Hospital. Meredith returns to her office to find Vamparic waiting. He's there for Elena. Now that he's calling the shots at the Council, he has eyes and ears all over the place. He tells Meredith she's a little too good at her job, but only because she cheats. And with that, he takes her small stash of healing vampire blood and pours it out. It spills on the papers all over her desk. He also informs Mere that the Council is going to get the Medical Board to suspend her medical license, and that Mayor Lockwood and Sheriff Forbes are being relieved of their duties. He claims status as Elena's guardian and demands Mere release the girl to his custody. I'd go on about how she's an 18-year-old, and therefore probably not under his guardianship, but it doesn't matter. When Vamparic gets to Elena's room, she's already gone.

Matt, Tyler and Caroline see Elena home. The boys make sure no one is lurking in the closets while Caroline enforces doctor's orders and insists Elena rest on the couch. Given their relative strength, Caroline should be the one searching for things that go bump in the night while Matt should be playing doctor. Whatever. Care Bear offers Elena tea, vodka or a combo. Um, really kids, the booze is not the best idea. Elena isn't having muscle spasms. As far as you know, she has a concussion, and since that diagnosis comes from Mere, it should immediately be upgraded in your minds to subdural hematoma. And then there's her blood loss. Caroline, while you win at vampyrism and practically everything else, you fail at playing nurse. The girlfriends share a nice moment, then Caroline wanders off to booze up her severely injured friend. Once she's alone, Elena stares at the old photographs on the end table. There's one of her and her with Grayson and Miranda, and one of her alone, in her cheerleading uniform. We flash back to...