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Since he was her Birthday Buddy Ciara trusted him and followed.
He left before anyone else could see him, and Ciara simply said a friend gave her the lollipop when Hope asked her about it.
Despite the results, Bo decided to support Hope and they reconciled.
Over time, Patrick became increasingly unhinged because of Hopes decision and kidnapped her. Bo was able to find her and showed up just as Hope went into labor.
One night, while upset, she fell into Patricks eager arms.
Initial tests showed that Patrick was Ciaras father.