Even though Elena was more prone to speaking her mind when she was in pain or on medication because it led to her not having a filter, she really didn't want to go into it. Because it just tied back to her guilt issues that Anatoly already knew about. Along with the fact that people saw her as nothing more than a doll or object. That her future meant she would be 'broken', 'wrong', a 'project' and Elena didn't know how to handle that. She didn't know how to process it. It had been going through her mind for days and she still had yet to really decide what it meant to her. Stefan's aversion to her didn't help. But she hurt him and so she was staying back.
"No, I should be fine. I'll let you know if that changes though."
Because well, she didn't like the notion of being on strong pain medication given the fact it tended to lead to her not having a filter and now more than ever, she needed that. With everyone from Mystic Falls, those who would kill her if it weren't for the truce, those who didn't need to realize how much they had messed with her psyche regardless of intent... It was just safer that she not have that added crack in the barrier for certain matters.
"Seems like mine. Only I nearly got staked by Buffy because she thought I was Katherine as opposed to running into a demon. And well.. that would have been awkward."
Because then she would have been turned into a vampire instead of being a dead vampire. Really. All sorts of awkward with that one. Which was something Elena was extremely thankful hadn't happened. Even before all the comments about what vampire her was like. She just didn't want that kind of life. She didn't know what she wanted, didn't know what mattered in regards to herself, but at least she could still have the option to do something as opposed to being eternally nineteen years old, well eighteen when she had shown back up in Lawrence.