She was ice cold and had no vitals. Refusing to declare her dead until she was warm and dead, the attendings and interns worked together to perform CPR and warm her up. Maggie put April on cardiopulmonary bypass in the OR while they continued to warm her up. Jackson found out three hours after the doctors started treatment. They all stood around and prayed for a heartbeat. Maggie noticed what she thought to be V-fib and defibrillated time and time again, which eventually resulted in a rhythm.
They all cheered and April was moved to the ICU. She didn't wake up and they all started to fear for brain damage. All of April's friends gathered around her bed.
Arizona was one of the last people to find out and told the others that April and Matthew were seeing each other again. They had both been through so much since they separated and understood each other's pain, which made them fall in love again. They decided to keep it a secret because they didn't want judgment or opinions on Matthew not waiting long enough after his wife's death. They all continued to pray for April, but Amelia eventually deemed it time to call her family as April still hadn't woken up.
The doctors left Jackson alone with April. He believed she was still there and even started praying to God to bring April back. She woke up moments later. All her loved ones were happy to have her back. She remembered calling and falling and being unable to get up, and then she felt warmer and safer, and eventually woke up to a praying Jackson. She was convinced she didn't really die as she hadn't met Jesus, which she was sure she would if she actually died.
They then all left to let her rest. Owen was the last to leave and April expressed her gratitude by saying he always comes to bring her back. Maggie later came to check on her and said Jackson was willing to bring Harriet by any time she wanted.
April decided to wait till the next day as to not scare her. Bailey then brought Matthew by for a visit. Their beds were placed in the same room for the night and they slept holding hands.
After the accident, April quit her job to do God's work, which meant devoting herself entirely to the clinic providing healthcare access for Seattle's unhoused community. She and Matthew continued to spend time together with their daughters.
Weeks later, the time finally arrived for Jo and Alex's wedding. While she had perfectly organized everything to the last detail, she made a mistake on the GPS link, causing the majority of guests to be late.
When they finally arrived, everyone complimented April's work on the location and Catherine invited April to Sunday dinner. April then went to check if Jo and Alex were ready, only to discover that they had disappeared.
April encouraged everyone to set out to find them. She sat down with Arizona and convinced her that falling in love with Callie again after all the hurt she caused wasn't a catastrophe, giving her rekindled love with Matthew as an example that people change and that life changes them. The real wedding catastrophe arrived when Kirsten went into anaphylactic shock.
The doctors worked together to crike her and had her taken to a local hospital. The entire experience and the fact that the minister still hadn't showed up ruined the wedding.
While the rest of the guests and Jo and Alex took the ferry back to the city, a disappointed April stayed behind with Matthew, Arizona, Jackson, and Sofia to clean up the mess. Matthew seized the opportunity to say that he wanted to give them a second chance at marriage.
He loved who she was five years ago and he loved who she was today even more. He also loved how she trusted God and how she talked to Ruby and prayed with Harriet. He told her she saved him and his daughter. He knew it was crazy, but he didn't want to waste any more time. He proposed to her and she happily accepted. At that very moment, the minister finally arrived at the right location and the newly engaged couple decided to get married right then and there.
April asked Jackson to stay because of how special he was in her life. Arizona compiled a bridal bouquet and Sofia served as the flower girl. Arizona walked April down the aisle. April and Matthew were then married by the minister in an intimate and Christian ceremony, marking the start of their new life together. Years later, Jackson approached April about moving to Boston because he wanted to run the Harper Avery Foundation but didn't want to leave their daughter.
He said that if April didn't agree, he wouldn't go even though he felt like it was his calling. After a night of talking and fighting about it, the next morning, April, though hesitant at first, ultimately agreed to move to Boston with Jackson and their daughter.
Jackson, while happy and excited about April agreeing to move, thought it wouldn't be so simple and that she would have had to talk to Matthew first, to which April revealed that her and Matthew had split, explaining how at first, the two thought that it was God's plan to bring them back together after all their pain, but Matthew still resented her for leaving him at the altar. When Matthew's sister got sick, he and his daughter, Ruby, went to Philadelphia to care for her and never returned.
She also explained how it was her way of dealing with her guilt of leaving Matthew at the altar. All in all, she explained that it was essentially a trauma marriage. She explained that she didn't want to tell Jackson they split up because there were so many casualties in the world and she didn't think her marriage counted as one. Jackson also teased her, saying she had too much pride and she jokingly agreed.
When April first arrived at the hospital, she was extremely insecure and wrote notes to herself in a personal diary to help cope with her insecurities. She wrote notes telling herself nobody could tell she has had plastic surgery on. Although April seems to be a little bit fragile, the shooting at the hospital proved that she is much stronger than she seems. Since making some new friends at the hospital, April seems to have become much more confident in herself and her abilities, and little by little showed more of her personality.
It's been noted by Owen Hunt that although April panics under pressure, she shows promise as a trauma surgeon due to her tenaciousness. Along with being extremely organized, April is also very competitive - refusing to give up until she wins.
April's most noticeable quality is her ability to read people. She's extremely receptive and notices things that most people would overlook. Also, unlike most of her peers, April is a morning person.
She is also compassionate and understanding. April also cares deeply about her friends and patients. Along with those qualities, she also has some flaws - such as her inability to filter what she says and the extreme anxiety that causes her to come off as annoying. April also has a tendency to push people away and shut them out when she is hurt. April can also become very emotional over little things.
She went to the homecoming dance with a boy named Joseph. She had a big crush on the married Derek Shepherd following the merger. Jackson said of the crush, "she thinks he walks on water" to Meredith. During a time in pediatrics, Robert Stark flirted with her.
April didn't want to pursue a relationship with him and declined an invitation to Robert's apartment for dinner. They remained friendly after that. After the shooting at the hospital, Jackson and April became close when she noticed he'd been having nightmares about the tragedy. He then grew very protective of her - claiming she was the only friend he had left. April has always been very close to God, and she says she remained a virgin so long due to her religion - which Jackson respected.
However, she decided to sleep with him the night before their medical boards , giving up her virginity and putting somewhat of a strain on their friendship.
He didn't support this action because he felt she was trying to pretend they never happened, but he promised to help her in any way that he could. However, in the end, no matter how hard they tried to stay away, they couldn't resist each other. At the point of their relationship in which Jackson established that he had feelings for April and he was hurt that she referred to their relationship as a dessert or a car crash , April noticed that her period was 4 days late. Because she'd never been so late before, she thought she was pregnant.
While waiting for the results of the pregnancy test, Jackson told her that he was all in and that they would have a wonderful wedding with butterflies and that they would raise the kid together. However, the test came back negative, to which April responded with relief and delight. She said to Jackson that they dodged a big bullet and that they wouldn't have to get married anymore. This hurt Jackson's feelings and he broke up with her - stating that perhaps this was a sign they shouldn't be together.
Soon after, Jackson began seeing intern Stephanie, which first started out as only a sexual relationship. Jackson told April himself, thinking it would hurt her even more if she heard from anyone else.
April was glad that he did and thanked him, but confessed she still had some feelings for him and wasn't ready yet to be friends again. However, she soon met Matthew and they both concentrated on their own relationships. Jackson and April did become friends again, however, when April asked Jackson for advice on whether or not she should tell Matthew the truth about her virginity.
During a massive storm near the hospital, a bus flipped and the doctors had to rush in and evacuate as many people as possible. The doctors believed they got to everyone, but Jackson stayed behind because he noticed a small pink shoe. When April noticed Jackson wasn't with them, she began to panic and rushed back towards the bus as it lay there ablaze, but was stopped by Matthew. Suddenly, the bus exploded.
Thinking Jackson was in the explosion, April became hysterical. When he emerged from the fire with a small child, she ran to hug him but was stopped by Matthew - who was trying to comfort her. When Jackson was being treated by Callie for his injuries, April walked in furious, screaming at him for almost dying, but was quickly removed by Callie and Matthew.
Thinking she had lost Jackson made her realize her true feelings for him. When everyone calmed down, she went back in to see him. She told him that she wanted him and not Matthew - which Jackson quickly rebuffed by telling her she was marrying Matthew soon.
April then told Jackson to give her a reason not to. Jackson said her reaction had nothing to do with him and that she should leave him out of it; he stayed with Stephanie, she with Matthew. On the day of April's wedding, she ran into Jackson at the hospital while searching for Meredith and Cristina. Jackson had previously told April he wouldn't be attending her wedding, but she asked him one more time if he would be there. He asked if she really wanted him there and she said yes.
During the ceremony, however, Jackson broke up with Stephanie and told April he loved her and that he always has loved her in front of the entire crowd. It was later revealed that April and Jackson got married. After working on Jill Kasliner , Jackson and April fought about how they would raise their children.
April walked out and ended up staying with Arizona and Callie for a few days. She came back to retrieve her iPod and told Jackson that they couldn't table the discussion about how they'll raise their children any longer because she's pregnant. During her second trimester, April and Jackson discovered that their unborn son had Osteogenesis Imperfecta. After a series of tests, they soon learned that their son, whom they decided to name Samuel, suffered from type 2, the most fatal type.
Their son died shortly after his induced birth. She later left to serve as a trauma surgeon in the Army, causing stress on her marriage with Jackson. When she returned from her first tour, she and Jackson seemed to be in a good place; however, when April revealed that she would be returning to Jordan, Jackson told her that he would not be there when she got back.
When April returned from the Middle East, she was eager to rekindle and fix her relationship with Jackson. However, Jackson was deeply hurt as he felt that she abandoned him and he did not wish to get back together. April declared that she would fight for their relationship until her death. Jackson suggested that they get a divorce and he moved into Ben and Bailey's house to stay separated from April as she would not leave on her own.
Jackson and April had a nice dinner in hopes of talking about their relationship, but unfortunately, she was paged and they never got to the real conversation.
April and Jackson later slept together. Afterward, April was avoiding a conversation with Jackson while he was eager to talk to her. April told Jackson that she knew what he was going to say about the fact that they had sex. He exclaimed that she had no idea. While Meredith was in the hospital, April and Jackson had an argument because Jackson served her divorce papers.
They later signed the papers shortly after April found out that she was pregnant with Jackson's baby. However, Arizona and Alex were worried about her, so Arizona ended up telling Jackson, shocking April.
He went to her, asking to be involved and suggesting that she was waiting until it was too late for an early abortion. She said it was her body and therefore her decision.
Years later, Jackson approached April about moving to Boston because he wanted to run the Catherine Fox Foundation but didn't want to leave their daughter. Though hesitant at first, April ultimately agreed to move to Boston with Jackson and their daughter.
Jackson, while ecstatic about April agreeing to move, thought it wouldn't be so simple and that she would have had to talk to Matthew first. April then informed Jackson that she and Matthew had split up. A new paramedic at the hospital, Matthew has recently caught the attention of April, as he awkwardly asked her on a date after confessing to watching her for some time but he assured her he was not a stalker.
They were later seen bonding in an ambulance when Matthew receives a call about a nearby trauma. April rides along with him and they come across a hit and run accident involving a ten-year-old boy. April saves his life by assembling her fellow doctors to operate although Seattle Grace Mercy West Hospital was no longer a trauma center at the time.
When the doctors were eventually caught operating on the boy, Meredith Grey protected April by claiming him as her patient and "accidentally" deleting incriminating evidence from the new system. When all is said and done and the young boy is stable, April runs into Matthew on her way home from the hospital.
He tells her she is the bravest, strongest, and most beautiful woman he has ever met. He tells her whenever he's around her, he loses all thoughts. April, flattered and somewhat shocked, kisses Matthew - much to the dismay of a jealous Jackson as he passes by with Stephanie. When April turns to Jackson for advice before a date with Matthew, Jackson reveals to April that his relationship with Stephanie is purely sexual and they're not romantically involved with each other.
April then confesses to Jackson that she is unsure how to explain to Matthew that she is no longer a virgin, but still wishes to wait until marriage before having sex again. Jackson jokingly responds by saying he's going to think she's mentally ill, but April takes him seriously and her feelings are hurt.
He later apologizes, however, and tells April to be honest with Matthew, stating that once he gets to know her, he will want to follow her anywhere.
When April found out Matthew was saving himself for marriage - like she intended to do before sleeping with Jackson, she told him she was saving herself for marriage, as well - leaving out the fact that she was no longer a virgin. When she finally confessed to Matthew that she had lied, he was hurt, but accepted her for who she was. April and Matthew were engaged to be married. He proposed to her via flashmob and she said yes, smiling from ear to ear and crying tears of joy.
They had a few bumps before the wedding, but they made it through. At the wedding ceremony, Jackson stood up in front of everyone and told her he loved her and he always loved her.
April didn't respond. Matthew looked angry. Then she decided to run away with Jackson, leaving Matthew at the altar. Five years later, after divorcing Jackson, April was reunited with Matthew after helping his wife Karin deliver their baby. After Karin's death, they started seeing each other again, having matured from their first relationship and were married in a private ceremony witnessed by Arizona, Jackson, and Arizona's daughter Sofia. Later, April revealed to Jackson that she and Matthew had separated.
At first, the two thought that it was God's plan to bring them back together after all their pain, but Matthew still resented her for leaving him at the altar. After April had a day with several cases that made her question God and her faith, she went to the bar, where Vik came to sit next to her.
The two ended up leaving together. They continued to sleep together, but with no contact during daylight. Despite this, he fell asleep at her place more than once. Roy took advantage of their relationship to get better opportunities at work. Tom had sex with April after they met at Maggie's game night. When Reed was tragically murdered during the shooting, April was the first to find her. Finding her best friend shot to death at the hands of Gary Clark sent April into shock, but she quickly recovered and reported what she found to Derek Shepherd.
April often still mentions Reed, indicating that they were very close friends. It's unknown just how close April and Charles really were, but they were seen on several occasions laughing and joking around. April often disapproved of his crude humor, but overall seemed to get along with him. Her jealousy caused her to steal April's diary and then read it.
While reading the journal, she noticed tear drops on. Feeling immediately guilty, Lexie returned the diary and apologized to April.
They had another run in when Meredith opened up to April about her miscarriage and not Lexie. Lexie, again became jealous and tried tricking April into annoying Meredith with her idea of a chore wheel. However, Meredith approved of the idea - much to Lexie's dismay. Lexie then blew up at April infront of Meredith - who quickly ended the confrontation and explained to Lexie that the only reason April knew about the miscarriage is because she was there when it happened.
Lexie then apologized to April for treating her the way she did and gave her Izzie's room as an apology. Lexie and April no longer had any negative feelings towards each other, and even developed a friendship of sorts. April even went to Lexie first for advice when Robert Stark asked her on a date. April and Meredith didn't really start talking until the shooting at the hospital, when April kept her company during Derek's emergency surgery.
Meredith was annoyed at April for crying during his surgery because she felt April had no right to cry, but April explained to her the reason she was crying was because her best friend, Reed had been murdered earlier that day.
Meredith then held April's hand for the duration of Derek's operation. After the shooting, Meredith invited April to move into her home because April had been previously sharing an apartment with her deceased best friend, Reed. Meredith defended April when her peers were joking about April's virginity, and even told April she was beginning to like her when she stuck up for herself and put everyone else in their place.
Since Meredith and Derek adopted Zola , April has played babysitter for her on several different occasions. Meredith is also a bridesmaid at April's wedding. Like he is to everyone, Alex was very rude upon meeting April, but it didn't take her long to notice this was only a defense mechanism he used to prevent people from getting too close. He continued being rude to her for quite. When Robert Stark stole Alex's idea during a surgery, April defended him to the chief and made sure Alex received credit for his idea.
She later met up with him in an on-call room and made sure he knew he was appreciated, and that she noticed all the good he's been doing. This prompted Alex to kiss her, but being a virgin she asked him to slow down - which frustrated him to the point that he screamed at her.
He felt guilty, but left the room without saying a word. April avoided Alex for some time after that, but they reconciled over a slice of pizza on the way home from the hospital one day. When April failed her medical boards , Alex comforted her and reassured her that hospitals would still want her regardless of not being board certified. In April's office, she has a photo of Callie and Arizona from their wedding day. She also made a onesie for baby Sofia during Callie's baby shower that had a pie drawn on it accompanied by the words "Cutie Pie" decoratively written above.
She was also seen dancing with both Callie and Arizona at their wedding reception. After April had a fight with Jackson, she came to Callie's and Arizona's house for a while. After Arizona was outed by Callie as being a cheater, April found herself relating to her in a weird way. Although April had never cheated, she did almost end things with Matthew to be with Jackson.
After April overheard Callie tell everyone at the fundraiser that Arizona died in the plane crash, April took two bottles of champagne and met Arizona in the hospital storage closet to share a drink and comfort her. They soon became very open with each other and discussed their relationship problems together, bonding them.
Arizona was also a bridesmaid at April's wedding. After a fight with Jackson, April came to Arizona's and Callie's house and stayed there for a few days. Arizona also comforted April after Jackson told her he wasn't going to be there if April left again. Arizona was the first person to find out that April was pregnant again. She offered April drinks after she divorced Jackson. April refused and Arizona jokingly asked her if she was pregnant, to which April turned to her and replied "According to the test I took this morning, yeah actually.
I think I am. Like many of the other doctors, Cristina found April to be somewhat annoying upon meeting her. Although April sometimes disapproved of Cristina's rule-breaking, she considered her a friend. When April was let go by the hospital for making a mistake in the ER, Cristina defended her to the other residents, claiming that everyone made mistakes that night and April was only fired because she was caught.
They eloped. Later, April and Jackson revealed they were expecting a child. They named the baby Samuel. However, he was born at 24 weeks and only lived a few short hours. This caused the couple to spiral and April even left Seattle.
In the end, the lovers decided to divorce. Naturally, when Jackson found out, there was some drama. But when that subsided, the couple decided to co-parent their daughter, Harriet Kepner-Avery.
But she did not end up with Jackson. It is done in a way that gives audiences chills as Matthew holds her back and the bus explodes. This episode also delivers one of the most well-known Japril scenes; April telling Jackson that she wants him. Jackson is only able to mention the elephant in the room, the redhead is getting married to another man. Her response? This moment goes down in history as one of the best in tv. TwitterMomentsOfTheDecade pic.
First off, we have a small but adorable scene with Jackson teasing April who ends up at the hospital searching for her missing bridesmaids. She tells him she does and he then assures her that he will. He twirls her around and kisses her before the two run back to the car. They do eventually decide to start telling people, starting by telling the board, before we also see a patient ask Jackson on a date. He lets her down easy, telling her that he already has plans with his wife. April offers to sign it as an olive branch and eventually Jackson agrees.
She begins to question them, trying to get them to see the issues with not thinking things through. She expresses that they will figure everything out and says that they made the choice to get married because they love each other and they want to spend every day together until they die. She then apologizes for hurting Catherine by only giving her a phone call after they got married rather than letting her be involved. Jackson then goes to apologize to his mother who asks him what the hell he was thinking.
His response? He tells her that they made a vow to push through these things together and that they do believe in the same core values. Jackson tells April that he will go to Church with her and their kids every Sunday, knowing how much it means to her. His only condition? They get waffles after. April tries to throw herself into her work and Jackson tries to help his wife. After finding out their baby has type II, April struggles with their next steps.
Catherine helps her and her son figure things out and the scene is one that will stick with the audience for more reasons than one.
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