Lee Spencer

The present-day murders in Mystic Falls remind Damon of a similar crime spree a century earlier. In flashbacks to 1912, Damon recalls a beautiful vampire, Sage, who showed him a whole new way to exist. Sheriff Forbes warns Damon not to get involved in her investigation, but Damon is convinced she’s going after the wrong suspect. Elena and Matt resort to breaking and entering in their search for evidence to prove Dr. Fell is a murderer. For reasons known only to her, Rebekah, becomes interested in locating one of the town’s oldest landmarks. Finally, Elena comes to a new understanding of the path her life has taken, and Damon makes an emotional confession to Stefan.

Lucas investigates Dan's (recurring guest star PAUL JOHANNSSON) heart condition while Haley struggles with letting Dan into Jamie's (recurring guest star JACKSON BRUNDAGE) life. Nathan urges Quentin (recurring guest star ROBBIE JONES) to reinvent his game and Brooke juggles her career and life as a new mother. Meanwhile, Peyton tries to assuage her guilt over Lucas' breakup, and Mouth gets a shot at being a sports anchor.

Lucas is crushed by devastating news. Brooke's baby undergoes emergency surgery. Haley wrestles with her decision to record a new album. Skills and Nathan, in an effort to salvage the Ravens' season, employ a risky game plan, and Lucas stuns Peyton with a shocking truth.

An old army buddy and fellow surgeon (guest star Warren Christie) visits Conrad at the hospital. Meanwhile, the team is put to the test when they have to save the life of an uninsured and undocumented patient, while simultaneously battling the hospital’s administrators, who fear the patient will cost millions. Also, Dr. Bell experiments with a new medication for his tremor and Nic swears to investigate the mystery surrounding missing medical records.

Enterprise visits a planet where an Interspecies Medical Exchange conference is being held. Dr. Phlox tries to obtain research on a terminal disease from the Vulcan contingency, without revealing T'Pol has been infected by it.