Faces can be seen in the background, Derek looking into the tub, Cristina poking out from around her locker, Bailey in the ambulance bay, George at the crash scene, Alex with Jane Doe, Izzie with Rick, Ellis in her hospital bed, and Lisa walking away from the dock)
MVO: Like I said disappearances happen. So much more. Kate: Uh, I checked on her earlier but she's a little sedate today. Search and rescue can't track it. Come on please. (He looks at the coat on the business man and sees Meredith's name badge) Dr. Grey? She is merely sinking.) Richard: Ok, first you've got to stay calm. (George is in the ER looking for Chris. (She points into the water and Derek looks terrified)
(Meredith is still sinking and then the scene changes to Jane Doe's surgery)
Burke: The leak in the heart is coming from the right atrium. Addison: Head strong. He's little. You know, I'm supposed to deal with these freaked out families. Izzie: We've relieved the pressure on his brain but he's still got a lot of other injuries. (He picks Lisa up and starts to carry her away. You find her son? So, when she wakes up I get to inform her that she's not going to die, she's just gonna want to die. Izzie: I drilled a hole into this guy's skull. Mark: You saved his life, you might as well help finish what you started. He walks up to the husband of the pregnant woman)
Man 3: I have...we have two pregnant women. Thanks for asking. This is not about getting her approval. I'd notice. Callie: Really. Richard: We need to save her life. Charge to 300. (Addison enters)
Richard: Back to asystole. (Meredith flatlines)
(Meredith appears to wake up, coughing and sputtering. Dead?
Plan: A: Meredith; Q: Who struggles to stay afloat and eventually drowns? A: her coat; Q: What does Derek find on a man Meredith helped? A: his shock; Q: What did Derek's reaction to finding Meredith in the water be? A: the little girl; Q: Who did Meredith take care of? A: hypothermia; Q: What is the little girl almost dead from? A: The little girl; Q: Who did Meredith save from drowning? A: her mother; Q: Who does the little girl reunite with after Derek saves her? A: brain surgery; Q: What does Izzie perform on a man stuck between cars? A: seizures; Q: What is the man stuck between cars experiencing? A: holes; Q: What does Izzie drill into the man's head to relieve pressure on his skull? A: the pressure; Q: What does Izzie drill into the skull of the man who is stuck between cars to relieve? A: his life; Q: What does Izzie save from the man she performs brain surgery on? A: Seattle Grace Hospital; Q: Where is the man who Izzie saves transferred to? A: Webber; Q: Who allows Izzie back into surgeries? A: George; Q: Who lies to the woman whose son he was looking for? A: Callie; Q: Who is operating on the son of the woman George lied to? A: the pregnant Jane Doe's family; Q: Who is Alex unsuccessful in searching for? A: The interns; Q: Who finds out about Meredith's situation? A: their hopelessness; Q: What do the interns express when they find out about Meredith's situation? A: her deceased acquaintances; Q: Who does Meredith meet in limbo? Summary: Meredith struggles to stay afloat and eventually begins drowning, but nobody is around to notice. Derek finds her coat on a man she had helped, and starts looking for her and, much to his shock, the little girl Meredith took care of indicates that she is in the water. Derek saves her, but she is almost dead, due to hypothermia. The little girl gets reunited with her mother. Izzie has to perform brain surgery on a man stuck between cars, as he begins to experience seizures. She drills holes into his head, to relieve the pressure on his skull and ultimately saves his life before he is rescued and transferred to Seattle Grace Hospital; this leads to Webber allowing her back into surgeries. George lies to the woman whose son he had been looking for, in order to get her to surgery, and eventually finds Callie operating on the son. Alex is unsuccessful in searching for the pregnant Jane Doe's family as she undergoes surgery, and at the same time he also has to deal with the families of the victims. The interns find out about Meredith's situation and express their hopelessness. She wakes up in what appears to be limbo and meets her deceased acquaintances.