April Kepner was introduced in the episode "Invasion" as a former surgical resident at Mercy West Hospital who joins the staff at Seattle Grace Mercy West after the two hospitals merge.
Much of her background is revealed in the episode "Death and All His Friends." While being held at gunpoint by Gary Clark, she tells him about her life in an attempt to convince him not to shoot her, a technique she says she learned from watching Oprah. She was born on April 23 and grew up in Columbus, Ohio. Her mother Karen is a teacher, and her father Joe is a corn farmer. She is the second of four daughters; her sisters are Libby, Kimmie, and Alice.
Following the shooting, April and Jackson Avery move in with Meredith, who also lives with Derek, Lexie, and Alex Karev. April and Meredith become closer in season seven, prompting a jealous outburst from Meredith's sister Lexie. April reveals that she is a virgin because she wants the first time she has sex to be special. The other surgical residents make fun of her, but she advises them not to judge her, as she does not judge them.
It's weird, it's weird, it's weird. I mean he's old and mean. He's like the Grinch.April
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Callie: Kepner, I need you to speak differently.
April: I'm sorry.
Callie: It's your voice. It's a little umâ€”just speak differently.
April: Like with an accent?
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Did you say it? 'I love you. I don't ever want to live without you. You changed my life.' Did you say it? Make a plan. Set a goal. Work toward it, but every now and then, look around; Drink it in 'cause this is it. It might all be gone tomorrow."Meredith (closing voiceover)
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Lexie: [narrating] Grief may be a thing we all have in common, but it looks different on everyone.
Mark: It isn't just death we have to grieve. It's life. It's loss. It's change.
Alex: And when we wonder why it has to suck so much sometimes, has to hurt so bad. The thing we gotta try to remember is that it can turn on a dime.
Izzie: That's how you stay alive. When it hurts so much you can't breathe, that's how you survive.
Derek: By remembering that one day, somehow, impossibly, you won't feel this way. It won't hurt this much.
Bailey: Grief comes in its own time for everyone, in its own way.
Owen: So the best we can do, the best anyone can do, is try for honesty.
Meredith: The really crappy thing, the very worst part of grief is that you can't control it.
Arizona: The best we can do is try to let ourselves feel it when it comes.
Callie: And let it go when we can.
Meredith: The very worst part is that the minute you think you're past it, it starts all over again.
Cristina: And always, every time, it takes your breath away.
Meredith: There are five stages of grief. They look different on all of us, but there are always five.
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