Warning! SPOILERS for Grey’s Anatomy season 18 ahead.
Grey’s Anatomy season 18 showed Meredith struggling with her past, pinpointing how her happily ever cannot avoid being tinged with sadness. Ellen Pompeo’s Meredith was relentlessly sure of her choice to leave Seattle and Grey Sloan Memorial in the second half of Grey’s Anatomy season 18. While her departure was momentarily stopped by the hospital’s residency program being shut down and needing to be saved, it uncovered how Meredith’s past at Grey Sloan Memorial Hospital and her inability to deal with it affected her life and prevented her from living it fully.
When Kate Burton’s return to portray Ellis Grey was announced before Grey’s Anatomy season 18, many believed it meant Meredith would start to hallucinate her. That would have spelled disaster for the medical drama’s protagonist, as one popular Grey’s Anatomy ending theory predicted Meredith getting Alzheimer’s just as Ellis had. While there was nothing in Grey’s Anatomy season 18 that hinted at Meredith being closer to receiving an Alzheimer’s diagnosis, she did start to see her mother more frequently, first in nightmares and more recently in Grey's Anatomy season 18, episode 19, when she was briefly unsure how to progress with the difficult surgery she was leading. Curiously enough, Ellis seemed ever-present when Meredith spent her time in Seattle rather than during her groundbreaking research in Minnesota. Ellis had, after all, made her first appearance in Meredith's nightmares, questioning her life and career choices, when Meredith was considering participating in David Hamilton's (Peter Gallagher) trial but had not yet decided.
Related: Grey's Anatomy S18 Showed Jo Is Meredith's Perfect Replacement
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