Well apparently Meredith fell into cold water and it took forever for Derek to find her and when he did she was all blue and shit. So she's now back in the hospital but she's all asystoly and all those other words they say on ER that mean you're dead. So the last like 30 seconds was Meredith having her go into the light moment where she's seeing dead people. Those dead people are Denny and Hot Bomb Guy.
I don't think she's dead dead. She'll live again. Or become a zombie. But then that would be a very different show; possibly a show the world isn't ready for.
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