It's all AU.

Sam rubbed his wrist, making a face. The skin was dry, a little patchy. At least it didn't stink anymore- he'd washed the hell out of it when the nurse had said he could after getting the cast off. He twisted his wrist, using his back to push the door into the waiting room open, turning when he got through to be...not in the waiting room. He blinked, looking around the hotel, handing going to his pocket for a protective amulet even as he called out, "Dean?"