Joshua grew up in Maine as a American Citizen, born in the town of Bangor. He lived a quiet life in a small town just passing his time relaxing, studying the science and helping people. It was through this that he began to decide he wanted to help people by being a doctor. He studied and got into interning as he was in high school in order to be better prepared. After graduating he went on to college to become a doctor. He was successful and excelled in his courses. But after graduating with his Medical license he decided he wanted to really help those in need. He joined the group known as Doctors without Borders. This led him the Chernarus and why he's stranded there now.