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After returning to Dublin, Pilkington appeared in various films like Human Traffic and My Kingdom, a retelling of King Lear. In 2000, she was cast as Katrina Finlay, a schoolteacher in a Scottish village in the BBC television series, Monarch of the Glen. After leaving the show at the beginning of the third season, she appeared in various other television productions such as Rough Diamond and Outnumbered. She married Simon Massey, the director of Monarch of the Glen, in 2001. 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É a série de televisão de drama médica de emergência mais longa do mundo, e o drama médico mais duradouro mostrado na televisão no horário nobre do mundo. Criado por Jeremy Brock e Paul Unwin, foi transmitida pela primeira vez no Reino Unido na BBC One em 6 de setembro de 1986. O produtor original era Geraint Morris.\n\nO programa está estabelecido no hospital fictício da Holby City e concentra-se na equipe e nos pacientes do Departamento de Acidentes e Emergências do hospital. O show tem muito poucos laços com seu programa irmão Holby City, que começou como spin-off de Casualty em 1999, no mesmo hospital. Casualty é mostrado semanalmente em uma noite de sábado, que tem sido seu intervalo de tempo desde o início dos anos 90.\n\nAs externas de Casualty foram filmadas principalmente fora do Ashley Down Center, em Bristol, de 1986 a 2002, quando se mudaram para o centro de Bristol por pouco mais de nove anos. 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