Breaking the Cycle Doctors


Breaking the Cycle

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-What the hell are you doing?

-50K ride.

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-Over my dead body!

-No, I'd need a mountain bike for that.

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It's not funny, Dave. You're supposed to be helping me today.

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I can't believe you're actually jealous of a bike!

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It is rather sexy, after all.

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-Daniel.

-Got a house call next-door. Must have set you back a bit.

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Sshh!

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You said it was on special offer!

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Couldn't resist. Carbon frame, seat post, bars...

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She's as light as a feather.

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-Eats the open road, this one.

-I bet she does.

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-Just don't get it nicked.

-No way. It's got a built-in tracker.

-What?

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What did that cost?

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You download an app, monitor on your phone or whatever.

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-Well, that's cool.

-Been out much?

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-Er, no. I've had a terrible puncture.

-Poor excuse.

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Maybe Dr Granger likes to spend time at home with his wife.

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Not just endlessly pedalling along a road.

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-Oof.

-You all right?

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-Fine.

-Is it your heart again?

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I'm fine.

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-He's had fluttering in his chest.

-Really?

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I told him he shouldn't be cycling.

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THEY CHUCKLE

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-Aw, the happy couple!

-Hey!

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-Indeed. Well, at least, I hope so.

-Yeah, they dropped the charges.

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-That is good news.

-One big misunderstanding.

-Yeah.

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You didn't carry her over the threshold.

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I wanted to carry him, but he said no.

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So, how is married life?

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-Thrilling.

-Well, I have something for you both in my office.

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I will show you later.

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Ayesha, it's Emma again. Please will you give me a call?

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Oh, I'm sorry. Did everything go all right in the end?

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-Absolutely.

-Great. I'm so happy for you both.

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Thank you.

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-OK, so it is a little irregular. You want to drop into the Mill?

-Really?

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Well, before you go on a long ride, perhaps.

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Told you!

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-Whose side are you on?

-It's not about taking sides, Dave. Grow up.

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It's ridiculous.

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He's got a week off work

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and he can't get out of the house fast enough.

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Lucky you're here. He'll listen to you.

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How's your new medication?

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-Felt a bit sick the first couple of weeks, actually.

-Any rashes?

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-Irritation?

-No. Still got pain in my hip though.

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Yeah. Look, I know it's tough,

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but I think the idea is not to let it control you.

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-OK? Get up and out as often as you can.

-Must try harder!

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-Yeah.

-Right, let's get you inside, get you an appointment.

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Right, no mixed martial arts for a month, OK?

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A month, but after that, we are absolutely on!

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-Hi.

-Hey.

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Listen, er... I've been trying to get hold of Ayesha.

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Is she OK?

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-Yeah, she's...eating, she's drinking.

-Not too much, I hope.

-No.

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Thing is, Emma, to be honest with you, she's... She's angry.

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-Don't I know it!

-No, it's more than that. She's angry with herself.

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She wishes she'd done more when she had the chance and it'll soon

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pass, but she's doing remarkably well, under the circumstances.

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-I'd like to pop round. What do you think?

-Nah. No, I wouldn't.

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I don't think she's quite ready for that.

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For visitors in general, or just...?

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I think she's just going to hunker down for a bit.

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You know, give her a bit of space to get her head round things.

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Sure. Well, look, will you let me know when you think it's OK?

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-Absolutely, I will.

-Thanks.

-OK.

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-Going up to the Lake District in three weeks.

-Without me!

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-Test the bike out on some of the climbs.

-He knows I'm struggling.

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Driving the car hurts, just pushing the clutch in,

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carrying heavy bags from the supermarket.

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It's probably aggravating the arthritis, but does he care?

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It's about time you realised I'm really not well.

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I do.

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You did mention it.

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Excuse me.

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OK, let's have a look.

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-How did we do?

-There are definitely some irregularity there.

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I told him to take it easy. How many times?

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-It's like talking to a brick wall.

-How bad?

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Difficult to say. It could be nothing.

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I think I will refer you to a specialist.

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Really? I feel basically fine.

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Just to be on the safe side.

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You love it, don't you?

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I love that someone's taking your health seriously.

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You don't listen to a word I say, but you can't ignore the doctor.

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OK, if we pop through to my room, I'll make a referral.

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Yes, absolutely.

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Of course, I understand.

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I'll see you at three o'clock, then.

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OK. Bye-bye.

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-Everything all right?

-Oh, yes. The, um...

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-The IPCC want to see me this afternoon.

-Really?

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Yeah.

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Well, they want to, you know, dot all the i's, cross all the t's,

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with something like this. Normal procedure.

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-How's Rob?

-Um, restless.

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He's cleaned the car out,

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he's tidied the garage, he's been fiddling with the hoover.

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I mean, I'd almost rather he went fishing.

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Karen, do you think he's dealing with it OK?

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He's been very quiet.

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Um, it's a death in custody. It's his worst nightmare.

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It's something they all dread, isn't it?

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-So, basically, he's OK.

-And was he all right before it happened?

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Yeah... Um, yeah.

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-He was fine. Why?

-Well, it's just...

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-Emma, is everything all right?

-Sorry, yes. Yes, of course it is.

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OK, so avoid alcohol, caffeine, and get plenty of rest, all right?

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-Cycling?

-That's probably what caused it.

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-Can't be good for you, pushing yourself like that.

-Yeah, right!

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Breaking news, exercise is bad!

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Well, it's all a bit anecdotal, but there is some evidence linking

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intensive exercise, like endurance cycling, to atrial fibrillation.

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It can start with short bursts of irregular heartbeats.

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Better cancel the Lake District.

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Well, let's wait and see what the specialist says, shall we?

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-Now, on that note...

-Ooh, new design.

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It is all my own work.

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Very nice.

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Go a little further back. That is the most important bit.

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You changed Ruhma to Sister Carter!

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-That's very thoughtful of you.

-Well, you are most welcome.

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Have you gone barking mad?

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At no point did he say don't get back on your bike.

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We're out of milk, bread,

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the house is a complete state, but instead of sorting it out,

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you'd rather go pedal off, even though

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you might have something seriously wrong with your heart?

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-What's the matter with you?

-Probably nothing!

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There you go again. Treating the whole thing, treating me as a joke!

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Get the shopping delivered.

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And I've not taken a week off to tidy the house!

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How stupid are you?

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I've had that flutter for months. It comes, it goes.

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I'll see the specialist. In the meantime, I'm going for a ride.

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Deal with it!

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Fine!

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-I'm worried about you, that's all!

-It's only a bike ride, Alana.

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Dave!

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So, is there any particular reason for them pulling you in?

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Checking the detail, I suppose.

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-It's OK, isn't it?

-Yeah, I think so.

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There is one thing.

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Was I right not to check Bren over when they first brought her in?

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-Do you want to go through it?

-Do you mind?

-No.

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Right.

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So, obviously, there was no request from Rob, fit for interview,

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-anything like that?

-No.

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-No drugs or alcohol on the day?

-No, nothing like that.

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But I mean, what about a mental health assessment,

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given her history?

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Well, if there no odd behaviour, then no, I don't think so.

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-You didn't find any injuries after she'd died?

-Nothing visible, no.

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Sounds like a tragic case of bad timing to me.

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If you played everything by the book,

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then it's probably just a box-ticking exercise by the IPCC.

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Yeah. Yeah, you're probably right.

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Listen, do you think Rob's OK?

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Why do you ask that?

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Don't know. Oh, it's just that on the night, he seemed disorientated.

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He couldn't remember whether he'd checked on Bren or not.

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-Shock, maybe.

-Mm.

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-Although...

-What?

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Do you remember the really bad RTC a few weeks ago?

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-Driver was decapitated.

-Yeah.

-Rob attended.

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-And?

-He walked off the job.

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-Really?

-Mm.

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So, obviously, that would have got to him.

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I mean, I take it that he did check Bren?

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Yeah, according to the CCTV, bang on schedule.

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KNOCK AT DOOR Hello? Come in.

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I'll leave you to it.

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Thanks, Jimmi.

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Mrs Naylor. You want to grab a seat?

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Thank you.

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For all I know, he's lying there in the ditch alone, dying in agony.

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-How awful!

-And it's all his own stupid fault!

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-Dr Granger.

-Alana.

-I'm so sorry to bother you, but I need help.

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-It's Dave's tracker. I downloaded the app.

-Right.

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He totally ignored your advice and went out on his bike.

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And now he's not moving.

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He's been stopped at the side of the cycle path for 20 minutes.

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He's probably got a puncture or some such.

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Maybe he's having a heart attack.

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-Yeah. Have you phoned him?

-There's no answer.

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I tried to stop him, but when does he ever listen to me?

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I don't know what to do.

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-Should I call an ambulance?

-No, don't do that. He's probably fine.

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What if he's not and we do nothing?

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OK, erm, let me get my bag.

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And I never thanked you for everything that you did.

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-Keeping the police at bay. Very heroic!

-You're welcome.

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Some things are worth fighting for. And you got there in the end.

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-Well, you say that, but you know, we didn't sign the register.

-Really?

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Mm-hm. So I don't even know if we're technically even married.

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I just checked, everything's fine.

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-Oh, phew!

-As long as we sign the register within 28 days.

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-Can we get a slot?

-I'm doing it now.

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Registry Office.

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Marriage.

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No, not deaths.

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Oh, yes. Hello.

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Um, I got married recently, there was a slight mishap,

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no need to go into detail, but...

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No, two months is too long.

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Well, I'm sure you'll get a cancellation.

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It's all right, I'm a doctor. I know you'll get a cancellation.

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Yeah, I'll hold. It's going to be fine.

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Hello?

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Hello?! SHE SIGHS

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PANTING

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Dave! Oh, my God!

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What are you doing here?

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How many shades of stupid are you? I knew this would happen!

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-What are your symptoms?

-More of the same. Fluttering. But worse.

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OK.

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How did you know where I was?

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Your tracker.

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What?

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I logged on with my tablet.

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There really is no escape, is there?

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That's the thanks I get for saving you?

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Anyway, what's so bad about tracking you?

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You've got nothing to hide. What's the big deal anyway?

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Dave?

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OK, call 999. Ask for an ambulance.

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Tell them it's a suspected heart attack.

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OK, calm your breathing down for me. That's it.

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Nice deep breaths. Good.

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If you could, that would be enormously kind.

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Yeah, I can't thank you enough. Bye-bye.

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-Is everything all right?

-It is.

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Ruhma and I didn't actually sign the register,

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but I've got us another slot.

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Would you mind being a witness?

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-I would be delighted! When?

-Three o'clock this afternoon.

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No, that is out of the question. I cannot possibly drop everything...

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Mrs Tembe, please! We're in touching distance of actually being married.

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It would mean an awful lot to me.

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Please?

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Well, we'd better get going, then.

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If I weren't a married man, I'd kiss you!

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-Sounds like we arrived just at the right time.

-Booked us in.

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-Oh, well done, you.

-Three o'clock this afternoon.

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-What? We're never going to make that.

-Well, if the worst comes to the worst, you could just do

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the whole thing all over again, without the Keystone Cops bit this time.

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No, we've got plenty of time. We need another witness.

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-Valerie, would you do the honours?

-Yes!

-We had better go.

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-There is no time to lose.

-I'll just get my bag.

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-What about my bike?

-Oh, will you forget about your wretched

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bike for once in your sorry little life?

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I'll take it.

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-What are you doing?

-I'm coming too. What do you think I'm doing?

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-Afternoon, Doctor.

-Oh, good afternoon.

-Everything all right?

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Yes, fine.

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Shall we?

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If I hadn't downloaded that tracker, you'd be stone dead.

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And with your last breath, you'd be thinking,

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"I should have listened to my wife."

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Give me a break!

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You owe me big time for getting the doctor out.

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Like it or not, no more cycling after this.

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Things are changing.

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-I keep telling you, go home, I need to rest.

-No.

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I'm staying to look after you. Get used to having me around.

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But I might go and get a coffee. You can't have one, so don't ask.

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You're not allowed caffeine.

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Babes, got your text.

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Hope you get this. Don't come into the hospital. I'm fine.

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I'm going straight home. I'll call you later.

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Sorry, the registrar is running late.

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Oh! After all that!

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-Well, I could use a breather.

-I'm sure it will not be long.

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-OK, watch the birdie.

-What are you doing?

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-I'm, just capturing the magic.

-SHUTTER CLICKS

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So, here we are at the end of a slightly rocky road.

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Rocky?

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Well, I mean it in a positive sense, of course.

0:16:290:16:31

Brought my own fountain pen. Especially.

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Have you practised writing your signature?

0:16:360:16:39

That's what people do, isn't it, when they're getting married?

0:16:390:16:43

Do you know,

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when I was just a teenager,

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I had an almighty crush on a boy in the year above me

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and I would fantasise about our wedding

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and I would practise writing my signature over all my school books.

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Unfortunately, I didn't know his actual real name,

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so I just used to practise writing Valerie Spud.

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That's what people called him.

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Spud.

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I don't know why.

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Shouldn't be long now, Mrs Carter.

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SHUTTER CLICKS

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Thanks for coming in today.

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-Apologies if we cover some old ground.

-No problem.

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But as you know, this is about as serious as it gets.

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We need to understand how someone in a police cell,

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regularly monitored, with an FME on call, ended up dead.

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I'd like to begin by asking why you didn't examine Ms Lee

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when she was first brought into custody.

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Well, er, as you know, we don't examine everybody.

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There's a set of criteria.

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The first point at which the custody sergeant would involve

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the FME is if a detainee shows signs of either physical or mental

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illness, or if they've sustained a physical injury.

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Both the arresting officer

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and the custody sergeant concluded that Ms Lee showed no such symptoms.

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And were they right to conclude that?

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In your opinion?

0:18:090:18:11

-Can I help you?

-Can I get a latte, please?

-Of course, madam.

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I don't know if I can afford a coffee now,

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with the price of the parking.

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I'm lucky. I came by ambulance.

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It wasn't for me. It was for my husband.

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But I know what you mean.

0:18:330:18:35

I have to come here for my rheumatoid arthritis

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and it costs me a fortune.

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I followed an ambulance in too.

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I've been driving around the side streets,

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trying to find somewhere for free, but it's rammed.

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That'll be £2, thank you.

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-An Americano and a bottle of water, please.

-One moment, please.

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Probably all the doctors grab the free spots.

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They're bound to, aren't they? All that money and too tight to pay!

0:18:550:19:00

That'll be £4.20.

0:19:000:19:02

-Teviot Ward, they said on the desk?

-Thank you.

0:19:020:19:05

-I'm going that way too. Um...

-Thanks.

0:19:050:19:09

MOBILE RINGS

0:19:090:19:11

Why isn't she answering?

0:19:120:19:13

No wonder you had a heart attack.

0:19:150:19:17

Will you help me? Get Alana to go home before she turns up.

0:19:170:19:20

No, this is your mess, Dave.

0:19:200:19:21

Fair enough. Judge me. But it's been so difficult with Alana.

0:19:210:19:25

-You've got to believe me.

-I'm not saying I don't.

-Please!

0:19:250:19:28

I think it might be a little bit late for that now.

0:19:320:19:34

-So, I hope your other half is OK.

-You too.

0:19:340:19:38

-This is me.

-No, my Dave's in here.

0:19:380:19:43

Your Dave?

0:19:460:19:48

Janice, I can explain.

0:19:480:19:50

-What it was...

-I don't want to hear it, you two-timing rat!

0:19:500:19:54

He told me he was single!

0:19:540:19:56

I should have known!

0:19:570:19:59

Sneaking out of work for lunch round the corner,

0:19:590:20:01

but never for dinner, was it?

0:20:010:20:03

Always coming over on your bike, for a sweaty fumble!

0:20:030:20:06

-Oh, yeah. I booked us a holiday in the Lake District!

-What?

0:20:060:20:09

As if that was ever going to happen!

0:20:090:20:11

Janice, I'm sorry.

0:20:110:20:13

I'm sorry too.

0:20:150:20:17

For you... I don't even know your name.

0:20:170:20:21

Alana.

0:20:210:20:23

I'm sorry, Alana.

0:20:230:20:25

Sorry to be leaving you with him.

0:20:250:20:28

Um...

0:20:440:20:46

I...

0:20:460:20:47

Did you know about this?

0:20:530:20:55

No.

0:20:550:20:57

How could he do it?

0:20:580:21:00

What am I supposed to do now?

0:21:020:21:04

This is a nightmare.

0:21:060:21:08

Yeah, I know.

0:21:080:21:09

Who's going to look after me?

0:21:090:21:11

Sorry?

0:21:110:21:13

If I throw him out.

0:21:130:21:15

So, is that your main concern, losing a carer?

0:21:160:21:20

Surely he's your husband first.

0:21:200:21:23

And he's been having an affair.

0:21:230:21:25

What kind of husband does that?

0:21:250:21:27

Look, I'm not condoning what he's done,

0:21:290:21:32

and I know it's been difficult for you with your diagnosis,

0:21:320:21:35

but it's like you've been driving him away.

0:21:350:21:37

-How does that help?

-It's all his fault!

0:21:370:21:40

I'm not condoning what he's done, again,

0:21:420:21:45

but I think you have to have a look at yourself.

0:21:450:21:49

He would rather risk a heart attack than spend time with you.

0:21:490:21:54

What does that say?

0:21:540:21:56

So, you had no specific reason to examine Ms Lee?

0:22:060:22:08

I think you've laid that out very clearly. Thank you.

0:22:100:22:13

You've highlighted the extent to which the custody sergeant is key.

0:22:130:22:17

He's the one looking for injuries or signs of intoxication.

0:22:170:22:20

Yes, the decision as to whether the FME gets involved

0:22:200:22:22

is always down to the custody sergeant.

0:22:220:22:25

-In this case, Sergeant Hollins?

-Yes.

0:22:250:22:26

So it's important that you have confidence in his judgment?

0:22:260:22:29

Absolutely.

0:22:290:22:31

I've worked with Sergeant Hollins for several years,

0:22:310:22:34

we've been through a lot together.

0:22:340:22:36

And I can honestly say that he has never been anything other

0:22:360:22:39

-than utterly dependable.

-That's good to know.

0:22:390:22:42

So, the next thing I'd like to look at is the exact

0:22:420:22:46

-sequence of events after you were called to the cell.

-Of course.

0:22:460:22:49

-I have some notes, if that helps.

-The more detail, the better.

0:22:490:22:52

Right, um, OK.

0:22:550:22:58

My first entry notes that the alarm sounded at 18:11.

0:22:590:23:05

I made my way to the cell, where Sergeant Hollins told me

0:23:050:23:08

that he had found Ms Lee to be unresponsive, not breathing.

0:23:080:23:12

And then?

0:23:120:23:14

I established that there was no pulse,

0:23:140:23:16

Sergeant Hollins was performing CPR,

0:23:160:23:19

so I went to get the defibrillator and deliver the first shock.

0:23:190:23:22

Any response?

0:23:220:23:24

No.

0:23:240:23:25

From the moment I attended, there was no sign of life.

0:23:250:23:28

Why, Dave?

0:23:310:23:33

You want the truth?

0:23:350:23:37

You've been a nightmare.

0:23:380:23:40

An absolute nightmare.

0:23:400:23:43

When you got diagnosed, you said, "I'm not going to let this change me,

0:23:440:23:48

"I'm going to fight it," but you've just given up.

0:23:480:23:51

You've used it as an excuse to stop doing anything.

0:23:510:23:54

I feel like I'm being blackmailed to stay in all the time. It's not fair.

0:23:540:23:58

I want some fun.

0:23:590:24:01

To go out, to do the things we used to do.

0:24:010:24:05

Me too!

0:24:070:24:09

But maybe I can't any more.

0:24:110:24:13

Stupid.

0:24:150:24:18

Thinking you'd actually want to change too.

0:24:180:24:20

To be with me.

0:24:200:24:23

That was my big mistake.

0:24:230:24:24

Trying to make you. Instead, you went pedalling off to someone else.

0:24:260:24:32

-That's over.

-Yeah, cos you got caught.

0:24:320:24:35

Still, you're not going to need that bike any more, are you?

0:24:360:24:41

With your health. Things are a bit different now.

0:24:410:24:45

Don't tell me. It's not going to change you.

0:24:480:24:51

You're going to fight it, yeah?

0:24:510:24:53

And then you'll find out what it's really like.

0:24:550:24:58

And you'll wish you had someone at home who really cared about you.

0:24:590:25:04

I'm going.

0:25:050:25:07

Alana...

0:25:070:25:08

I'll stay at my sister's for now.

0:25:090:25:12

Till I get myself sorted.

0:25:120:25:14

You're on your own now, Dave. See how you like it.

0:25:150:25:19

Just sign here. OK.

0:25:240:25:26

Thank you.

0:25:290:25:30

Thank you.

0:25:300:25:32

OK? Just sign here.

0:25:320:25:34

SHUTTER CLICKS

0:25:350:25:37

Well, congratulations, Dr and Sister Carter!

0:25:400:25:44

VALERIE SQUEALS

0:25:440:25:47

SHUTTER CLICKS

0:25:470:25:49

Ruhma Carter.

0:25:510:25:53

-Is everything all right, Sister Carter?

-It just...

0:25:550:25:58

It just doesn't sound right, somehow.

0:25:580:26:01

Well, you never said anything about wanting to keep your name before.

0:26:010:26:05

No, I know. It just doesn't... It doesn't sound like me.

0:26:050:26:09

It's like I'm just losing a little part of me.

0:26:090:26:11

I'm sure it's going to be fine. I'm just not sure.

0:26:140:26:16

SHUTTER CLICKS

0:26:190:26:22

So, in your opinion, was Ms Lee already dead

0:26:220:26:24

-when you began resuscitation?

-Yes.

0:26:240:26:26

And could you estimate how long she'd been dead for?

0:26:260:26:29

-For example, did you check the body temperature?

-No. No, I didn't.

0:26:290:26:33

It was clearly very recent.

0:26:330:26:35

The body loses 1.5 degrees centigrade per hour.

0:26:350:26:38

And she wasn't noticeably cold.

0:26:380:26:40

Also, there were no signs of rigor mortis,

0:26:400:26:43

which typically sets in two hours after death.

0:26:430:26:45

-And the custody sergeant had made regular checks. So...

-Ah, yeah.

0:26:450:26:50

-Did you ask him about that?

-Of course.

0:26:500:26:53

And what did he say...

0:26:530:26:54

exactly?

0:26:540:26:56

-We can't just give up on her.

-Rob!

-No.

0:26:570:26:59

-Rob!

-No!

0:26:590:27:02

-Well?

-That he had made regular checks on her, as per schedule.

0:27:020:27:06

And is there anything else I should know?

0:27:070:27:10

'How could this have happened in custody?'

0:27:100:27:12

-You checked on her regularly, didn't you?

-I don't know.

0:27:120:27:15

I don't remember.

0:27:150:27:17

Well?

0:27:170:27:19

No.

0:27:230:27:24

Oh! Mr Canbray! Can you move?

0:27:290:27:32

-What?

-I brought you some...crumpets.

0:27:320:27:34

You shouldn't be on your own.

0:27:340:27:36

-Do you work with a Mr Canbray?

-Eddie! Is he enjoying his birthday?

0:27:360:27:39

He's had a bad fall.

0:27:390:27:41

-Lost in married bliss?

-Not quite.

-Why?

-It's complicated.

0:27:410:27:46

They're really doing their best.

0:27:460:27:47

Yes, but nothing happens quickly unless you complain.

0:27:470:27:50

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