog - are on their way to their health check with the cheerful nurse/wraith.
And their reactions during their checkups are also fun to see.
DEAN: Alright, look, Nurse Ratched, let's get one thing straight. I've seen Cuckoo's Nest, so don't try any of that soul-crushing, authoritarian crap on me, hm?
HAPPY NURSE: Okie-dokie.
HAPPY NURSE: Alright, you can go ahead and take down your pants.
SAM: Wait, w-what? W-what for?
So we know this nurse is the Wraith that has been killing all the inmates. And we also know that she touches them here and they are basically under the influence from here-on-out. Comparing Susan and Ted with the boys though, it is possible that she doesn't actually touch the first two. First of all, they already have some sort of mental illness that makes them vulnerable to her while Sam and Dean need something to make them weaker. Their deaths also seem to be of convenience - getting rid of people who have seen her - while for Sam and Dean, it's personal. She wants to see them go crazy and also know it is her that kills them because she knows they are hunting her.
Dean and Sam meet up in the hall and we enjoy their discomfiture after their very thorough examinations.
DEAN: How was your Silkwood shower?
SAM: Okay. Yeah, good. Yeah, good, um--good water pressure. Did the nurse...
DEAN: She was very thorough.
SAM: Yeah. Yeah, good. Good. Yeah.
We also find out several interesting things about this hunt from Dean and Sam's point of view. The first being, as I mentioned before, that they were there on the request of a hunter that had saved John numerous times before and whom they "owed" their help. Family and loyalty to friends crops up here again. Another is that Sam had dragged Dean to this hunt despite Dean's reluctance - which is completely opposite of Folsom Prison Blues. You'll remember how upset Sam was with Dean for putting them in that prison - how he complained to an inmate that he was there because of his stupid brother. And we can't blame him. Although a mental hospital and a prison are both institutions, a prison is much more risky and dangerous than a hospital, especially with a price on their heads. Most importantly, though, Sam did not take this job just because they owed Martin. He took it because he was worried about Dean.
SAM: Besides, I just figure it's best we keep busy. That's all.
DEAN: Better than what?
SAM: Okay. Look...um...last few weeks, you've kind of been worrying me.
DEAN: (rolls his eyes) Oh, come on, Sam. Stop. Look, just because we're in the loony bin doesn't give you the right to head-shrink me.
DEAN: Ellen and Jo dying--Yeah, it was a friggin' tragedy, okay? But I'm not gonna wallow in it.
SAM: Dean, you always do this. You can't just keep this crap in.
DEAN: Watch me.
This sort of reminds me of Hollywood Babylon, where Dean takes Sam on a hunt after Madison dies for the same reason. Of course the deaths of Jo and Ellen were hard on Sam too, but Dean has taken it much harder, blaming himself for the deaths and for the mission failure. Sam doesn't really go into detail about how Dean has been for the "last few weeks" but if Sam thinks it's better they work, and is complaining that Dean is keeping all the crap inside, then maybe Dean has been keeping to himself and not really talking to anyone, drinking a lot of whiskey possibly? Sort of like Bobby when Dean died...or Dean after John died. We are going to be getting into how Dean is keeping everything inside a bit more later.
Anyway, they find Martin sitting by himself at a table at the back of the room and they go to talk to him. Dean is still doubtful that there is a case and being sarcastic, while Sam is showing concern and getting Martin to talk about what he knows. We find out here that Martin has given up hunting completely and is scared to even touch a dead body now.
At this point, the doctor comes in and calls them over for group session. However, he asks Dean to stay behind -
DEAN: What? Why?
DR. FULLER: Well, to be frank, uh, the relationship that you have with your brother seems dangerously codependent. I think a little time apart will do you both good.
Interesting that Dr. Fuller has hit their relationship on the mark. Dangerously codependent they sure are. But he sees them as schizophrenic, so I am assuming that he thinks keeping them apart may seem like a good way for them to see the difference between real and not real.
Anyway, Sam and Martin go off and participate in the group session where Ted adamently tells the group that he saw the monster, and the doctor tells Ted that "there is no monster." Sam is interested in both of these statements and files them away for later use.
Dean on the other hand is playing one man checkers when Dr. Cartwright walks up and tells him she has been assigned his case.
So as rewatchers who know that the wraith has already touched Sam and Dean, the question is, what is real and what is not? When do Dean and Sam start hallucinating and hearing things that are not real? Is Dr. Cartwright real? We can't really tell actually. The things that Dr. Cartwright says in this session are generic and Dean already knows the answers she gives him. But it wouldn't be surprising for Dean to have a doctor assigned to him and if not Dr. Cartwright, then whom? Wouldn't it be strange for Dean to be left alone? Also, none of the other symptoms come out until later, after Dean has his imaginary talk with Dr. Cartwright in the hall. So there could really be a Dr. Cartwright.
Actually, all the things we hear about Dean in this conversation, we already know as well: 1)he only sleeps several hours a night (which I guess we already knew from The End); 2)he drinks alot (also we knew :P); 3) he's never had a relationship that lasted as long as 2 months(not surprising); 4) and he has daddy issues. This talk probably triggers some dad thoughts in Dean though that makes for a funny little line later on. But you've got to wonder what meaning this little talk had. Maybe just to introduce Dr. Cartwright and their candid "relationship." It's definitely cute and fun to watch their quick give and take - Dean's Hannibal and Dr. Cartwright taking it in without batting an eye is fun to see.
Sam and Dean again get together after their sessions:
SAM: You okay?
DEAN: I just got thraped. So, no, I am not okay. Tell me you found something.
Sam tells him about Ted, and they agree to get together later to go and talk with Ted about what he saw. Dean tells Sam let's hurry up and finish this case. This place is creeping me out. Which again reminds me of Folsom Prison Blues. And I'm thinking just as Sam felt uncomfortable in a prison, so Dean feels uncomfortable in a mental institution, where he is forced to think about things he would rather bury. While they are talking, though, Wendy comes up and kisses Dean in the mouth. Dean's like... ok :D and Sam has his little curious but impatient look on his face as he waits which is fun to see. As Wendy glides away, Dean's a bit more happy about his situation and Sam is telling him you are not going to take advantage Dean - which totally reminds me of a recent Season 10 episode.
DEAN: Maybe this place isn't so bad after all.
SAM: Dude...you CANNOT hit that.
DEAN: Oh, so torn.
When they get back together, it's during the 20 minute period while the nurses are making their rounds. They only have a few minutes to talk to Ted so they hurry to his room only to find him already struggling with the wraith. Sam tries to pick the lock while Dean waits impatiently as usual, and we have Sam blowing up at him - which to me seems pretty usual but could also be seen as a little bit of that anger that Sam has inside.
DEAN: Hurry up! Come on, hurry up!
SAM: Back off, Dean!
When they get inside, Ted is already hanging from the ceiling. And the wraith is nowhere to be seen.
Sam and Dean have a chance this time to look at the body and see how the monster is actually killing these people. They go to the morgue, probably a bit later after everything has settled down, to check Ted's body out. Sam finds a hole in the side of Ted's neck and pokes a swab inside to find that the hole goes way up into the brain.
He's all for cutting open the skull and finding out what has happened to the brain. (Such a geek! *admires*) Dean is not interested in that kind of stuff and so he goes out to guard the door. Just as Sam gets to the brain and finds out that it has been sucked dry, Dean comes in saying that someone is coming. They quickly clean up and Sam just finishes tossing the gloves into the garbabe when the wraith comes in. When she asks what they are doing there, Sam has no words. His mouth opens and shuts like a goldfish and he looks at Dean. Dean, I must say, comes up with a pretty brilliant idea to pretend to be what he is supposed to be. Crazy.
I admit that this is not my most favorite scene. I will usually fast forward when I'm watching the episode. It's just too embarrassing. Those of you who know how I feel about the chipmunk scene will maybe understand. Just as with that scene, I don't mind it as much as a gif or as a picture. I also admire Dean for his quick thinking and it is a rather adorable scene if you can think of him as a five year old - I've had two of those :D Unfortunately for Dean, I suspect the wraith kows exactly why they are there since she does know they are hunters and that they are after her.
We then have Sam and Dean talking to Martin in the hall. When they tell him what they have found out so far, Martin shows them one of the monsters in his journal - a wraith - which he knows of but has never encountered. He tells them that it can be killed with silver, and that it can look like a regular person but manifests it's true form in the mirror - very similar to a siren aye?
SAM: (nods) Okay. Yeah. But--I mean, what's it doing in a mental hospital?
DEAN: A nuthouse; it's-it's-it's a perfect captive victim pool.
MARTIN: Sure. Who's gonna believe a patient when they say they saw a monster? It's the perfect hunting ground.
So Dean is put on guard duty by the corner mirror to check out every Peter Paul and Mary, while Sam goes in search of silver.
While Dean is standing there, Dr. Cartwright comes up and asks him what he is doing. And we again wonder... is she real? or just in Dean's head? At this point, she more likely is in his head considering what happens right afterwards.
DR. CARTWRIGHT: Why do you have to hunt monsters? Why not let someone else do it?
DEAN: Can't find anybody else that dumb. (thinks for a moment) It's my job. Somebody's gotta save people's asses, yours included.
DR. CARTWRIGHT: I mean, apocalypse or no apocalypse...monsters or no monsters, that's a crushing weight to have on your shoulders. To feel like six billion lives depend on you...God...how do you get up in the morning?
DEAN: That's a good question.
The conversation is more telling than the first one but very similar to his little speech to dad in What Is and What Should Never Be. To the question, why does HE have to do it, he replies that there is no one else "that dumb" and someone has to do it. In other words, there is no one else that CAN. We also find out that Dean is feeling the burden of "saving everyone." Suddenly, Dean sees Dr. Fuller go by and the mirror shows him to be the wraith. He quickly goes to tell Sam.
When they meet up again, Sam has three letter openers that are silver coated - having raided three nurse stations (big hospital!) He gives Martin one and they ask for his help, but Martin is like, no way. I can't. Dean says, but you are still a hunter? But Martin says no. What happened to him in Albaquarke was worse than they could imagine. He used to think he was invincible but now....
And now I do have to tie this in with the previous scene and talk a bit about Dean. To do that, we have to look back at our previous episodes. First, let's remember what happened two episodes ago, in The Real Ghostbusters. It's always been a puzzle to me that there is such a different tone between the episode and those after it - and even those before it. It's one very small ray of sunshine in the darkness that quickly envelops it. Dean, in the Real Ghostbusters, is given an opportunity to see that he has a life that his fans envy and also that he gives people the courage to fight. At the end of that episode Dean is "GOOD." He is at peace. Maybe he feels invincible in a sense. Then comes Abandon All Hope. And he fails miserably (I'm talking from his point of view here). Jo and Ellen die to save him. And despite all that, he can't even kill Lucifer. Suddenly, he goes from being happy with his life, to despair and the fear that he cannot succeed in saving the world. But he still is a hunter. He buries it and goes on. Because there is no one else.
Returning to this scene, Martin is adamant that he cannot hunt anymore and that he is not a hunter. But, we will see later that Martin also can do what he has to because there is no one else.
While they are talking, though, Wendy comes up and ignoring Dean, goes to kiss Sam. Sam ... a man that NEVER takes advantage, resists the kiss and looks at Dean apologetically. I love his face here again :D And I love Wendy's reasons -
WENDY: I want him now. He's larger.
Without the help of Martin, Sam and Dean go together to find the doctor in his office.
The Doctor is not there, but his car keys are, so they split up and keep searching. Sam finds him first and attacks. He cuts the Dr.'s arm, and doesn't notice when it doesn't sizzle - so intent is he on the task of killing the Dr. It actually reminds me of another episode when Sam has to stop Dean for the same reason... Children Shouldn't Play with Dead Things... the father hmmm? I guess Dean had some pent up anger then, and it's Sam's anger that is being manifest through the venom here. Martin seems to have been trailing Sam. Maybe he wanted to see them kill the wraith to make sure that everyone was safe again, or maybe he had the urges of the hunter still. He has the presence of mind to realize that Dr. Fuller is not the wraith and stops Sam. Unfortunately, this is after Sam knocks two orderlies out and almost kills Dr. Fuller. (One thing here that I thought of later as well... letter openers are not usually as sharp as knifes and I really doubt that a swipe at an arm would actually cut someone like it did Dr. Fuller. You'd have to plunge it into the body to do any damage, I'd think :P)
Dean hears about what happened with Sam and goes to visit him in his room. Sam is completely out of it.
DEAN: They give you something?
SAM: Oh, yeah. They gave me...everything. It's spectacu--lacular.
DEAN: You always were a happy drunk.
SAM grows serious and grabs DEAN'S arm, pulling him down to eye level.
SAM: Dean...the doctor...wasn't a wraith.
DEAN: I know.
DEAN: I don't understand it. I mean, I saw it in the mirror. It wasn't human.
SAM: Or you're seeing things. Maybe-maybe-maybe you're going crazy.
DEAN: I'm not crazy.
SAM: Well...come on. I mean, you've been at least...half crazy for a long time, and since you got back from hell, or since before that, even. I mean, we're in a--we're in a mental hospital. Maybe-Maybe you finally cracked! You know, maybe now you are really...for real...crazy...
DEAN: I made a mistake, that's all. I'll find the thing.
SAM: Okay. Yeah, yeah, yeah. I know. I know.
SAM: It's okay. Hey, hey. Look at me.
The idea here is that they have gone through a lot and it would not be surprising if they had gone crazy. Actually, it makes Martin seem quite normal for a hunter aye?
Dean is walking down the hallway when Dr. Cartwright falls in step with him. This time we rewatchers know Dean is having a hallucination for sure.
DEAN:Oh, my G--I am fine, okay? I'm fine.
DR. CARTWRIGHT: Come on, even you don't believe that. All this pressure that you're putting yourself under, all this guilt; it's killing you. You can't save everybody. You can't. Hell, these days, you can't save anybody, Dean.
DEAN: What did you say?
DR. CARTWRIGHT: The truth, Dean. You got Ellen and Jo killed. You shot Lucifer, but you couldn't gank him.
DEAN begins to get confused and a little afraid.
DR. CARTWRIGHT: You couldn't stop Sam from killing Lilith, and--oh, yeah--you broke the first seal. All you do is fail. Did you really think that you, Dean Winchester with a GED and a give-'em-hell attitude, were gonna beat the devil?
DR. CARTWRIGHT: Please. The world is gonna burn, and there is nothing that you can do about it.
DEAN: Who are you? How do you know that stuff?
So as I talked about this earlier but this is the scene where we find out what is really going through Dean's mind. Not only is he devastated with his failure and the death of loved ones, he is afraid that he will not be able to save the world. And afraid is the key for Dean because as we've seen before, he has a bit of fear inside that likes to rear it's head when he is under the influence of the crazies. After the orderly tells him that there is no one there, that he has been talking to thin air, suddenly, he is really really terrified. Of everything. The other patients and doctors all look like monsters and he cowers in the corner.
In the meantime, Sam is having his talk with Dr. Fuller. Apologizing for what he did and telling the Dr. that he has realized that there is no such thing as a monster. Dr. Fuller is more worried about Sam's anger issues.
DR. FULLER: Well, I'm glad to hear you say that, but, honestly? Monsters are the least of your problems. People can learn to live with delusions, but the anger I saw in you...You hurt those two men, and you were going to kill me. The look in your eyes when you came after me, I...It was like you were barely even human...like a man possessed.
SAM:I know. Please...just...could you give me a second chance?
DR. FULLER: Well, this isn't a prison. You'll be allowed to go to the day room, under supervision.
SAM: Thank you.
DR. FULLER: But if there is one more outburst...I will transfer you to a facility that is equipped to handle violent patients. And, believe me, they will be far, far less forgiving.
Now, I'm not quite sure if this Dr. Fuller is actually real because it would not be surprising if Sam has a hallucination at this point and the doctor uses words that we know Sam is especially bothered by and reacts to because Sam has always known he has evil inside him, and has always felt like a freak - words like "barely even human," or "like a man possessed." We also know that Sam would most likely have been mulling over those words by Luciver in last episode, telling him to stay angry because he needs that anger. I don't think he really thought deeply about the anger he had inside him until that point. But now, he is worried that it is part of the evil inside of him. It is an interesting point the writers seem to be trying to make - that anger leads to evil, and demons feed off of it.
This talk between Dr. Fuller and Sam actually correspond almost perfectly to Dean's talk with Dr. Cartwright, in that they bring Sam and Dean's issues to a forefront.
Anyway, allowed in the hall, Sam experiences what we can see right away as a hallucination. First he is told by hallucination!Dean that everything is his fault.
DEAN: The problem was you. It was always you. The lies...your arrogance...the black spot on your soul.
Then all the patients join in and attack him.
FEMALE PATIENT: Now we're all gonna die because of you. It's all your fault.
MALE PATIENT: You killed all of us. Pathetic freak.
MALE PATIENT shoves SAM into the other patients.
FEMALE PATIENT: You evil son of a bitch!
FEMALE PATIENT: Loser.
FEMALE PATIENT: Grow up and die!
FEMALE PATIENT: Freak!
The word "Freak" again, and Sam loses it. Sam starts swinging his fist and telling them all to "leave me alone!" It reminds me a lot of After School Special when that one word triggered Sam and made him go at Derk. To me, the anger in this case seems to stem from fear. A fear that he is a freak, and a fear of the evil inside of him.
Sam is dragged away, while real Dean is cowering in a corner of the hall, wondering what is happening to them both.
Dean decides to go to Martin for help. Martin, prepared for the eventuality of the monster coming to get him, has his letter opener under his pillow. When he hears Dean creeping in, he quickly swings his letter opener at Dean before realizing who it is.
This is again a wonderful scene for me. Dean scared out of his wits but trying to figure things out so they can fight against the monster and Martin helping him stick to the subject at hand - even the simplest of deduction becomes a point for hilarity.
DEAN: Lockdown! He went crazy! Thank God.
DEAN: I'm going crazy, too. I'm seeing things. I'm hearing things. I mean, we both are. Crazy is the clue.
MARTIN: What do you mean?
And then Dean kind of goes off in his thoughts and Martin has to bring him back :D
DEAN: Crazy is the clue.
MARTIN: You said that. What?
DEAN: I mean, the things that me and Sam have done, the stuff that we've seen, we're gonna end up going guano eventually. Probably end up like a couple of drooling nut bags. No offense.
MARTIN: None taken.
Here again, Dean points out what Sam pointed out before. What they have been through, it would not be surprising at all if they finally just couldn't handle it all any more. But, what makes Dean think that is not the case here is that they are both going crazy on the SAM DAY.
DEAN: But me and him, freaking out on the same day? I mean, it's gotta be...
MARTIN: The monster...
DEAN: What? Where? Where?
MARTIN: No--It's not--No, there's nothing there.
OK, so that totally reminds me of Yellow Fever. And from the way everyone starts looking like the monster to him previously, and how he is terrified here, it is obvious that Dean does have a fear of monsters that he usually keeps hidden away under his bravado and well, courage.
DEAN: Okay. What if this thing doesn't just feed on the insane? What if it makes people insane? Is it possible? Does that seem real?
MARTIN: Well, I'm not the most reliable source on what is real, but it sounds--It makes sense.
DEAN: Okay. Okay. So-so we got infected. You know, something shot us up with crazy. You know, something... Maybe...maybe it's the ghost of my dad...
Most likely being "thraped" has left thoughts of dad in his mind but interesting that dad crops up here.
MARTIN: No. Focus on the wraith, Dean. Focus.
DEAN: Right, the wraith, the wraith. Okay. So, the wraith, the wraith, it-it poisoned us. It--Yeah. Maybe with venom, you know? By-by touch...or-or venom, or saliva. Wendy.
DEAN: Wendy. Wendy slobbered all over me and Sam! That's how we got infected!
So they go off to Wendy's room. Very interesting that Martin goes along with Dean here. Maybe he feels like he's a bit better off than Dean and he could help? Definitely those hunter instincts taking over. Dean is having a hard time walking down the corridor because he can't step on the cracks. When they get to Wendy's room though, they find the wraith on top of her in the middle of sucking on her brain.
DEAN: Is this real?
THE WRAITH: Oh, it is, Sugar. It's very real.
The wraith being there AGAIN seems very significant to me. Almost like she's been listening through the vents and goes to those rooms where she knows they will come every single time. But this time, she lets them see her and when Dean asks if it is real, she tells him it is.
There is a fight here and Dean gets flung to the wall without being able to do any damage but Martin gets a shot in with his letter opener and the wraith runs, wound sizzling and dripping with blood, calling out to the orderlies to contain the two patients in Wendy's room. Martin quickly goes to Wendy and finds out that she is still alive (she'd probably be better off dead though, ug). When the orderlies come in, he reacts very quickly, telling Dean to run as he keeps the orderlies occupied. At first it looks like Dean will not be able to run, but finally he is able to get up and starts down the corridor with determination, even as the hall blurrs before his eyes and his situation becomes worse.
The wraith has arrived at Sam's containment cell and is getting ready to suck on his brains but she has to talk first of course - like any psycho murderer she has to gloat and she needs these particular victims to know exactly why and how she is killing them. She tells Sam that she didn't make them crazy, she just helped. She exagerated the stuff they have had inside them all along.
SAM: You did this to me!
THE WRAITH: Well, I helped. But that rage? No, no, no. That's all you. (stands, walks to the side of the bed) I don't make crazy. I just crank up what's already there.
THE WRAITH: You build your own hell, but I give you the Legos. And when you're ripe...
I make all of your problems disappear.
OH man, this conversation totally reminds me of Sam and Ruby in Lucifer Rising... Ruby saying "You had it in you all along"... And I guess they are talking about the same thing. The anger, which Lucifer is also happy to see is there. It is what made Sam go after the YED and Lillith and opened Lucifer's cell to begin with.
Dean comes barging in at this point.
DEAN: You get away from him.
THE WRAITH: Do you really think this is gonna end well for you, kiddo?
DEAN: No. But I'm crazy, so, what the hell?
Interesting to see here that his fear has been contained aye? He still sees things in blurs but maybe when it comes to saving Sam, even the touch of a wraith can't prevent Dean from having courage? :D MMMM... I love that idea. The wraith easily gets to him though - unfortunately the crazies still make him weak enough that he is not a match for her physically. But Dean acts smart (LOL) again. As he resists the spike coming out of her wrist, with one hand, he grabs it with the other hand and breaks it. All the blood (Probably Wendy's blood, poor thing) spurts out and Dean takes that moment to quickly pick up the silver letter opener and plung it in her chest.
(Dean's face :D)
As soon as she dies, both Sam and Dean go back to normal (interesting thing about monster venom) and Dean is able to get Sam out of his constraints.
SAM: You still crazy?
DEAN:Not any more than usual.
And they rush out of the hospital to their hidden car for their escape.
(I like the way they are running here :D)
As soon as they get to the car though, Sam stops. He can't help worrying about the anger issues that were pointed out to him - first by Lucifer and now by the doctor and the wraith. He thinks he needs to be fixed.
SAM: She was right.
DEAN: No, she wasn't. She's dead, okay? Let's hit the road. I need a drink, or twelve.
SAM: Most of the time, I can hide it, but...I am angry. I'm mad at everything. I used to be mad at you and Dad, then Lilith, now it's Lucifer, and I make excuses. I blame Ruby or the demon blood, but it's not their fault. It's not them. It's me. It's inside me. I'm mad...all the time...and I don't know why.
DEAN: Stop. Stop it. So what if you are? What are you gonna do? You gonna take a leave of absence? You gonna say yes to Lucifer? What?
SAM: No, of course not. I--
DEAN: Exactly. And that's exactly what you're gonna do. You're gonna take all that crap and you're gonna bury it. You're gonna forget about it, because that's how we keep going! That's how we don't end up like Martin! Are you with me?
DEAN: Come on, man. Are you with me?
SAM: I'm with you.
DEAN: Good. Let's get the hell out of here.
So first, Sam tells Dean what hallucination!Dean told him before. That he can't blame anything or anyone else for opening Lucifer's cage. That it was because of the anger inside him. I guess it is good that he is admitting this to himself here. In a sense, this allows him to recognize the anger and stop it from taking him over. And I think what Dean is saying here is important too. He's not necessarily saying Sam should ignore the problem. He's saying that Sam can't dwell on it. So you recognize that you have that anger - it doesn't change anything. You are still a hunter and you still have to do what you have to do. If you dwell then you become like Martin - unable to act.
I never liked this scene, I think because it is done in such a hurry. I wished that they could get in the car and drive off before talking about such things. But in a way, I guess the timing also shows the situation exactly. Sam, stopping in the middle of their escape. What would happen if he just stayed there in the middle of the road? Obviously that would be the end for him. Dean, wanting to hurry up and go, urging Sam on. Kind of goes with what he is saying aye? They have to keep on going. They can't stop.