Disclaimer: I don't own Grey's Anatomy.
Warning: Implied abuse.
Prologue
Alex Karev is ten and all he thinks about himself is that he's DirtyBadWrong.
Alex knows that. He tried to take care of his mom when she was going through the rough patch, but he was only eight and she got hold of his dad's razor. Alex had only gone out of the room for a second to answer the phone. When he returned, his mother had been bleeding everywhere. Alex had stayed with her until her eyes closed, and had waited until his father to come home to say anything.
Alex has just been hurt by his father in the DirtyBadWrong way, and he hates it so much. He just wants it to stop. Alex misses his mommy, and wants her back. He had a purpose when she was still alive. He took care of her through her rough patch.
Now, his dad is married to this lady named Kathleen. Kathleen is really nice, and Alex likes her. Dad doesn't hurt Kathleen, but Alex can tell that he wants to. He's warned Alex not to tell Kathleen about the DirtyBadWrong thing. Alex knows it is his fault that he's DirtyBadWrong.
The years pass. When Tom Karev finally cracks and hurts Kathleen, seventeen year old Alex beats him up and Tom never returns.
Alex tries to pretend that he isn't damaged. Kathleen kicks him out because Tom just had a bad night, and he's okay. Alex leaves his small town, but stays in Iowa.
He goes through medical school, because he can get in on cool surgery and help people like him. He's still damaged, but he's brutally honest. Brutally honest people don't get hurt.
Then he meets Jane Doe/Ava/Rebecca. She loves him, and wants to be there for him. When she finds out she's pregnant, Alex is angry at first. Then he starts to get excited about the baby.
When Rebecca starts going through a bad patch like his mother, Alex knows he can take care of her. He took care of his mother, and it might have ended badly, but he'll be better at it this time.
When Izzie tries to interfere, Alex calls her names, like his dad called his mom names. He thinks that'll make her go away. His mother always cried after that.
Izzie doesn't cry, and she stands her ground. Alex is surprised, but determined to get Rebecca through her bad patch.
When Izzie confronts him, Alex loses it and talks about how he's been through this before. He can help her.
When his denial finally comes crashing down, he breaks down for the first time since he found his mother bleeding to death in the bathtub.
Izzie comforts him, and the two are back together now, but Alex knows that he's unfixable.
Alex Karev is twenty-nine and all he thinks about himself is that he's DirtyBadWrong.
TBC
The idea for this story came to me when I was reading a Supernatural fic where John wasn't such a great parent to Sam. Sam feels guilty, thinks it's his fault, and that's he dirty and bad. The DirtyBadWrong and Alex thing came to me. Then I had to think of a plot, which will come into play next chapter. Please review, so I know what you think.