He initially refused to install a central line for a Demerol addict because he did not want to feed his habit. After insulting Lexie, she cut him down to size, stating that he was not "badass" for living because she was the reason that he survived and that while he was dying, he cried out for the wife who left him, that is, Izzie. However, Alex does have a moral code and is the only doctor who tells the truth to patients who make bad decisions about their health, at the risk of offending patients and getting kicked out of surgical cases. GA:My ShotLeave a Light On (voice) However, Meredith warned him to dig into Vincenzo's past, though she kept his mental illness a secret so as to not break Andrew's trust. According to Barnett, the project didn't fit in his agenda for pediatrics and would have been shipped over to a different hospital. However, after some time, Alex beganto see Jo in a different way. Daughter Meredith, having reached a breakthrough with Jo, joined him in the chamber so they could talk.[36]. He then started to think of himself as the fat kid in class and the screw-up at home. [17], Alex hated the job because everyone kept asking for stuff, including his wife. After Alex told Jo that he'd found her husband and gone to see him, Jo locked the door and started kissing him, surprised that he'd seen her husband without killing him, which proved to her that Alex wasn't a violent guy. Alex and Jo then took Helen home and helped her get settled on their couch. But, he also cared for his little patients to the extent that . She asked if he wanted to marry her. Alex granted Maggie privileges so she could perform the surgery there and introduced her the stuff, expressing his hopes that she might decide to come work there, which had worked before. [23], Alex settled in the Chief job and got the hang of it. When Alex tried to run the tests, Ava refused to cooperate. The next day, Paul was brought in after a hit-and-run, which Meredith incorrectlyfirst suspected was Alex and Jo's doing. ("Haunt You Every Day"). He didn't care that she wasn't magically cured and proposed to her again, which she accepted. Ever since the start of their internship, Alex has disliked George. He stated he didn't need to, as he had made up a new life forlzzie in his head, in which she was married and working as a surgeon. [13], After months of being engaged, Alex and Jo arrived at the big day. Alex calledher husband, who told him that he left Ava and went with the child. However, the transfusion went badly and they discovered he had the extremely rare Rh0 blood type, meaning he could only receive blood from the exact same type. After the death of George O'Malley, and the merger between Seattle Grace Hospital and Mercy West Medical Center, Izzie was fired partly because Alex told Chief Webber she couldn't handle the pressure of working because she was still recovering. Alex thought she was doing better, but Link told her she was in a rough shape, unlike anything he'd ever seen before. Alex was pulled onto an emergent case with Richard of a man who nearly died in the ER's waiting room. He said yes. Children Meredith told him that Jo was the product of rape and that she had been told she looked just like her father, which sent her into a depression. Jo started to say that she never fit inanywhere and that's why she always ran. Meredith stepped in and told Alex to stay away from Paul as he wanted to beat the guy up, so she helped Jo handle the divorce. She was taken to a psychiatric ward and Alex was forced to move on. ("Piece of My Heart"). He said there was a chance she could get her memory back from the surgery. Alex and Izzie had a rocky start to their relationship. WhenPierce accidentally revealed in the OR that Alex was looking for a spot on the board, Lebackes fired him on the spot. She told him she would talk when she was ready to and that she'd leave him if he threatened to go Pittsburgh ever again. Izzie, still furious from the horrendous date, refused to speak to him. She was worried about not knowing anything about her life, so Alex used her labs to tell her what they'd learned about her. Alex got suspended for a week over it. Before she came back to Seattle, Ava had developed a borderline personality disorder. They are from the same intern class, so naturally, they are close as they have spent so many years together. He has unwittingly been drawn to obstetrics and gynecology and neonatal surgery, after having several bad experiences in plastics, under Mark Sloan. Grandparents Justin ChambersTommy O'Brien (1994), Attending Pediatric SurgeonFormerChief of StaffChief of SurgeryInterim Chief of SurgeryHead of Pediatric Surgery, Shawnee MemorialFormerPacific Northwest General HospitalSeattle Grace HospitalSeattle Grace Mercy West HospitalLebackes Pediatric Surgery ClinicDenny Duquette Memorial ClinicGrey Sloan Memorial Hospital. Gabriella's father was an immigrant cleaning offices for a living and he made too much money to qualify for state coverage for the surgery, which was too expensive for Luis to pay. CurrentAttending Pediatric SurgeonFormerChief of StaffChief of SurgeryInterim Chief of SurgeryHead of Pediatric Surgery [41] Alex was amused when Meredith's article came out, inadvertently trashing Grey Sloan specifically instead of the medical system itself. The two avoided each other almost entirely after their fight. When Rebecca Pope returned to Seattle Grace and revealed she was pregnant, Alex took up some shifts at the Emerald City Bar. Fans shouldn't get their hopes too high when it comes to a potential new baby for Jo, however. Jo dropped by his office and he wanted to celebrate the good news with her. She tried to convince him that they could start over but he had moved on and he decided to break up with Izzie. Thinking he had talked about kids too fast, he found her at a beach bar and apologized. Alive Alex took the case of Gus Carter, a kid with autism that the doctors had to communicate with through LEGO blocks. ("Desire"), Because her more emergency health issues were addressed and her memory had still not come back, Derek Shepherd agreed to look more seriously into possible causes for the memory loss. The doctors estimated her age at 32 years old. Alex found her in Meredith's kitchen and took her to the ER, where she was treated by Izzie. Ava after the crash. Two weeks later, they met with Jo's doctor present. When she finally got back, to get some help for an old teacher, they didn't manage to work their problems out and Izzie left once again. On Richard's first day at Pac-North as director of the general surgery program, he came to complain to Alex about the two only residents being terrible and to demand an office. Izzie is a surgical oncologist, and they live on a farm. Jo's ex-husband abused her for years before she became a doctor. GA: 3 and 4 By this point, Ava was able to get up and walk around. The two of them handed out beers before the countdown and kissed at midnight. Rebecca Pope Alex got shot in the lower chest by Gary Clark upon discovering him standing over Reed's body. Alex then told her Jo still wasn't talking. Soon after, Gus had a heart attack and they managed to pull him through, but the need for transfusion only increased. ("Sympathy for the Parents") Later, while Alex was in high school, he was his mother's primary caregiver, making sure she took her meds and calming her down when her delusions . He and his son, Eli, have the same smile. After Cristina left Seattle for Zrich, Alex found an envelope in his bed that informed him that Cristina had left her shares of the hospital to him. After being fired by Bailey for his part in Meredith's insurance fraud, Alex was hired as Chief of Staff and Chief of Surgery at Pacific Northwest General Hospital. Bailey admitted that she was in crisis back then and didn't trust herself to finish the surgery. The pregnant Jane Doe subsequently became hysterical after realizing she could not remember anything, and turned to Alex for support, thinking that he was her husband. As a result of this, she decided to take Alex's spot on the plane that eventually crashed. He was at first assigned to a different resident, named Jeremy, than the other four. This, however, did not happen as Alex stayed in Seattle instead of going to Baltimore to do his fellowship at Johns Hopkins. However, everything that could go wrong, did. [22], As soon as he heard the bridge had been re-opened, Alex left for work. She had always been in awe of his brain. PP: Ex-Life He came home to Jo, who told him she had used his offer to demand the attending position at Grey Sloan. Your future is staring you in the face and you're not sure you like what you see. After she gives birth to her daughter, Ava's memory eventually returns, although she tries to hide it from Alex, as she had recently left a bad marriage. However, their sex life hit a bump when Alex had difficulties performing. The Couple: Alex Karev ( Justin Chambers )/Ava . Morgan was a surgical intern at Seattle Grace Mercy West. After Shane froze while operating on James's heart, Alex was angry at Shane and tried to make his dad happy. After learning that Jo was married, which she was worried about being discovered during the trial, Alex decided to take the plea deal, which involved him serving two years. She just wasn't ready to talk yet. He thought he should have stopped her, but Meredith told him he couldn't have. Profession He also helped her pick out a new face for reconstruction, as well as a new name "Ava". Alex, thinking Lexie was Izzie, expressed his glee that she returned and begged her to stay with him. He said it didn't have to be today or tomorrow but he wanted to know that it would happen. Alexis StevensEli Stevens [40], Together, they started turning the place around. Alex and Jo then got back together after Jo realized that she could trust him. He apologized to Meredith lots of times but she refused to forgive him at first. She told him that she 'had to come looking for him'. Alex heard about Andrew stepping up and performing a solo surgery when Owen was accidentally paralyzed in the OR and congratulated him on pulling it off. Afterwards, Alex overheard the gossip and loudly announced the authorities had been informed about the mass grave while assuring everyone the hospital was not haunted. This finally led her husband, Jeff Pope, to reunite with her, and though Rebecca pleaded with Alex to "give me a reason to stay", he refused and told her to stay with the better guy, only to regret his decision later, but it was too late: Rebecca and her daughter had left with Jeff, leaving Alex to stare at an empty room. We rank the doctor's couplings on the long-running TV show. Alex paused her and started to look for the ring. Karev explained in his letter to Meredith that . Does Ava and Karev have baby? They continued to sleep together several times over the course of the day. Alex went to Derek and asked him to run tests. During the surgery, the baby went into distress and Jane Doe had vaginal bleeding. heart in the elevator). Alex also boughtMeredith's housefrom her after he chose to remain in Seattle. [48][49], He started to ignore Jo and Meredith's calls and texts, which prompted Jo to callAlex's mother, who revealed that Alex had never been in Iowa. Since this, Meredith and Alex have recovered and maintain a close friendship. Alex was shot in the hospital by a grieving deceased patient's husband, but survived with the help of Lexie and Mark. Andrew thought Meredith had asked Alex to put him on the case to cheer him up and said he didn't need any favors. Alex comforted her and let her vent her feelings before they went to inform Richard and his brother together. Alex passed his re-test and became a full-fledged doctor. He starts dating Izzie exclusively and after winning his solo-surgery he tells her he loves her. He also spent time in juvenile detention for stealing food for his family. He explained that it felt like him and Izzie were "frozen in time" which caused him to want to stay with her. A couple (Joan and Frank Waring) came to the hospital thinking that Jane Doe was their daughter,Shannon Marie. After a couple days, Izzie confrontedAlex and rold him that Ava was not really pregnant and never was. She said she loved him and that they should make a baby, but he wanted to get married. However, there were a few things that didn't make any sense about them. Alex remained worried for weeks trying to join her because she had to treat her cancer and she didn't show up to her round of chemo. Afterward, Alex was paged away. Alex was reluctant at first to have anything to do with her or the baby, but eventually he accepted it and excitedly began to build a new life for him, the baby, and Rebecca, who left to tell her husband she was leaving him. He rescued her from the debris and encouraged her to stay alive. Last She was then taken into surgery to start repairing some of the damage. With Cristina's departure, Alex has become Meredith's new "person". Izzie later revealed that Ava wasn't actually pregnant and was just trying to get Alex to keep dating her. She told him to stop and said he was right when he said career comes first. When Alex didn't come home for 3 nights in a row,Jo got worried. Appearances Alex later admitted to a patient that he had gone too far. One of the interns, Jo Wilson, started up a close friendship with Alex. After a longer stint with Addison Forbes Montgomery, Alex discovered that he liked to work with infants and began to develop a keen interest in neonatal surgery. Finally, she cut herself and Izzie admittedher and forcedher to get a psych consult. [50], Despite the callous image he projects, Alex is particularly affected when he treats addicts and abused children because of his childhood background. ("Testing 1-2-3"), When she came to Seattle on Halloween, she said her daughter was perfect. He refused to help unless she agreed to give him money for his project. Others He and Jo treated a woman who lost her kid in the chaos at the park where the overdoses originated, only to later discover that she had taken her kid to the park so she could score some drugs. Izzie had yet to get over Denny and told him she cannot commit in a relationship with him just yet, and he understood. Alex eventually saw that Rebecca indeed was not pregnant, and became slightly worried when she didn't listen to him and instead insisted that she lost the baby. Meredith had convinced her to get a proper leave of absence so she could ge the help she needed. She began a tentative friendship with him, to the shock of Meredith, Cristina, and George. Alex delivered the baby and took care of him himself so as to provide the best possible care. They are currently raising their son and daughter together in Kansas. Alex confided in Meredith about his failed medical boards and she decided to help him study, roping in Cristina and George to help as well. James and two of his friends were in a car crash and they were obviously on some drugs. Grey's Anatomy Universe Wiki is a FANDOM TV Community. After Alex recognized his father, he couldn't find the courage to speak with him in the hospital. He spent the day working with Andrew, who was shutting Meredith out ever since the failed research project with his father. He found out how understaffed the hospital was, making him feel like a crappy leader. Alex refusedto believe it and so did Ava. Andrew later confronted him about that move and Alex told him that he was letting the stuff with his father interfere with his job and relationship. Alex then warmed up to him. To cheer him up, Jo decided they could have a second honeymoon while staying in. After which, he proceeded to taunt a furious Meredith, who attacked him in retaliation, calling him a frat boy bitch. When Jo realized that he proposed to her, she declined. [6] Alex thought he was dying and advised Mark to have more sex and eat more bacon. He then countered with an offer to make her general surgeon as he needed the extra hands. Her Instagram announcement also mentions she's been filming throughout her pregnancy (and it hasn't. Months later, Ava learned her real identity was Rebecca Pope, a married mother-of-one, and returned home. The news made Alex think about the day she left for Pittsburgh. Arizonaoffered Alex the proposal to go to Africa to tend to and check up on the patients who visited and received medical attention at Seattle Grace. However, when he was in another room, she attempted to cut her wrists with a kitchen knife. James abused Alex, his mother, and his siblings when they were young. Bailey found herself bugged by Alex's picture on there and reminded him of the time he wanted to step down but she still needed time. Only He was also married toJo Wilson before learning about Eli and Alexis. Addison discovered Alex's better side and found herself attracted to him. The doctors diagnosed Gus with a thymoma, which was compromising his immune system, but they couldn't operate until they had transfused him to cure his anemia. Later, Meredith's opinion of Alex changed for the better when he offered to listen to her problems with her mother, Ellis. Alex described himself as being "raised in a bar" and that his father never took him to the park or camping. Once she got there, she stopped answering his calls, worrying him. Does Alex Karev have a baby with Ava? Alex was down to have a baby with Jo, but they both decided that it wasn't time for them yet. It turns out they did. He left after saying she should stay with Jeff. She took over from Jo and Alex and Jo agreed that Meredith and Link looked good together. A more complete gallery with pictures of Alex Karev can be found here. Izzie's patient, Denny Duquette, was re-admitted after he suffered a heart failure. She convinced him not to rat her out for a while, saying "Nothing I did changes anything." The two dated for a while, but when Alex was shot in the Season 6 hospital shooting, he cried out for Izzie instead of his girlfriend, Lexie, making her realize that he was still in love with his. During surgery, her baby started having late decels, but Addison was able to control it and Burke finished the surgery. Before Meredith's medical trial, Alex called Izzie to see if she would help out, and during the conversation, he found out she had given birth to twins and he was the father as a result of the frozen embyos. Workplace Alex brought her to the ER and got even angrier at Izzie when she tried to get Rebecca a psych consult so she could be admitted. Alex later came back and placed his hand on her belly, not knowing that the pregnancy test had come back negative. The damn cells turn toxic right in front of your eyes. On her first day as Chief Resident, Jo was shocked when Paul showed up at the hospital with the divorce papers. for two weeks and later in his bedroom as Rebecca kissed him, he yelled at her, telling her that she was only at Seattle Grace "to play dress up" and that she should go back to her life so he could get on with his. When Cristina transferred her hospital shares to Alex, he considered sitting on the board of Grey Sloan Memorial Hospital. When he was told that since the case belonged to the state, he could not do that, he threatened to sabotage the case, which the attorney said was "a slam dunk." ("Losing My Mind"), Alex continued to take care of Rebecca, feeding her and bathing her while she remained in an almost catatonic state. She told him that when he tried to talk to her in her depressive episode, she felt fear, shame, and pain. Helen says she only meant to give Jo a little nudge. At the same time, Jo was trying to dump Alex for spending too much time with Meredith. [32], For a week, Jo pretended to be sick and did not go back to work. After his dad returned to the hospital trying to get clean, Alex said goodbye for a final time. When the board introduces the non fraternization policy, they fake a break up. During the midseason premiere of Grey's Anatomy, Dr. Bailey made it clear that Alex had accepted the plea deal and was going to jail. While it seemed at first that he chose that specialty due to "frat-boy" superficiality, the real reason was that plastic surgery patients sign up for the pain they get. His guilt over her replacing him led him to agree to stay in Seattle while she recovered, even amputating her leg himself when the time came. She needed brain surgery, but he warned her that due to the location of the bleed, she needed to be awake during the surgery. However, he later told her that he only wants to work with her professionally, and is not interested in pursuing a romantic relationship with her. In. Izzie subsequently found out about it and blew up at her friends for helping Alex. They then went through all their wedding gifts. Carina eventually informed Alex about her father's mental illness. "), Rebecca reappeared. Eventually, they began a romantic and sexual relationship. She was hiding from her ex-husband, Paul (Matthew Morrison), who was abusive and almost killed her . Alex proposes although Jo does not realize that that's what he was doing until he introduces her as his fiance. Alex wanted to quit, but Richard told him you only quit when you've tried something to the best of your abilities, otherwise it's just failing. He froze some funding he had approved earlier, including Link's project. They agreed to return most of it and buy a bigger television with the money they'd get back. ("Haunt You Every Day"), Rebecca came back again and Alex let her sneak into the gallery to watch a surgery, even though it was against the rules. He urged all of his colleagues not to make a big deal out of it. She now had 5-year-old twins, who turned out to have been fathered by Alex. Shapiro [11], Alex went to the District Attorney's office to take the plea deal, but Andrew unexpectedly walked in and tried to drop all charges against Alex. 18 "You Can Look (But You'd Better Not Touch)". Jo later brought Alex a cup of hot chocolate to comfort him and he told her he loved her.[27]. He picked the green one as it was his favorite color as a child. Alex kissed Rebecca and the two proceeded to an On-Call Room. She matched the basic description of their daughter,so she allowed them to come in and see her. He then told her what was happening and they worked it out. Alex asked Meredith to keep Jo's ring until the day he would propose to her. When discussing medical proxies, Alex told Cristina she could be his proxy. However, Alex rebuffed Addison's subsequent advances, after learning she wanted a committed man to have kids with, something which he was not ready for. He had to put her on her side to improve her circulation. She was brought to Seattle Grace Hospital where she bonded with Alex but later left when she recovered her memories. While attending a fish fry hosted by Richard on the roof, Alex asked Bailey to cover for him while he flew back to Iowa with his mother. He then got ready to leave. Alex left the group in Richard's hands and went with the worker, who showed him they had come across skeletal remains while digging. Alex decided to not wait for her and he slept with Lexie Grey just before Izzie came back home. From that point, Alex committed himself to the Africa Project, despite a rocky start. However, when she did come out a week later, they decided to commit her to a 30-day program at a psychiatric facility. He also helped her pick a "new face" for Dr. Sloan to construct. Professional Information Alex feared that Bailey only picked him because he would never live up to her, so that she would be welcomed back with open arms after her sabbatical, but she told him that she did trust him to do the job. About six weeks later, Rebecca came back to Seattle Grace once again with news for Alexshe was pregnant. He preferred not to call her and instead held ontothat imagined life for her, in which she's always smiling as she's as happy with her husband as Alex is with Jo. Their wedding ceremony was held on a ferryboat and was officiated by Meredith. ("Some Kind of Miracle"), Because of the damage to her face, she was difficult to identify and there was no match on her prints. Paul Castello pointed out she seemed pretty cavalier about the law in both her professional and personal life. Alex arranged a new MRI machine for the hospital but they had to wait for the right software in order to be able to use it. A couple of years after Izzie's departure, Alex entered a committed relationship with Jo Wilson. [18], Alex found out that Link and Jo had worked together waiting tables and that he was like a brother to her, but Alex gave him the cold shoulder while they working together on Rafi Elshami. She also told Meredith that Alex needs to be mocked at least once a day or he'll be insufferable. Given his time as Addison's intern, and with Bailey's recommendation, Head of Pediatric Surgery Dr. Arizona Robbins mentored Alex for the remainder of his residency; he officially declared his specialty during his fifth year, paving the way for his fellowships after his residency. [55]They got back together and eventually got engaged. He took her home and decided to take care of her, disregarding Izzie's observations that Rebecca "isn't looking very good. Sometime after Robbins was promoted to the head of fetal surgery and Bailey was promoted to Chief of Surgery, Alex was promoted to Robbins' old position as department head of pediatric surgery. Alex Karev secured a position in the surgical residency program at Seattle Grace after graduating from medical school. She knew he had had enough crazy for a lifetime and that he deserved more than someone weak who breaks like glass. However, he was convinced that they would be able to turn this place around so that failure was no longer the culture there and made Richard see that it could provide him with a new legacy other than dropping dead in Grey Sloan's OR. He and Jo discovered neither of them had mailed in their marriage license, meaning their marriage wasn't official yet. Does Karev have a baby with Rebecca? Jo then decided to go back to Bailey and explain why she was the future of medicine. Seeing Alex's ability to handle child patients, Dr. Arizona Robbins shows an interest in mentoring him for that specialization. Later on, Rebecca returned and they had a brief relationship during which she believed he got her pregnant (which was investigated by Izzie and turned out to be false). [39], On Jo's first day back to work, Alex offered Jo a job at Pac-North so she could start with a clean slate, even allowing her to run her own fellowship. Alex took the investors to his office and explained the situation properly. Professionally, George had beaten Alex during important situations, even though Alex was better at poaching surgeries, George would have been better at dealing with emergency cases while Alex would just have frozen (e.g. She confessed that the only person she wanted to be was Ava. He hides his pain behind a mask of aggression and bad attitude. ("Testing 1-2-3"), He later left her and took the baby. Alex then called the DeLucas into his office and told them Vincenzo's major breach of protocol and reckless behavior had convinced him to stop the research. He knew she was lying, but she continued to completely shut him out and lie in bed all day. Richard then came to get Alex for Meredith's problems. Then, she returned and attempted to get back together with Alex, but he refused because of the fact that she had left him, and they ultimately got divorced. Alex and Owen traced the source of the problem back to a broken fridge in the ICU's blood supply. The patient, Nora Hillridge, was sabotaging her own surgery by drinking juice to increase her glycemia so that she could stay in the hospital and wouldn't have to go back to school. Andrew walked out before Alex could understand why he decided to drop the charges. He is the father of twins,Alexis and Eli, with his ex-wife and current partner,Izzie Stevens. During their tour, they came across a woman shouting for help from the ICU as one of the residents failed to deliver adequate help to her hemorrhaging husband. His announcement came right when Richard walked in the with the investors. When presented with the opportunity to become Chief Resident, she decided she was done hiding and filed for divorce from Paul. Alex then offered him the position of Head of Trauma Surgery, allowing him to structure the department as he saw fit. Alex asked her if she was keeping it or having an abortion and then left abruptly. His confidence took another blow when he froze up during a makeshift emergency surgery in an elevator during a power outage, and George had to operate on the patient himself. The doctors found out and Andrew went a bit overboard in his attempts to convince Nora's mother to make her daughter get the surgery.

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