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He admits that leaving her via a letter is the "worst thing" he has ever done but confesses he is still in love with Izzie. He attaches signed divorce papers and leaves her his shares in Grey Sloan Memorial Hospital.
Alex decides to leave his life in Seattle—including his wife, Jo Wilson—to be a father to his children, explaining that he wants to give them the stable family life he and Jo never had. He mails four primary letters:
He explains his need to be there for his kids, a feeling Richard understands as a father who missed his own daughter's childhood. Critical and Fan Reception The response to "Leave a Light On" was deeply polarized. Why Alex Karev's Leaving Was Perfect (an unpopular view?)
The episode reveals that Alex has reconnected with his former wife, (Katherine Heigl). After contacting her for a letter of recommendation for Meredith Grey’s medical license trial, Alex discovered that Izzie had used the embryos they froze years ago when she had cancer. She is now living on a farm in Kansas raising their five-year-old twins, Eli and Alexis.