Meredith completed her exam, and ran some blood work, while Elena waited in the examination room. Meredith came in with Elena's file in hand. She took a deep breath then let it out, before she gave Elena the news. Hesitating, she said, "I have your results here."

Elena gave her a worried look. "You look concerned. What did you find?"

Meredith searched for the right words to tell her that the impossible had happened. There was no other way than to just spit it out. "I ran some tests, but the one that came back positive wasn't the one I expected." Elena looked at her pleadingly. Meredith said, "You're pregnant."

Elena's jaw dropped open. She managed to get out, "Whhaaat?! But that's impossible."

"I know. That's why I repeated it 3 times. They all said the same thing."

Elena was flabbergasted. "I don't understand how this could happen."

Meredith tried to calm her. "Sometimes the tests give a false positive, even if you aren't pregnant. Your hormones could just be off tricking your body into thinking it's pregnant. I'd like to do an ultrasound to see what's going on."

Elena nodded her head in agreement. "Of course. Please."

She laid back on the exam table, while Meredith prepped her stomach for the test. The ultrasound machine ran back and forth over her lower abdomen. A small blob appeared in the center of her uterus, exactly where a fetus would be. They heard a rapid rythmic 'thud thud, thud thud, thud thud', the sound of a... heartbeat? Pointing at the image on the screen, Meredith slowly looked back at Elena, "That's your baby right there. I'd say you're about 9 weeks or so."

Elena frantically thought, Nine weeks? It had been just 3 months since she first slept with Damon. She hadn't been with anyone in between. Her breath escaped her from the shock. "Oh my God!" Meredith stopped the scan to help Elena sit up, a look of total disbelief on her face. She studdered, "I...I...don't understand how. Vampires aren't supposed to reproduce."

Meredith tried to be supportive. "It looks like they can after all. Are you going to be ok?" Still stunned Elena slowly looked at Meredith, first shaking her head yes, then slowly no. "Do you want me to call Damon to come and get you?"

"No, no! I'm ok. I...just...need a minute to collect myself."

Meredith tore the picture of the ultrasound image off of the machine and handed it to Elena. "I think you're going to need this when you tell Damon." Elena swallowed hard looking at the picture in her hand, her mouth still agape.

Stunned, Elena drove around for a while, trying to let things sink in. No matter how many times she looked at the ultrasound picture, she still couldn't believe she was actually pregnant. "How is this possible?" she said out loud. After a few hours, she found herself in the driveway of the boarding house. She needed to tell Damon the news. She wasn't sure how when she could hardly believe it herself.

Sitting in the study, with a glass of bourbon nearby, he was combing over some documents he'd received from Liz about the council's plans. He heard her come in before she even entered the room. "How was playing hookey with Meredith?"

She walked in slowly almost in a daze. "It was...interesting to say the least!"

Without deviating from the document he was reviewing, he asked, "Yeah, why's that?"

Elena sat down next to him, staring blankly at him. She couldn't quite choke out the words. All she could get out was "um...ah."

Damon noticed her hesitation. "Ok, let me guess. You told her about us. She said I was too dangerous. You defended me. She suggested doing a psychiatric evaluation on you."

It was now or never. Elena blurted out, "I'm...pregnant."

He gave her a very funny look. Without skipping a beat, he replied, "Ha ha. Words never uttered by a vampire's girlfriend. So what did she really have to say?" Damon returned to the documents in front of him.

"This isn't a joke! Look, I hadn't been feeling very well, so I had her run some tests. I don't know why, but she included a pregnancy test. And it came back positive."

He looked back up and scoffed, "So. Those tests are notoriously wrong."

She felt her emotions overwhelming her. "Then explain this?" She pulled the ultrasound photo out of her pocket and handed it to him.

He gave it a quick glance before handing it back to her. Looking at her like she was crazy, he said, "All I see is a blob. The machine is probably screwed up."

Frustrated with his denial, she put her fingers to her temples, trying to sooth the headache this conversation was giving her. "It's NOT the machine."

Now Damon was getting frustrated. She is delusional. He sighed heavily, trying to calmly remind Elena of the facts. "Elena, you know that's not possible. I'm a vampire remember? Vampire equals dead. The dead can't reproduce."

"Well something has changed then because I heard the heartbeat."

A look of complete confusion spread across his face. Heartbe...? He grabbed the ultrasound photo from her and studied it again. A puzzled look remained on his face. He shook his head in disbelief as he mumbled. "That's what that was."

Elena watched his expression turn from confusion to stunned disbelief. "What are you talking about?"

He looked at her, still trying to fathom what he'd heard. "A few weeks ago, I started hearing this faint sound whenever I was near you. Like your heart had an echo."

"Oh my God Damon. You can hear the heartbeat?" He slowly knodded then grabbed his drink and slammed it down. He got up and paced a few times, trying to think, before going over to the bar to pour another drink. "This can't be happening. No vampire has ever reproduced."

She turned around on the couch to watch him. "Are you sure? Maybe in Katherine's time, before you turned?"

He shook his head, trying to make sense of it. "In 146 years, there hasn't even been a rumor of it." He slammed another drink.

She thought carefully for a moment. "The doppleganger is suppose to be a supernatural occurrence. What if that allows me to get pregnant by another supernatural being?"

"Then you would've gotten pregnant before now." She cringed at the reminder that she'd been with his brother first. He saw her reaction. "I didn't mean anything by that Elena. I just meant it doesn't fit. A spell maybe?"

She stood up and walked over to him. "Why would anyone put a pregnancy spell on me?"

"Well, Klaus is obsessed with creating these hybrids. Maybe he wanted to ensure the Petrova bloodline continues. If he puts a spell on you to conceive, he guarantees future dopplegangers. Then his hybrid army is always replenished."

"But it doesn't make sense. I mean I'm only 19. It isn't like time is running out. Besides, he still has my blood for his hybrids, so why use a spell?"

"Maybe he's worried, that if you keep getting involved with vampires, the line will die out."

His theory was definitely plausible, she thought. She found herself getting emotional again at the thought. She began rambling. "I don't understand any of this. What are we supposed to do? How do we even know if it will be ok?" He wrapped his arms around her and held her close to his chest. She began to cry. "Damon I'm scared."

As he stroked her hair to calm her. He had no idea what to say. All that came out was, "I know." The truth was, he was scared too. Since he died, he had long ago accepted the things he would never have. The idea of a being a father was so foreign to him. He would like to have been happy, but all he could feel was a deep sense of worry. He was terrified about what might happen to her.

She pulled away to look at him. "Aren't you even a little worried?"

He gently caressed her face. "Of course I am."

Elena's mind was racing along with her heart. "We need to find out how this happened."

Damon looked at her, "How do you suppose we do that?"

"Maybe you could ask Katherine if she's ever heard of something like this before."

"I would if I knew where she was."

Elena considered, "Then we should see if Bonnie can find out something. Maybe she could ask the witches if a spell has been cast."

He snorted, "Yeah because they just love helping me."

She smiled tightly. "Well, they've helped us before. It can't hurt to try."

He nodded, "Fine. But until we know more, we should be careful who we mention this to." Elena nodded. She closed her eyes and melted back into his arms.