Beautiful Doom

Meredith is forced to juggle parenting with work when Derek has a lecture in Boston. Cristina is on the phone with Meredith again, bragging to her about the aneurysm. Meredith is in her car, and she passes an accident. It looks bad, so she parks her car and gets out to help. The driver is fine, but when Meredith runs to the other side of the car, she sees woman trapped under the car. This reminds her of Lexie, who was trapped under a part of the crashed plane. Meredith and Cristina lean on each other and maintain their long-distance friendship. The two friends continue to cope with life after the plane crash and their ever-growing responsibilities at their respective hospitals.

Cristina and Dr. Thomas are explaining to a patient with the aneurysm that she needs to have two surgeries: one to repair the current aneurysm, and another surgery to fix the defect that formed the aneurysm. The patient and her husband turn out to be doomsday preppers, ready for the apocalypse. Cristina and Dr. Thomas leave the room when they've finished their story.

Meredith is adamant about saving the life of her patient, Melissa, and while operating there's a lot of bleeding when Callie enters the OR. Callie looks at the scan of Melissa's break and she says there must be a lot of bleeding. Richard comes into the OR to tell Meredith that Melissa's parents have been found and that they're coming to the hospital. Meredith asks for more blood transfusion, but Richard and Callie think that it might be time to pack up Melissa and let her body rest. She keeps operating a little longer, until Richard calls her name. She then agrees to pack up the patient. He is worried that the case is hitting a little too close to home for her after what happened to Lexie. He's worried that her emotions are clouding her judgement, but she tells him that that's not the case. She leaves to go check on Melissa.

Meredith and Cristina are on the phone, Meredith is leaving the hospital, and Cristina is in a liquor store. Cristina says that she fears that the patient will die, and that Dr. Thomas will be fired. Meredith is worried about her patient too, as she needs to go home with Zola because Derek is out of town. Cristina is on the phone with Meredith again, telling her that Dr. Thomas will do the surgery. She says that he'll get fired if he does it. Meredith says that she needs to find the perfect window to open her patient back up.

Meredith is writing her surgery on the O.R. board, as it's the perfect window to go in. Richard stands next to her, and Meredith assures him that it's nothing like in the woods, as they're in a hospital with a lot of medical resources. He wishes her good luck, and says that it's a right call to go back in. Ultimately Meredith has found the source of the bleeding and clamps it. She then makes time for a 30-second dance party, and makes everyone, including Bokhee, dance with her. Meredith comes into the attendings lounge, but Zola isn't there. She runs down a hallway, and then she sees Owen carrying Zola. He explains that he took her as April had a surgery and that Zola's fever is down.

Cristina assists Dr. Thomas with a cardiac case, when he suddenly suffers a heart attack during the operation, he collapses. This forces Cristina to keep operating on her own. Meanwhile, several nurses get to Dr. Thomas and try to revive him. Dr. Parker comes in, and starts CPR. Cristina has her back turned towards them, so she asks what's going on. Dr. Parker tells her to focus on her patient. Cristina informs the patient's family that the patient is okay. The patient's husband hugs her.

Melissa is asking for Meredith. She leaves Zola with Owen, as he doesn't have to go anywhere, and she runs off. Melissa meets Meredith, saying she remembers how Meredith was there when she was trapped. Meredith just put down Zola for the night when someone rings the doorbell. She opens the door and sees Cristina. They hug and Cristina says that she drank all the tequila that she bought earlier. "Lexie is dead," Meredith says. "Yeah... Everyone's dead," Cristina says, and they hug again.

William Daniels made his last appearance as his character Dr. Craig Thomas died in the episode.

"Beautiful Doom" was written by Jeannine Renshaw and directed by Stephen Cragg. The episode features many cross-overs between Seattle (with Meredith at Seattle Grace) and Minnesota (where Cristina was practicing at Mayo Clinic). The cross-overs were depicted via split-screen sequences which later on release garnered positive reviews.

TVLine in April reported that Emmy winner William Daniels will guest star on an episode of Grey's Anatomy at the end of season 8, playing a proctor for Cristina Yang during her medical boards. This marked the first acting role for Daniels since playing a judge on a 2008 episode of Boston Legal. Daniels has had several iconic roles before that, including Dr. Mark Craig on St. Elsewhere for which he won two Emmy Award in the 1980s. He was known to the younger fans as the wise teacher and neighbor Mr. Feeny on Boy Meets World.[1] He made his debut in the final episodes of the eight season, Daniels played one of the doctors overseeing the medical boards being taken by the Seattle Grace residents. “it’s actually really hilarious!” Sandra Oh told TVLine of the episode, which was directed by her scene partner Kevin McKidd. “I just shot the entire boards episode with the wonderful William Daniels, who played Cristina’s proctor. It was phenomenal to be working opposite him.”[2] In Beautiful Doom Daniels made his last appearance as Dr. Thomas as he, after being persecuted by his boss into early retirement, suffered a heart attack while performing a surgery and dies in the OR right next to Cristina while she's forced to continue working on the patient, unable to save him.[3]