She hears someone familiar, and she wishes she could see. There's something warm and familiar against her hand. It's someone else's hand, she realizes, and she listens for the voice of the hand's owner.
"Elena." The voice says, and she wants to mention that they never really say hello, just say each other's names. She wonders if he knows if she can hear or not. Part of her is happy he's holding her hand. The other part is worried about what it means. He sighs, and his stays in hers. He wishes he had told her how he felt before she had slipped into a coma. But he tells her about almost everything else. He expresses his regret, and he tells her how he's adjusting to life in New Orleans. He tells her that Hayley is trying to flirt with Klaus, and that he has no interest in a romantic relationship with anyone. He doesn't mention the only person he'd want to be in a relationship is a few feet away in a coma. He tells her stories of the times he's been staked and had to adjust. It's reassuring, and she wishes she could look at him. She wishes she could squeeze his hand. He doesn't mention that he hopes she can hear, he has honestly never heard of the spell used on her. He's been there for hours, he tells her. He doesn't want to leave, and so he doesn't. He mentions Caroline, he tells her about Jeremy's baseball scholarship and how he will visit Jeremy as frequently as possible. He vows to talk to her as much as possible, he doesn't mention it's just a running monologue or that he has no idea if she even wants to hear him each week-or even if she can hear. He promises every Sunday. She plans to hold him to it.