"Spewing demons?" Sam looks horrified, looking askance at his hand. "Of course not! Why? Has - has anyone else had demons coming out of their hand?" The thought is an awful one, one that hadn't occurred to him among all the other awful things he'd had to confront since arriving here. But suddenly it seems more than likely, and he stretches his arm out as far as he can, staring at his palm as if something terrible is about to spring out.