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As the Federation starship Enterprise??'?s new chief medical officer, Dr. Katherine Pulaski, is brought aboard, the Enterprise prepares to travel to Aucdet IX in order to take on dangerous virus samples, which will be carried to a Starfleet Medical station in order to devise a cure for a plague epidemic in the Rachelis System. On leaving the starbase, a ball of energy passes through the hull and enters the ship unnoticed, eventually settling into ship's counselor Troi's quarters. The next day, Pulaski finds that Troi is pregnant; the fetus is developing at an accelerated rate and will be fully developed in 36 hours. Troi does not know who the father is, but is aware of a "presence" entering her body the night before. Though the senior staff debate terminating the pregnancy, Troi decides she will carry the child to term.
While the Enterprise arrives at Aucdet IX and begins to transport the samples into a highly secure storage vessel, Troi gives birth to an apparently normal boy, whom she names Ian Andrew after her father. Ian continues to develop rapidly; within a day, he appears as a four-year-old child with corresponding mental faculties. Troi and Pulaski observe Ian purposely putting himself in harm's way, seemingly just for the experience. When asked if he is ready to explain who or what he is, though, Ian responds "not yet."
Having completed the transfer of the virus samples, the Enterprise heads for Starfleet Medical, but the crew finds one of the plague strains is growing inexplicably; should it continue growing, it will rupture the storage vessel and result in the catastrophic exposure of all on board. They discover that an unknown source of Eichner radiation is causing the growth. Separately, Ian confides to Troi that he is the source of the crew's problems and will have to leave. Troi realizes Ian is dying, and calls for medical assistance. As Pulaski tries to keep Ian alive, Commander Data scans him and discovers that he is the source of Eichner radiation. Ian dies in Troi's arms, and turns into a ball of energy, which settles into Troi's hands, communicating telepathically with her for a moment, then leaves the ship. Troi reveals that Ian was a life-force entity, curious about the Enterprise and its crew, and went through the process of being born and growing up to live as one of them. With Ian gone, the plague sample returns to normal, and the crew continues on to Starfleet Medical.
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