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There are countless factors
that can lead to your death.
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As Senior Coroner, I deal
with almost 4,000 fatalities a year.
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Every single person in this mortuary
that has died unnaturally
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is under the control
of the coroner.
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LESLEY SHARP: The coroner can make
any inquiries necessary
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to find a cause of death.
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As the police, if the coroner
asks you to do something, you do it.
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With unprecedented access,
we follow the full investigation
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into unexplained deaths...
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Forensic medicine is all about
being very suspicious.
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...from the moment of arrival
in the mortuary,
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to the final conclusion
of the inquest.
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All rise.
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I'm sorry that you're attending
court under these circumstances,
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and I appreciate that the evidence
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that you will hear today
may be distressing.
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It's tearing my family apart.
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I wanted to know what happened -
why, how? All those answers.
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If you die here,
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if it's violent, unnatural,
or of an unknown cause,
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it's my job to find out how.
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We kind of thought on the way there,
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maybe Mum was just sat at the side
of the pool. Mm.
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She might have gone a bit
light-headed or something like that.
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We didn't expect to be walking into
what we walked into.
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Police, paramedics, first response,
it was traumatic.
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Her heart had stopped. Obviously,
in a bit of a state of shock,
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shouting to Mandy, you know,
"Come on, Mandy, stay with us.”
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We were only in there seconds,
and then police said,
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"Come on, you know,
you don't need to be seeing this,
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"they need to work
and do their job."
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We were clinging onto hope.
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Mandy Lewis' heart
had stopped suddenly.
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The 52-year-old mother-of-two
was transferred
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to Royal Blackburn Hospital's
intensive care unit.
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Mandy had CPR for about 90 minutes
in total,
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and her heart eventually started
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to pump blood independently
without CPR.
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After Mandy's heart was beating
by itself,
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a series of tests
and investigations started.
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So she had a CT scan of her brain,
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she had a dye test
looking at the arteries of her heart
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to see whether she'd had
a heart attack.
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But the dye tests showed
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that all the arteries of the heart
were completely unblocked.
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She then had a CT scan of her lungs
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to look to see
whether she had a blood clot,
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which can sometimes
cause a cardiac arrest,
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but there was no blockage
to the blood flow to the lungs.
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So, at this point,
there isn't a clear cause.
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CT scans showed early signs
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that Mandy's brain had been deprived
of oxygen and blood flow.
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Had a conversation
with Mandy's family and told them
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there's a higher likelihood that
Mandy's not going to survive this,
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and this might be signs that
her brain's under a lot of stress.
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Just spent the rest of the time
with her.
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We even got to take the dog in.
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She went running in
and jumped on my mum's bed.
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Sort of nuzzled her and licked her,
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and then just laid down quietly,
didn't she?
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Whilst Mandy was in hospital,
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her mum flew back from her home
in Gambia.
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I didn't pack a bag, nothing.
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I just picked my handbag up,
boom, gone.
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When I finally got there, my God,
when I walked in there,
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just grabbed her, you know?
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And, er...
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...I'm talking to her,
"Mandy, come on, wake up, wake up."
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Then we sat there
for about an hour or so,
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and then doctor come,
and everything, and said,
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"Very soon,
we'll turn t'machine off."
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I said, "No, you're not.
You can't turn the machine off."
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SHE SNIFFS,
SOBS SOFTLY
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So... we kept on
till about six o'clock.
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And then they said,
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"Look, to be fair,
we need to turn it off."
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And then that were it.
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Sorry.
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It's difficult.
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We've had a referral
from the medical examiner's office.
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They've had the death
of Mandy Lewis, who's 52 years old.
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So, she was swimming in her local
swimming baths with her friend,
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and she's suddenly become unwell,
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and she was taken to hospital.
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She remained in hospital in the ICU
for two days,
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and she sadly passed away.
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This is an unexplained death.
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For me, looking at the information
that I've got,
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it doesn't really make sense.
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She's medically fit,
she's no medication, she's under 60,
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there isn't an obvious reason
as to why she should just pass away.
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So I'm gonna run this by Dr Adeley,
the senior coroner,
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and see what he thinks.
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She's no medical issues, nothing,
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so how can somebody like that
just die?
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It doesn't really make sense.
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I just need to know what
was the cause, what was the reason?
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We need answers.
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I'm coming to see Dr Adeley
about Mandy.
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Due to the circumstances
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and this being
a sudden unexpected death,
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I just want to go and have
a conversation with him
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and give him all the information
so that he can make
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any necessary decisions
that need to be made.
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We first met
when we were 11 years old at school.
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1991 is when
we actually started dating...
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...and never looked back.
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She was just a beautiful soul
inside and out, you know,
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everybody thought the same.
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VICAR: Mandy Jane, will you take
Richard Norwich to be your husband?
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I will.
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The day after
we had to turn t'machines off,
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I actually went back to the baths,
I didn't sleep,
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so I got up about half-four,
and I went off on a six-mile walk
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that myself and Mandy used to do.
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Literally cried all the way there,
cried all the way back,
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and I just thought, "I need
to get down to the swimming baths."
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Just felt I needed to go there.
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I walked in in a complete mess.
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Within minutes, I just, phew,
calmed right down and just felt...
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I don't know,
just felt she were there.
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Like I was closer to her,
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cos that's where she passed,
as far as I'm concerned.
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It definitely did me some good
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because I did feel
some form of comfort from it.
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Hello, Becky, how are you?
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Hiya. I just wanted
to run something by you.
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I've got a lady called Mandy Lewis,
she's 52 years old,
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and she has suddenly passed away.
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She was swimming as usual
with her friend
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at a local swimming baths,
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and she's become unresponsive.
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The paramedics attended,
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she was in ICU
for approximately two days,
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and unfortunately, she passed away.
OK.
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She hasn't got
a significant medical history,
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she's very active,
and she isn't on any medications.
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Now, the doctor at the hospital,
they have actually offered
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a cause of death
as sudden adult death syndrome.
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And the family had also highlighted
to me that there is a history
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of sudden deaths in the family
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that they believe
to be heart-related.
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OK. There are diseases
that run in families
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for sudden adult death syndrome,
and some of them are treatable,
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some of them aren't.
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So, this needs to have
an invasive postmortem.
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Samples need to be sent
to Professor Mary Sheppard
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in London
for specialist cardio pathology.
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And we're also running a pilot
with Manchester
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for genetic analysis,
so we need a sample of spleen
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to go to them for analysis.
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So you require to get the consent
for that, all right?
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OK. That's fine.
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LESLEY SHARP:
Sudden adult death syndrome
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affects around 500 people
in the UK every year.
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To investigate the possibility
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of Mandy having
an inherited condition,
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she will be the first person
from Lancashire to be referred
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for a pioneering genetics trial
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at the Manchester Centre
for Genomic Medicine.
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Mandy Lewis is a lady
who is very active, rides horses,
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swims three times a week.
It's an unusual death.
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Sudden adult death syndrome
is a diagnosis of exclusion,
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and what that means is you have
looked for everything else,
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coronary artery disease
or any other factors
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that might have caused the heart
to malfunction electrically
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or stop beating,
and you can't find anything.
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The difficulty
with sudden adult death syndrome
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is that it may also affect
close family members,
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and what we are trying to do
is to get as much information
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to provide as much safety
as we can for them.
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Both her grandads had heart attacks
and died.
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I think one was in their 80s,
the other one was in their 70s.
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But then, her cousin, which we now
know was coronary artery.
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But then, her other cousin,
I'm sure, was only about 32.
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You start thinking,
well, there are signs, you know?
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Whether they're linked, who knows?
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Is it hereditary, is it something
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that the kids
need to be tested for going forward?
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And we don't want it to happen
to any other family, if we can.
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If one person survives from being
checked and doing this pilot scheme,
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then it's worthwhile.
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That's it, itch him there, H.
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He absolutely loves a good itch.
With your nails.
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It's his favourite.
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I got my first horse when I was 12,
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and then in the September of 2020,
we got King.
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Mum found him, and because
he were three, he wasn't broken.
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He were just in a field.
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He basically came over and rested
his head on Annabel's shoulder.
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I just thought. "Yeah..."
He's a softie.
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"..he's sort of chosen her.”
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Mum helped me brake him. So, like,
you have to stand in the middle
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and lunge them
and do a lot of groundwork.
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So, Mum would do that
while I was riding.
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But I wouldn't have been able
to do it without Mum
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cos she's had horses all her life.
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I ride him now and I think,
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"Well, this is something
me and Mum have done."
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I've never really jumped
any of my horses,
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I'm a bit of a wuss,
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but Mum were always like, "Go on,
just give it a try, give it a try."
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Quite nice, really,
cos we did the tiny, tiny jump,
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but Mum were able to see that.
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Cos we did that on the Sunday
as Mum fell ill on the Thursday.
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So, it were quite nice that she saw
just before she passed,
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she did see me, a tiny jump.
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So, I know Mum would be very proud
if we carry on doing those.
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You're finding it tough, aren't you?
Yeah.
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Yeah. Missing your mum, aren't you?
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Yeah.
Yeah.
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Mum took good care of you,
didn't she? Yeah.
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Now it's my job, innit?
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Yeah.
Yeah?
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And we're soldiering on, aren't we?
Yes.
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And you have your good days
and your bad days.
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But having animals and kids
keeps you going, doesn't it?
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WHISTLES
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And Mandy were a doer.
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She weren't one
for wallowing around.
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It were, like, "Come on,
let's get on, let's get on.”
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And that's what
she'd want us to do -
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just get on and make her proud,
so that's what we are doing.
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Sudden adult death syndrome is rare.
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To determine if Mandy
has a genetic condition,
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she must undergo
an invasive postmortem.
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Her heart will be taken
for examination
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to a specialist in London,
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and her spleen sent to Manchester
for DNA analysis.
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There's about 500 cases per year
in the UK
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of youngish, healthy,
previously quite fit people
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who just keel over and die,
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and there's
no other cause identified.
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In cases where people die
suddenly and unexpectedly
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and we think
it might be a sudden cardiac death,
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then the heart's removed intact
and sent to Professor Mary Sheppard.
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She works
at St George's Hospital, London.
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We will also be sending
some tissue off
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to Manchester for genetic testing.
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It's thought
that there is a genetic cause
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in quite a lot of these cases.
242
00:15:19,600 --> 00:15:22,175
I think we're done anyway,
aren't we? We are, yeah.
243
00:15:24,200 --> 00:15:28,055
The testing is key in this.
If there's only 500 cases like this
244
00:15:28,080 --> 00:15:33,095
in the UK every year,
then a pathologist like me
245
00:15:33,120 --> 00:15:34,815
working in
a district general hospital
246
00:15:34,840 --> 00:15:36,655
might only see
one or two cases a year.
247
00:15:36,680 --> 00:15:40,895
That's no way to get any expertise
in a specialised subject.
248
00:15:40,920 --> 00:15:46,055
This is why cases like this now
are centralised
249
00:15:46,080 --> 00:15:49,135
and sent to expert centres.
250
00:15:49,160 --> 00:15:51,455
We need to sort out
exactly what this lady's died from,
251
00:15:51,480 --> 00:15:53,695
because we don't know
at this moment in time
252
00:15:53,720 --> 00:15:56,215
exactly what's happened to her.
253
00:16:04,040 --> 00:16:08,055
At Royal Preston Hospital
in the Coroner's Office,
254
00:16:08,080 --> 00:16:09,735
Alice is dealing with a new case
255
00:16:09,760 --> 00:16:12,135
that's very close to home
for the team.
256
00:16:12,160 --> 00:16:14,615
So, we received a referral
from St Catherine's Hospice
257
00:16:14,640 --> 00:16:17,975
in relation to a lady
called Irene Wright.
258
00:16:18,000 --> 00:16:20,775
Irene was a police officer
for 30-plus years.
259
00:16:20,800 --> 00:16:23,295
But for the last ten years
of her service,
260
00:16:23,320 --> 00:16:24,935
she was a coroner's officer here
261
00:16:24,960 --> 00:16:26,815
at Royal Preston Hospital
in this office.
262
00:16:26,840 --> 00:16:30,015
This job is difficult
dealing with death every day
263
00:16:30,040 --> 00:16:31,855
and dealing with bereaved families,
264
00:16:31,880 --> 00:16:33,295
but it becomes more difficult
265
00:16:33,320 --> 00:16:36,095
when it's somebody that you know
and that you've worked closely with,
266
00:16:36,120 --> 00:16:38,375
and you have that personal
relationship with that person.
267
00:16:42,920 --> 00:16:46,055
Dealing with Irene is different.
268
00:16:46,080 --> 00:16:50,775
Irene comes with memories,
with feelings.
269
00:16:50,800 --> 00:16:53,615
This is one of ours.
270
00:16:53,640 --> 00:16:55,055
It's a personal death.
271
00:16:58,080 --> 00:17:02,855
Irene was one of the first two
coroner's officers I recruited.
272
00:17:02,880 --> 00:17:06,095
She was a comms officer,
she was brilliant to talk to,
273
00:17:06,120 --> 00:17:07,615
she was great with families.
274
00:17:07,640 --> 00:17:09,615
Hi, Justine.
275
00:17:09,640 --> 00:17:11,855
Hey.
Can I speak to you about Irene?
276
00:17:11,880 --> 00:17:13,535
Yeah.
OK.
277
00:17:13,560 --> 00:17:17,895
Between her and Justine,
they basically wrote the book
278
00:17:17,920 --> 00:17:19,535
on how to do the job.
279
00:17:19,560 --> 00:17:23,295
They invented it from scratch,
and they became superb.
280
00:17:24,520 --> 00:17:25,895
Living in the location,
281
00:17:25,920 --> 00:17:28,335
you obviously deal with a lot
of people that you do know.
282
00:17:28,360 --> 00:17:31,455
I know when I lost my mum,
I worked with Irene at the time,
283
00:17:31,480 --> 00:17:34,935
and she was a brick.
And now she's passed, it's just...
284
00:17:34,960 --> 00:17:39,135
I think because she was known
to a lot of people here.
285
00:17:39,160 --> 00:17:41,735
I know Dr Adeley's upset about it.
286
00:17:41,760 --> 00:17:46,055
And it's just difficult to deal with
when it's somebody you know,
287
00:17:46,080 --> 00:17:47,855
somebody who you was close with
288
00:17:47,880 --> 00:17:51,215
and worked very closely with
for ten years.
289
00:18:00,760 --> 00:18:02,935
We need to go and have a drink
and raise a glass.
290
00:18:02,960 --> 00:18:04,695
Yeah, definitely.
Definitely.
291
00:18:04,720 --> 00:18:06,335
We'll have a few.
we will.
292
00:18:06,360 --> 00:18:07,735
Cocktail, though,
293
00:18:07,760 --> 00:18:10,335
cos we had some amazing
cocktail afternoons with Irene.
294
00:18:10,360 --> 00:18:13,255
We did.
Good times, good memories. They are.
295
00:18:23,240 --> 00:18:26,175
Irene first became ill
six months ago.
296
00:18:28,840 --> 00:18:32,055
Last summer, she said she felt
like she wasn't herself.
297
00:18:32,080 --> 00:18:34,255
There was something not right
with her head,
298
00:18:34,280 --> 00:18:39,375
like really lethargic
and not feeling well at all,
299
00:18:39,400 --> 00:18:41,375
so she went to the GP.
300
00:18:41,400 --> 00:18:44,655
They referred her
to the ENT department,
301
00:18:44,680 --> 00:18:47,135
because she'd been having
this sort of whooshing sound
302
00:18:47,160 --> 00:18:51,015
in her ears, so they said,
"We'll do an MRI scan.”
303
00:18:51,040 --> 00:18:55,255
Then she went back for the results
of that scan,
304
00:18:55,280 --> 00:18:59,815
and she came back here
and said, "It's not good.”
305
00:18:59,840 --> 00:19:02,935
And I said, "What do you mean?"
"They think I've got a glioma.”
306
00:19:02,960 --> 00:19:05,655
And I said, "well, what's a glioma?"
She said, "It's a tumour.”
307
00:19:05,680 --> 00:19:07,775
And that's when my stomach
just went woof.
308
00:19:09,560 --> 00:19:12,455
Irene's glioma was in her brain.
309
00:19:12,480 --> 00:19:15,815
To find out if this tumour
was benign or cancerous,
310
00:19:15,840 --> 00:19:19,815
a biopsy was arranged
by a consultant neurosurgeon.
311
00:19:19,840 --> 00:19:22,895
This brain tumour exists
in three different places.
312
00:19:22,920 --> 00:19:26,735
The back, the middle
and what we call the insula.
313
00:19:26,760 --> 00:19:30,295
These front two locations
314
00:19:30,320 --> 00:19:34,815
are in critical brain areas
where any complications
315
00:19:34,840 --> 00:19:37,015
or any attempts to do a biopsy
316
00:19:37,040 --> 00:19:40,975
can be met with severe risks
and consequences.
317
00:19:41,000 --> 00:19:43,495
And therefore,
we chose to take a biopsy
318
00:19:43,520 --> 00:19:47,175
from the posterior part
of the brain.
319
00:19:47,200 --> 00:19:50,055
When Irene managed to go home
successfully,
320
00:19:50,080 --> 00:19:53,335
we were all satisfied.
321
00:19:53,360 --> 00:19:57,015
She came out on Good Friday,
and she'd done really well,
322
00:19:57,040 --> 00:19:59,495
she was really upbeat.
323
00:19:59,520 --> 00:20:01,975
But then on the Wednesday,
she was sitting on the side
324
00:20:02,000 --> 00:20:03,895
of the bed
and she was holding her head.
325
00:20:05,520 --> 00:20:09,455
I said, "What's up?" She said,
"My head, it's just unbearable.”
326
00:20:23,720 --> 00:20:25,095
DOOR BUZZER
327
00:20:26,360 --> 00:20:29,135
Hello? Hi. I let you in.
328
00:20:30,680 --> 00:20:32,015
Hello.
Hiya.
329
00:20:32,040 --> 00:20:33,175
Are you OK?
330
00:20:33,200 --> 00:20:35,095
LESLEY SHARP:
The coroner is investigating
331
00:20:35,120 --> 00:20:38,575
the unexplained death
of 52-year-old Mandy Lewis,
332
00:20:38,600 --> 00:20:42,455
whose heart suddenly stopped
whilst at her local swimming pool.
333
00:20:42,480 --> 00:20:45,495
Mandy is the first person
from Lancashire
334
00:20:45,520 --> 00:20:47,495
to be referred for a trial scheme
335
00:20:47,520 --> 00:20:50,415
which will look
for any genetic faults in her DNA.
336
00:20:51,840 --> 00:20:54,255
The cause of death at this time
is unknown,
337
00:20:54,280 --> 00:20:57,615
but the cause of death is important
both for Mandy
338
00:20:57,640 --> 00:21:01,495
and also for her family,
who may have a genetic component
339
00:21:01,520 --> 00:21:03,895
and may be at risk of this disease.
340
00:21:03,920 --> 00:21:09,415
The cause of death provides a way
of detecting these conditions
341
00:21:09,440 --> 00:21:12,095
and possibly assisting
other family members
342
00:21:12,120 --> 00:21:13,815
that they don't suffer
the same fate.
343
00:21:22,920 --> 00:21:27,415
Mandy Lewis's heart has also
been sent to cardiac specialists
344
00:21:27,440 --> 00:21:29,695
at St George's University of London.
345
00:21:29,720 --> 00:21:32,055
The research centre
currently holds data
346
00:21:32,080 --> 00:21:36,255
for over 8,500 hearts
from across the UK.
347
00:21:36,280 --> 00:21:38,855
So, this is a 52-year-old female.
348
00:21:38,880 --> 00:21:43,335
They've got no medical history,
and she was not on any medication.
349
00:21:43,360 --> 00:21:47,335
The heart weighs 416 grams,
350
00:21:47,360 --> 00:21:50,735
so we would consider this
a normal heart weight in a female.
351
00:21:50,760 --> 00:21:53,855
Our heart beats 70 times a minute
352
00:21:53,880 --> 00:21:56,055
for an average of 70 years
of our life.
353
00:21:56,080 --> 00:21:59,655
That electrical activity
has to be very tightly controlled,
354
00:21:59,680 --> 00:22:02,735
and if it goes wrong,
it results in the heart stopping,
355
00:22:02,760 --> 00:22:04,895
as tragically happened in this case.
356
00:22:06,320 --> 00:22:10,735
In addition to the investigations
carried out on Mandy's heart
357
00:22:10,760 --> 00:22:13,095
when she was admitted to hospital,
358
00:22:13,120 --> 00:22:15,935
Mary Sheppard's team will conduct
a full examination.
359
00:22:18,280 --> 00:22:22,415
So far, the coronary arteries
are very clean.
360
00:22:23,560 --> 00:22:26,775
At this point, I'm going to examine
the upper chambers of the heart,
361
00:22:26,800 --> 00:22:31,255
and I'm looking to see whether
there might be any blood clots
362
00:22:31,280 --> 00:22:32,815
or anything along those lines.
363
00:22:33,960 --> 00:22:36,935
And we consider this to be
a normal heart.
364
00:22:39,120 --> 00:22:42,375
It's not a classic example
365
00:22:42,400 --> 00:22:44,495
of any particular condition
we're aware of.
366
00:22:46,840 --> 00:22:52,095
We'll wait for the histology with
a microscopic detailed examination,
367
00:22:52,120 --> 00:22:56,855
which, hopefully, will help us
to get a specific diagnosis.
368
00:22:56,880 --> 00:23:00,935
We want to rule out
any other possible conditions
369
00:23:00,960 --> 00:23:03,375
that could have resulted
in this lady dying
370
00:23:03,400 --> 00:23:05,615
before we make a diagnosis
of something
371
00:23:05,640 --> 00:23:07,535
that potentially may be genetic.
372
00:23:09,280 --> 00:23:11,695
Along with Mary Sheppard's
assessment,
373
00:23:11,720 --> 00:23:14,855
the DNA taken from Mandy's spleen
374
00:23:14,880 --> 00:23:17,055
will undergo analysis in Manchester
375
00:23:17,080 --> 00:23:19,935
to look
for any genetic abnormalities.
376
00:23:21,840 --> 00:23:24,375
From the dead,
we learn about the living.
377
00:23:24,400 --> 00:23:27,135
You have to determine
the cause of death,
378
00:23:27,160 --> 00:23:30,455
if we don't know the causes,
how can we cure them?
379
00:23:33,640 --> 00:23:37,015
We will hope that a diagnosis
will be made
380
00:23:37,040 --> 00:23:41,535
which will save other direct members
of Mandy's family
381
00:23:41,560 --> 00:23:43,855
from getting a sudden cardiac death.
382
00:23:44,960 --> 00:23:47,695
I do want to get the answers
because I want to get to the bottom
383
00:23:47,720 --> 00:23:50,935
of it for all the family,
for the grandchildren
384
00:23:50,960 --> 00:23:53,055
and my nieces and nephews.
385
00:24:03,680 --> 00:24:06,855
I'm hoping that they don't find
anything with any of us,
386
00:24:06,880 --> 00:24:09,695
but I think it's a good thing
that it should be done.
387
00:24:12,760 --> 00:24:15,775
You know, why does it happen
to somebody that's a nice person
388
00:24:15,800 --> 00:24:17,375
that loved everybody?
389
00:24:17,400 --> 00:24:20,615
We enjoyed life together,
right up to the very end.
390
00:24:20,640 --> 00:24:22,535
We spoke every day.
391
00:24:22,560 --> 00:24:25,295
She were brilliant,
fantastic sister.
392
00:24:28,040 --> 00:24:29,815
I just try and get on with my day...
393
00:24:31,640 --> 00:24:34,495
...best I can. Keep busy.
394
00:24:36,960 --> 00:24:41,975
Yeah. I think about her every day.
I do.
395
00:25:03,560 --> 00:25:06,415
That was at Giant's Causeway.
Yeah.
396
00:25:06,440 --> 00:25:09,335
And then that big trek
back up the hill.
397
00:25:10,520 --> 00:25:12,935
And this was her birthday last year.
398
00:25:12,960 --> 00:25:15,375
I remember she said she liked it.
Mm-hm. Yeah.
399
00:25:15,400 --> 00:25:16,455
Yeah, it was good.
400
00:25:18,040 --> 00:25:23,215
Friendship and family were
two very important things for her.
401
00:25:23,240 --> 00:25:24,495
It's black or white.
Yeah.
402
00:25:24,520 --> 00:25:26,495
"You're my friend,
you're my family."
403
00:25:26,520 --> 00:25:29,455
If she was your friend,
then you were very, very lucky.
404
00:25:31,680 --> 00:25:35,655
It didn't matter where I was,
she was there.
405
00:25:38,360 --> 00:25:41,055
That was at
a Valentine's dinner dance.
406
00:25:41,080 --> 00:25:45,655
Oh, right, and that was the top
she said she was going to bin.
407
00:25:45,680 --> 00:25:48,415
All the sequins fall off it.
Yeah.
408
00:25:48,440 --> 00:25:50,815
She loses more and more
every time she wore it.
409
00:25:50,840 --> 00:25:52,175
THEY CHUCKLE
Yeah.
410
00:25:54,320 --> 00:25:58,295
When her and Justine started work
for Dr Adeley,
411
00:25:58,320 --> 00:26:00,495
the pair of them said,
412
00:26:00,520 --> 00:26:04,095
"I didn't know you could die
from so many ways", you know?
413
00:26:04,120 --> 00:26:07,255
But I think that in the end,
the fact that she did know...
414
00:26:08,640 --> 00:26:13,415
...all the ways that you can die
and the way it affects people,
415
00:26:13,440 --> 00:26:16,615
not only how you die,
416
00:26:16,640 --> 00:26:20,855
but what happens to your body
leading up to it.
417
00:26:20,880 --> 00:26:23,375
I think
that was what she was afraid of.
418
00:26:26,360 --> 00:26:29,415
Irene had been diagnosed
with a brain tumour
419
00:26:29,440 --> 00:26:32,775
and had a biopsy to determine
if it was cancerous.
420
00:26:32,800 --> 00:26:36,935
She was terribly stressed after
she was told that it was a tumour.
421
00:26:38,640 --> 00:26:40,735
She said, "I don't wanna die."
422
00:26:42,400 --> 00:26:44,575
She'd seen so many deaths.
423
00:26:44,600 --> 00:26:47,855
The files come across her desk,
she'd work with the families,
424
00:26:47,880 --> 00:26:51,495
she'd learn the history of
the person, knew what had gone on,
425
00:26:51,520 --> 00:26:54,815
and also, I think,
knowing what's coming.
426
00:26:57,920 --> 00:27:00,255
She was just terrified,
absolutely terrified.
427
00:27:00,280 --> 00:27:03,575
Ands that's when she came out
with a Zimmer frame.
428
00:27:03,600 --> 00:27:05,615
You wouldn't think
it was the same person.
429
00:27:05,640 --> 00:27:09,495
Gosh, the difference.
I know. Yeah. Bless her.
430
00:27:09,520 --> 00:27:12,695
She said, "If it was anywhere else
in my body, I would be able to cope,
431
00:27:12,720 --> 00:27:17,335
"the fact that it's in my brain
is harrowing."”
432
00:27:21,960 --> 00:27:24,215
Irene started to have
hearing problems,
433
00:27:24,240 --> 00:27:25,935
and went to see her GP
434
00:27:25,960 --> 00:27:29,375
who referred her for a scan,
which diagnosed a tumour.
435
00:27:29,400 --> 00:27:33,975
And to see what type of tumour
it is, they needed to do a biopsy.
436
00:27:34,000 --> 00:27:37,175
Now, the biopsy was straightforward,
437
00:27:37,200 --> 00:27:40,415
but there was unfortunately,
complications from surgery.
438
00:27:41,680 --> 00:27:44,455
Three weeks after Irene's biopsy,
439
00:27:44,480 --> 00:27:47,815
she became unconscious
and was rushed back to hospital.
440
00:27:49,080 --> 00:27:53,055
A repeat scan shows
that the whole side of the brain
441
00:27:53,080 --> 00:27:55,255
had swollen up including the tumour,
442
00:27:55,280 --> 00:27:57,495
and that is generally
quite bad news.
443
00:27:57,520 --> 00:28:02,055
Irene had suffered a sudden increase
in the pressure inside her skull,
444
00:28:02,080 --> 00:28:05,015
which had caused her
to lose consciousness.
445
00:28:05,040 --> 00:28:07,855
She had a CT scan of her brain,
which showed
446
00:28:07,880 --> 00:28:11,095
that there was a large amount
of swelling and increased pressure,
447
00:28:11,120 --> 00:28:13,415
and she had
a decompressive craniectomy,
448
00:28:13,440 --> 00:28:15,895
and that's where the side
of the skull is removed
449
00:28:15,920 --> 00:28:18,095
to allow the brain to swell
and reduce the pressure
450
00:28:18,120 --> 00:28:20,135
inside the skull itself.
451
00:28:20,160 --> 00:28:22,735
After that, she was admitted
to the intensive care unit.
452
00:28:26,360 --> 00:28:30,255
We managed to rush through
the tumour processing,
453
00:28:30,280 --> 00:28:32,935
and it unfortunately came back
454
00:28:32,960 --> 00:28:36,095
as a malignant cancerous
brain tumour called a glioblastoma.
455
00:28:39,760 --> 00:28:44,015
Despite our best attempts,
including surgical means,
456
00:28:44,040 --> 00:28:47,015
medical means,
and keeping her asleep,
457
00:28:47,040 --> 00:28:49,615
we weren't able
to keep the pressure low enough
458
00:28:49,640 --> 00:28:51,335
for the brain to be happy.
459
00:28:54,680 --> 00:28:58,175
The brain is a unique organ,
it's who we are,
460
00:28:58,200 --> 00:29:02,015
it defines what we do,
and when that no longer works,
461
00:29:02,040 --> 00:29:03,815
the person is no longer there.
462
00:29:03,840 --> 00:29:05,495
And the family understood,
463
00:29:05,520 --> 00:29:09,055
and they agreed
to make Irene comfortable.
464
00:29:11,440 --> 00:29:14,415
Irene was transferred
to St Catherine's Hospice
465
00:29:14,440 --> 00:29:16,375
for end of life care.
466
00:29:16,400 --> 00:29:20,455
She sadly passed away
ten days later.
467
00:29:20,480 --> 00:29:22,655
Best thing for her
was to withdraw treatment.
468
00:29:23,880 --> 00:29:27,815
And... let her die with dignity.
469
00:29:33,400 --> 00:29:37,135
You know, they took her off
the ventilator, and thankfully,
470
00:29:37,160 --> 00:29:39,415
she didn't regain consciousness.
471
00:29:42,880 --> 00:29:45,895
It's so much better
than watching her die
472
00:29:45,920 --> 00:29:49,015
from the usual course
of a glioblastoma.
473
00:29:49,040 --> 00:29:54,295
Possibly the personality changes,
the loss of physical function,
474
00:29:54,320 --> 00:29:57,095
she would have hated it.
475
00:29:57,120 --> 00:29:59,895
She would have absolutely hated it.
476
00:29:59,920 --> 00:30:03,775
So, yeah, I'm thankful that...
477
00:30:03,800 --> 00:30:06,055
that's... that's gone.
478
00:30:07,760 --> 00:30:12,455
It's a shock for everybody
that knew her, you know?
479
00:30:12,480 --> 00:30:16,055
Cos we've got to get used
to her not being here,
480
00:30:16,080 --> 00:30:20,215
and she was such a huge part
of so many people's lives.
481
00:30:21,960 --> 00:30:24,975
She was a very kind person,
and very generous.
482
00:30:25,000 --> 00:30:27,695
She'd do anything for anybody.
483
00:30:27,720 --> 00:30:31,255
She was brilliant. She really was.
484
00:30:43,200 --> 00:30:47,175
The results from Mandy Lewis'
heart examination in London
485
00:30:47,200 --> 00:30:49,535
have been sent to the coroner.
486
00:30:49,560 --> 00:30:54,215
Professor Sheppard says
that Mandy Lewis' heart is normal.
487
00:30:54,240 --> 00:30:56,415
But she goes on to say
488
00:30:56,440 --> 00:30:58,615
that there are a number
of other conditions
489
00:30:58,640 --> 00:31:02,495
that you need to screen
the family for in life,
490
00:31:02,520 --> 00:31:04,495
to detect these conditions,
491
00:31:04,520 --> 00:31:07,895
which would assist in determining
Mandy's cause of death.
492
00:31:07,920 --> 00:31:09,935
Until we have all the pieces,
493
00:31:09,960 --> 00:31:11,895
we can't give the family
the answers they need.
494
00:31:18,480 --> 00:31:22,175
'I'm a little bit gutted that
Mary Sheppard didn't find anything.
495
00:31:22,200 --> 00:31:25,455
'| was hoping for an answer.'
496
00:31:25,480 --> 00:31:27,655
We do need to find out
what's happened
497
00:31:27,680 --> 00:31:29,935
cos I wouldn't want it happening
to my brother
498
00:31:29,960 --> 00:31:31,735
or any other family member,
or even myself,
499
00:31:31,760 --> 00:31:33,855
cos it's just not nice
on people that you leave behind.
500
00:31:36,120 --> 00:31:39,015
It's over there,
look, where your mum is.
501
00:31:39,040 --> 00:31:41,815
Can you see the picture?
Yeah. Yeah.
502
00:31:44,360 --> 00:31:46,655
So, this is gonna get put
on the network.
503
00:31:46,680 --> 00:31:51,215
We're gonna get a plaque made for
underneath here in memory of Mandy.
504
00:31:52,880 --> 00:31:55,215
And the thing is with here is,
505
00:31:55,240 --> 00:31:56,975
it's quite a big show centre -
506
00:31:57,000 --> 00:32:01,055
some weekends,
there might be 150, 200 horses come.
507
00:32:01,080 --> 00:32:03,775
So there's a lot of people around.
So, you never know,
508
00:32:03,800 --> 00:32:06,815
at some point, it might be needed.
509
00:32:09,360 --> 00:32:14,135
With what happened
with Mandy having a cardiac arrest,
510
00:32:14,160 --> 00:32:17,055
this could be here
to save somebody's life.
511
00:32:17,080 --> 00:32:18,375
You know, you just never know.
512
00:32:20,080 --> 00:32:23,295
We chose here cos it's close
to the family's heart,
513
00:32:23,320 --> 00:32:25,855
and it's in memory of Mandy.
514
00:32:38,880 --> 00:32:43,735
With examinations of Mandy's heart
revealing no abnormalities,
515
00:32:43,760 --> 00:32:46,175
the family now hope
the genetic tests
516
00:32:46,200 --> 00:32:50,175
at St Mary's Hospital will give them
the answers they're looking for.
517
00:32:50,200 --> 00:32:54,495
Today is a joint consultation,
so we'll sort of talk about
518
00:32:54,520 --> 00:32:57,135
the genetics side of the appointment
519
00:32:57,160 --> 00:33:00,895
and the cardiac assessment side
of what we can offer you guys.
520
00:33:00,920 --> 00:33:04,215
If we know that someone
has this increased risk,
521
00:33:04,240 --> 00:33:09,015
there is management and treatment to
keep people safe and lower the risk.
522
00:33:09,040 --> 00:33:13,815
Whilst the lab analyses Mandy's DNA
for any genetic defects,
523
00:33:13,840 --> 00:33:18,855
the family undergoes ECG tests
and ultrasound scans
524
00:33:18,880 --> 00:33:21,735
to look
for any cardiac abnormalities.
525
00:33:21,760 --> 00:33:24,695
I need you to turn on your side
facing that way. OK?
526
00:33:24,720 --> 00:33:27,135
Bit of cold jelly on your chest now.
527
00:33:31,960 --> 00:33:33,775
That's your heart there.
How weird.
528
00:33:35,280 --> 00:33:38,455
So, I'm basically just looking
at the structure of your heart,
529
00:33:38,480 --> 00:33:40,815
make sure everything is working
as it should.
530
00:33:40,840 --> 00:33:44,455
Doing all this
is helping me personally
531
00:33:44,480 --> 00:33:47,335
with my grieving process -
it still hasn't sunk in with me.
532
00:33:49,000 --> 00:33:51,655
It's comforting
that something's being done,
533
00:33:51,680 --> 00:33:53,695
and I just hope it's not hereditary
534
00:33:53,720 --> 00:33:56,255
and it's not been passed down
the genes.
535
00:33:56,280 --> 00:33:57,935
That's what I'm hoping for
as a father,
536
00:33:57,960 --> 00:34:00,775
that's probably the best outcome
of a sad situation.
537
00:34:04,360 --> 00:34:07,615
It's four months
since the sudden death
538
00:34:07,640 --> 00:34:10,095
of 52-year-old Mandy Lewis.
539
00:34:10,120 --> 00:34:12,695
Her family are receiving the results
540
00:34:12,720 --> 00:34:15,575
of the DNA analysis
of Mandy's spleen
541
00:34:15,600 --> 00:34:17,015
to discover whether
542
00:34:17,040 --> 00:34:19,215
there is a hereditary condition
in the family.
543
00:34:20,720 --> 00:34:22,535
PHONE RINGS
544
00:34:22,560 --> 00:34:23,815
Hello.
545
00:34:23,840 --> 00:34:25,615
Hi, it's Kim Clarke phoning
546
00:34:25,640 --> 00:34:28,975
from Manchester Centre
for Genomic Medicine. How are you?
547
00:34:29,000 --> 00:34:31,255
'I'm all right, Kim."
OK, so...
548
00:34:31,280 --> 00:34:34,535
Richard, we didn't identify
any changes
549
00:34:34,560 --> 00:34:38,095
within any of Mandy's genes analysis
that would account for why
550
00:34:38,120 --> 00:34:40,335
she passed away suddenly
and unexpectedly.
551
00:34:40,360 --> 00:34:41,815
Right, OK.
552
00:34:41,840 --> 00:34:44,815
'OK? So, we didn't identify
an underlying
553
00:34:44,840 --> 00:34:47,415
'inherited cardiac condition.'
554
00:34:47,440 --> 00:34:49,855
Right. Right.
'OK.'
555
00:34:49,880 --> 00:34:52,895
So what this means is there
isn't any further genetic testing
556
00:34:52,920 --> 00:34:57,855
we can offer to the kids
or to Mandy's mum or sister.
557
00:34:57,880 --> 00:34:59,775
Yeah, yeah.
'OK?" Yeah.
558
00:34:59,800 --> 00:35:02,535
'Because we haven't identified
an underlying genetic cause.'
559
00:35:02,560 --> 00:35:05,575
That's ultimately the outcome
I was hoping for,
560
00:35:05,600 --> 00:35:07,815
and I think the family were.
561
00:35:07,840 --> 00:35:10,615
Although we haven't identified
an underlying genetic cause,
562
00:35:10,640 --> 00:35:14,455
it doesn't exclude it -
there is still a small chance
563
00:35:14,480 --> 00:35:16,735
there is
an inherited cardiac condition.
564
00:35:16,760 --> 00:35:19,215
Hopefully, everybody's fit
and well, and... 'Yeah.'
565
00:35:19,240 --> 00:35:22,415
...ultimately,
I suppose it's a freak of nature
566
00:35:22,440 --> 00:35:25,015
of why Mandy passed.
567
00:35:25,040 --> 00:35:26,575
Thanks for your time, Kim.
568
00:35:26,600 --> 00:35:28,735
"Bye.'
Bye-bye.
569
00:35:31,840 --> 00:35:34,175
No, it's positive,
it's definitely positive.
570
00:35:34,200 --> 00:35:36,615
We've got to look at it,
it's a positive.
571
00:35:36,640 --> 00:35:39,135
Nobody else has got the same thing.
572
00:35:39,160 --> 00:35:42,015
It's just hard
getting your head round.
573
00:35:47,480 --> 00:35:52,135
Mandy has suddenly died
of a cardiac death.
574
00:35:52,160 --> 00:35:55,775
There is no abnormality
in her heart.
575
00:35:55,800 --> 00:35:58,775
She has also undergone
genetic testing to see
576
00:35:58,800 --> 00:36:03,215
whether or not there is a marker
for any type of genetic disease
577
00:36:03,240 --> 00:36:06,175
within her heart,
and that is negative as well.
578
00:36:06,200 --> 00:36:09,935
It doesn't happen very often,
there is usually an inkling
579
00:36:09,960 --> 00:36:13,655
on one test or another,
but in this case,
580
00:36:13,680 --> 00:36:18,255
there is nothing that we can find
to say what she's died of.
581
00:36:18,280 --> 00:36:21,055
It's rare that it happens,
but it's happened in this case.
582
00:36:22,360 --> 00:36:25,375
It's very sad,
it's very unsatisfying,
583
00:36:25,400 --> 00:36:28,255
both from our side
and the family,
584
00:36:28,280 --> 00:36:30,895
but that's the state
of medical knowledge at this time.
585
00:36:37,120 --> 00:36:39,935
You haven't got an answer still
at the end of it, have you? No.
586
00:36:39,960 --> 00:36:41,615
As to why it happened.
587
00:36:41,640 --> 00:36:43,255
And I find that hard.
588
00:36:43,280 --> 00:36:45,055
Oh, yeah,
I think about it every day,
589
00:36:45,080 --> 00:36:47,535
and I just think why did it happen
when she was swimming?
590
00:36:47,560 --> 00:36:50,295
Would it have happened
if she hadn't have gone swimming?
591
00:36:50,320 --> 00:36:54,655
Results from the cardiologist
showed that Mandy's son and sister
592
00:36:54,680 --> 00:36:58,255
both presented
with a mild heart-valve condition
593
00:36:58,280 --> 00:37:00,895
that will require future monitoring.
594
00:37:00,920 --> 00:37:03,495
Cos it must be hard for Harry
595
00:37:03,520 --> 00:37:07,415
to process everything
and try and move on a bit and...
596
00:37:07,440 --> 00:37:08,975
Not just Harry, but Annabel as well.
597
00:37:09,000 --> 00:37:11,135
But Harry, he's away on respite.
598
00:37:11,160 --> 00:37:13,095
While packing his suitcase, he went,
599
00:37:13,120 --> 00:37:15,255
"Oh, I want to wear
my red love-heart top,"
600
00:37:15,280 --> 00:37:17,055
so meaning the British Heart one,
601
00:37:17,080 --> 00:37:19,855
and he were like,
"I want everyone to see my mum."
602
00:37:19,880 --> 00:37:23,335
He wears it
with, like, supreme pride.
603
00:37:26,000 --> 00:37:28,575
Just sad.
Mm, it is.
604
00:37:45,760 --> 00:37:47,935
LESLEY SHARP:
At the coroner's court,
605
00:37:47,960 --> 00:37:52,535
Dr Adeley has a final conclusion
on Irene Wright's death.
606
00:37:52,560 --> 00:37:54,735
At Irene's original biopsy,
607
00:37:54,760 --> 00:37:57,295
there was a small bleed
after the operation.
608
00:37:57,320 --> 00:38:00,575
That's not unusual
for biopsies in the brain.
609
00:38:00,600 --> 00:38:02,455
She recovered, she went home.
610
00:38:02,480 --> 00:38:05,455
But then, very quickly,
she lost consciousness,
611
00:38:05,480 --> 00:38:08,895
and what we were worried about
was that the bleed has extended.
612
00:38:08,920 --> 00:38:11,895
In this case,
it is not the bleed extending,
613
00:38:11,920 --> 00:38:15,295
but the tumour
has suddenly expanded.
614
00:38:15,320 --> 00:38:18,695
Tumours of this type
have this particular feature,
615
00:38:18,720 --> 00:38:21,455
and that is what has caused
her loss of consciousness
616
00:38:21,480 --> 00:38:24,415
and the rise in inter cranial
pressure that led to her death.
617
00:38:24,440 --> 00:38:27,935
It's nothing to do
with the original operation,
618
00:38:27,960 --> 00:38:31,535
and consequently,
because this is a natural death
619
00:38:31,560 --> 00:38:35,015
from the tumour misbehaving,
there is no inquest.
620
00:38:43,880 --> 00:38:46,495
Irene can now be returned
to her family,
621
00:38:46,520 --> 00:38:49,495
and funeral arrangements
can be made.
622
00:38:49,520 --> 00:38:53,015
DIALLING TONE
'Hello. Jo-Ann Telford.'
623
00:38:53,040 --> 00:38:56,895
Hi, Jo, it's Alice Swarbrick,
coroner's office manager at Preston.
624
00:38:56,920 --> 00:38:59,335
'Hello, hi.'
Hi, how are you?
625
00:38:59,360 --> 00:39:00,895
'I'm all right, thank you.'
OK.
626
00:39:03,360 --> 00:39:04,575
I just wanted to call
627
00:39:04,600 --> 00:39:07,095
to let you know everything's
been authorised by the coroner,
628
00:39:07,120 --> 00:39:09,295
everything's been sent over
to the registrars.
629
00:39:09,320 --> 00:39:11,455
The funeral directors
will have been notified,
630
00:39:11,480 --> 00:39:13,055
they'll have the relevant paperwork,
631
00:39:13,080 --> 00:39:15,535
so they can go
and collect Irene for you.
632
00:39:17,440 --> 00:39:19,615
So, yeah,
everything should be in hand.
633
00:39:19,640 --> 00:39:21,855
'0OK, marvellous.
Thank you so much, Alice.'
634
00:39:21,880 --> 00:39:24,295
No problem.
Any problems at all, give me a call.
635
00:39:24,320 --> 00:39:25,615
'All right.'
All right, then.
636
00:39:25,640 --> 00:39:27,095
Take care.
'Bye-bye.' Bye-bye.
637
00:39:45,000 --> 00:39:48,095
It's time to go and say goodbye
to Irene.
638
00:39:48,120 --> 00:39:50,335
How are you getting
to the crematorium?
639
00:39:50,360 --> 00:39:52,215
I'm driving myself.
OK.
640
00:40:04,360 --> 00:40:08,415
Today is saying goodbye to Irene
641
00:40:08,440 --> 00:40:11,575
and the person that she was.
642
00:40:15,400 --> 00:40:17,095
What this job teaches you
643
00:40:17,120 --> 00:40:20,615
is there are deaths
that do affect you emotionally.
644
00:40:20,640 --> 00:40:23,335
You can see similarities
between your life
645
00:40:23,360 --> 00:40:26,615
and somebody who's lost theirs
in tragic circumstances.
646
00:40:26,640 --> 00:40:29,775
But you need to be there
for the families.
647
00:40:29,800 --> 00:40:32,855
You cannot afford to fall apart
648
00:40:32,880 --> 00:40:35,015
because otherwise,
they're getting no service.
649
00:40:35,040 --> 00:40:38,375
With this, it is very different.
650
00:40:38,400 --> 00:40:40,255
This is our death,
651
00:40:40,280 --> 00:40:43,135
this is our friend,
this is our colleague.
652
00:40:43,160 --> 00:40:47,975
So, yes, there will be more emotions
today than there are normally.
653
00:40:56,440 --> 00:40:58,095
'Irene didn't suffer fools gladly.
654
00:40:59,320 --> 00:41:02,655
'Definitely a matriarch,
huge personality.'
655
00:41:07,520 --> 00:41:11,015
She was somebody
who was a great person in the world,
656
00:41:11,040 --> 00:41:12,375
was a queen.
657
00:41:36,120 --> 00:41:39,415
When I went to see Irene at the
hospital after her first operation,
658
00:41:39,440 --> 00:41:42,095
her first words to me -
"Justine, when I'm better,
659
00:41:42,120 --> 00:41:44,095
"we're gonna have
a bloody big party.”
660
00:41:44,120 --> 00:41:46,295
And, yes, Irene,
we are having a big party.
661
00:41:46,320 --> 00:41:48,215
Unfortunately,
you're not here to join.
662
00:41:50,000 --> 00:41:53,655
She'd be looking down and saying,
"Have a few cocktails on me."
663
00:41:56,800 --> 00:41:59,655
It was never gonna be easy,
664
00:41:59,680 --> 00:42:01,855
but Irene would have loved today.
665
00:42:01,880 --> 00:42:04,255
She'd have been
absolutely overwhelmed
666
00:42:04,280 --> 00:42:07,375
at the amount of emotion
from people
667
00:42:07,400 --> 00:42:10,775
and the sheer number of people
that turned out.
668
00:42:10,800 --> 00:42:11,895
It's been lovely.
669
00:42:14,040 --> 00:42:17,495
I was her person,
and she was my person,
670
00:42:17,520 --> 00:42:21,655
and I'm like,
"Who's gonna be my person now?"
671
00:42:23,880 --> 00:42:25,575
I miss her all the time.
672
00:42:36,600 --> 00:42:39,255
ANNOUNCER: Good morning, ladies
and gentleman. Welcome to Colne!
673
00:42:39,280 --> 00:42:40,975
Let's have a big cheer!
674
00:42:41,000 --> 00:42:42,135
CHEERING
675
00:42:42,160 --> 00:42:45,335
It's the Colne
annual soap box challenge.
676
00:42:45,360 --> 00:42:46,415
I'm just gonna sit here.
677
00:42:46,440 --> 00:42:48,615
I'm number one, aren't I? So...
Number one.
678
00:42:48,640 --> 00:42:52,215
And today, Richard is fund raising
for charity in memory of Mandy.
679
00:42:52,240 --> 00:42:53,935
This is doing him good.
680
00:42:53,960 --> 00:42:56,295
He's a bit of an adrenaline junkie,
is my dad,
681
00:42:56,320 --> 00:43:00,975
so I think going off this high ramp,
I think he'll probably like it.
682
00:43:01,000 --> 00:43:06,055
He's not... He's not really
taken a moment to sit.
683
00:43:06,080 --> 00:43:08,695
I think he's just keeping busy
so he's not thinking about it.
684
00:43:12,520 --> 00:43:14,375
Although mum never went on holiday,
685
00:43:14,400 --> 00:43:16,535
it feels as though
she's just gone on holiday
686
00:43:16,560 --> 00:43:17,855
and she'll be coming back.
687
00:43:17,880 --> 00:43:20,775
But if you just keep busy,
688
00:43:20,800 --> 00:43:23,935
it does distract your mind
a little bit from reality.
689
00:43:27,520 --> 00:43:30,415
ANNOUNCER: Ladies and gentleman,
we have our first car coming up now.
690
00:43:30,440 --> 00:43:31,575
CHEERING
691
00:43:31,600 --> 00:43:34,295
Yes, I wanna raise funds,
but mainly awareness.
692
00:43:34,320 --> 00:43:36,255
If there's any way
that they can detect it
693
00:43:36,280 --> 00:43:39,175
and stop it from happening
to any other family in the future,
694
00:43:39,200 --> 00:43:41,375
then that's what I wanna try
and achieve.
695
00:43:42,800 --> 00:43:45,615
ANNOUNCER: In three, two, one.
696
00:43:45,640 --> 00:43:47,895
Let's soapbox!
AIR HORN BLARES
697
00:43:47,920 --> 00:43:50,015
There you go, right down.
698
00:43:55,160 --> 00:43:56,295
I miss Mandy immensely.
699
00:43:56,320 --> 00:43:58,375
And he goes right past that easy...
700
00:43:58,400 --> 00:44:02,255
We always talked about growing old
together and, you know,
701
00:44:02,280 --> 00:44:05,175
just holding hands
and walking on a beach somewhere
702
00:44:05,200 --> 00:44:08,295
and, you know, just doing
what we were doing as a couple.
703
00:44:08,320 --> 00:44:09,615
I haven't got that now.
704
00:44:11,720 --> 00:44:14,495
The main thing
is myself and the kids
705
00:44:14,520 --> 00:44:18,495
start adjusting
to the new way of life, ultimately.
706
00:44:19,760 --> 00:44:21,935
And I'm hoping that, one day,
I'll meet her again.
707
00:44:21,960 --> 00:44:24,095
Whether that happens, I don't know.
708
00:44:24,120 --> 00:44:25,895
I just hope it does.
709
00:44:30,240 --> 00:44:32,775
The love we had, it was special.