In the years following the war, Madison had his raving brother committed to Montreal General Hospital, where he was kept in restraints, before he himself joined the Canadian superhero team Alpha Flight. Shortly afterwards, Alpha Flight leader Heather Hudson found Lionel, discovering his existence on the team's Alphanex computer system (only after bypassing a security lock on Madison's file). Since Madison never informed his teammates of Lionel's existence, Heather assumed the man was a doctor at the hospital, and travelled there in an effort to determine if he was a mutant, and if so recruit him into Alpha Flight. When she discovered Lionel was, in fact, a patient, she was further horrified to behold what she believed to be terrible mistreatment on behalf of the medics who restrained him. However, when Heather attempted to introduce herself as Madison's friend with a handshake, Lionel made physical contact with her and used his powers to brutally warp her body, freeing himself in the process and overtaking the hospital. He now went by the name of Scramble, the Mixed-Up Man, and soon went about altering the hospital staff and patients into hideously deformed zombies (unintentionally resurrecting Deadly Earnest, a deceased Alpha Flight foe, in the process). The insane Scramble believed himself to be little more than a doctor caring for his patients. Alpha Flight soon arrived on the scene to rescue Heather (after tracing her path via Alphanex), and wound up in a brawl with the mutates. Soon, the Jeffries brothers reunited in the hospital morgue, and there Madison fully realized the depth of Scramble's insanity, while also believing there was still good in him. The two brothers clashed, but eventually Madison manipulated Scramble into using his own organic-warping powers on himself, healing his brain from psychosis. The "cured" Scramble reverses much of the damage he did, including Heather's transformation, and vows to return to medicine after getting discharged from the hospital.