<Tr> <Td> </Td> <Td> This section may be too long to read and navigate comfortably . Please consider splitting content into sub-articles, condensing it, or adding or removing subheadings . (November 2014) </Td> </Tr> <Table> <Tr> <Td> </Td> <Td> This section describes a work or element of fiction in a primarily in - universe style . Please help rewrite it to explain the fiction more clearly and provide non-fictional perspective . (November 2014) (Learn how and when to remove this template message) </Td> </Tr> </Table> <Tr> <Td> </Td> <Td> This section describes a work or element of fiction in a primarily in - universe style . Please help rewrite it to explain the fiction more clearly and provide non-fictional perspective . (November 2014) (Learn how and when to remove this template message) </Td> </Tr> <P> April Kepner was born in Columbus, Ohio on April 23, 1982 . Her mother Karen is a teacher and her father Joe is a farmer . She is the second of four daughters; her sisters are Libby, Kimmie, and Alice . Kepner is initially a surgical resident at Mercy West Hospital . She joins the staff at Seattle Grace Mercy West after the merger of the two hospitals, alongside Jackson Avery (Jesse Williams), Reed Adamson (Nora Zehetner), and Charles Percy (Robert Baker). Kepner is first shown to possess a red diary, in which she writes all her feelings and thoughts which is stolen by Lexie Grey (Chyler Leigh). Grey uses the personal information written in the notebook to unnerve and blackmail Kepner but later apologizes . After she made a mistake that led to a patient's death, she is fired . However, Derek Shepherd (Patrick Dempsey) rehires her when he becomes the new Chief of Surgery . As she is not confident anymore, she spends her time doing errands for Shepherd and develops a crush on him, earning her the nickname "Shepherd's flunky". In the season six finale, she discovers the body of her best friend Reed Adamson, who has been shot . She later runs into the shooter, Gary Clark, who lets her go after she tells him about her life after remembering a technique she says she learned from Oprah . Following the shooting, Kepner and Avery move into Meredith Grey's (Ellen Pompeo) house . </P>

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