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Never judge what you don't know. Back when Alex was giving nurses syphilis, we didn't know much about him, so it was easy for him to be evil. But during this episode, when Alex takes on patient Scott Sibert, we learn about Alex's dark past. Scott and his mom came into the ER after his father had a bad case of road rage and crashed their car. His father needs a liver transplant, and Scott is a match. But Scott is internalizing something, which Alex sees as a familiar past. Scott's father is abusive toward his mother, and we learn Alex's father was abusive as well.
In life, you can meet a person but never really know them. It's not until you dive in and get to know them at their core that you find out what kind of book they are. Obviously, now it's like that side of Alex never existed, and it's like reading a completely different book. Current Alex is definitely an upgrade. There's always something laying underneath the surface, which creates all of that roller coaster drama that we love. With new characters coming in to play this season, remember never to judge the book before you know what's inside.