Disclaimer: I don't own Grey's Anatomy

Prologue

Alexander Michael Karev was born on January 10th, 1979 to sixteen year old Nancy and twenty-four year old Patrick Karev. After learning of her pregnancy by the older man, Nancy Jorkens had run away from home and married her boyfriend in Vegas.

The couple settled in Iowa. Nancy didn't think her parents would look for her in Iowa. Nancy was originally from Massachusetts. Patrick was a musician from California. Nancy thought it was so cool that her new husband came from where the movie stars lived.

Alex was sixteen months old when Nancy suffered a miscarriage. Patrick had been hurting her for thirteen months, and Nancy wasn't sure whether to be happy or sad that she had miscarried.

After the miscarriage, Patrick started hurting Alex. On particularly bad news, Patrick would lock Alex in the closet for up to 48 hours. The little boy was hysterical for days afterwards.

When Nancy got pregnant again, she thought Patrick would stop hurting her and Alex. She was wrong.

This time, Patrick Karev caused his wife's second miscarriage.

Alex was three when Nancy gave birth to a daughter named Grace. Grace was diagnosed with a heart problem at birth. She died when she was three. Nancy hadn't been doing too well anyway. Her husband had his own problems with drugs, and Nancy was an alcoholic. Alex was six when his sister died.

Nancy was pregnant two months after Grace's funeral, but she unfortunately gave birth to a stillborn son. Patrick was so angry at his wife for the stillborn that he took it out on Alex and Nancy once again. After the stillborn was born, Patrick locked his six year old son in the closet for five days. Nancy was too far deep into her alcoholism at that point that she didn't even care. She had been sober for her pregnancy, but she went right back to the alcohol after the stillbirth.

Alex was so traumatized from his five day stay in the closet that he never spoke of it again. The consequences from that stay resulted in Alex becoming claustrophobic.

Alex was eight when Nancy miscarrried again, because of Patrick. Alex was twelve when Nancy gave birth to a stillborn daughter. Nancy never really got over her miscarriages, the stillbirths, or Grace's death.

When Alex beat his father, Nancy was so angry that she kicked her son out of the house. She never heard from him again. Unknown to Alex, his mother died from alcohol poisoning when he was twenty-three. Alex didn't find out until he was thirty-five.

Alex tried his best to forgot his past, but the past caught up with him one day in May 2008, right after he learned that Ava had faked her pregnancy.

The twenty-nine year old got stuck in an elevator with Derek and Mark, and things would never be the same.

TBC