When Nathan West first arrived on the “General Hospital” scene, he was really in town because he believed Dr. Silas Clay (Michael Easton) was the reason Nina slipped into that seemingly-never-ending coma and wanted revenge. In fact, he revealed his real name was James Nathan Reeves, and he had taken his middle name and Madeline’s maiden name as his last name to form a new identity (via Soap Central).
It turned out, he was very, very wrong about who put Nina in that coma. When Nina suddenly emerged from her slumber after two decades and made her way to Port Charles, she discovered that a lot had changed over the 20 years. First, Silas had moved on without her, and second, the little brother she called “Jay” was not so little anymore. Nina and Nathan also learned that it was Madeline who gave Nina an overdose of antidepressants to induce a miscarriage and instead it induced a coma (via Soaps In Depth). Despite making sure that Nina was cared for in her coma all those years, it turned out Madeline wasn’t mother of the year after all.
