Warning: This post contains spoilers about Thursday’sGrey’s Anatomy.

And what happened was shocking to say the least.

And he can’t come back because “the one perfect thing isn’t in Seattle, not anymore.

GREY’S ANATOMY

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I swear it’s not about work or you or Jo.

It’s about me.

I left and I’m with Izzie.”

That’s right, she had Alex’s kid … or kids, rather.

She had twins, Eli and Alexis.

He writes, “I love Jo deeply, still.

I think I always will.

And if it was just about two women I love, I’d choose my wife.”

And yes, he’s also in love with Izzie.

Now, Izzie is working as a surgical oncologist, and Alex has applied to a nearby hospital.

“I never had that before.”