Starting Over (series 25)

 was the thirty-first episode of Series 25 and the 672nd episode of Casualty overall.

Plot
It's Jay's first shift back after his orchidectomy and he tries to hide his worry as he dishes out the presents he's brought back from his pretend holiday. Miriam brings him back down to earth when she asks when he's expecting the results as to whether or not his cancer has spread. His shift gets even harder when his grandmother, Maryam, has a fall at her care home and is brought into the ED by her Care Home Assistant, Lawrence. Jay becomes incensed at the neglect he thinks his Nan received and pushes Lawrence, who falls and injures himself.

Polly is preparing for her paramedic's exam, but she is not a natural like Jeff and Dixie. She is distracted by Hannah Fleet, who has come to the hospital for a plastics meeting. Polly's concerned that Hannah seems deluded over her hopes for her face, especially when it becomes clear that it will be a year before they can even consider surgery. Arranging for Hannah to see Dr Oppe, a vivacious counsellor, Polly cajoles the resistant patient through the process and Hannah has a fully cathartic experience. Polly decides that she doesn't want to be a paramedic; she wants to be a counsellor.

Things are tense between Lenny and Mads after she stood him up, but Lenny hides his true feelings and tries to play it down. They are forced to work together and the chemistry between them is clear. Just as they are about to kiss, the moment gets broken. When Lenny discovers Mads is leaving for Pakistan that evening for her brother's wedding, he is devastated and stands her up for lunch. But as Adam puts Mads in a taxi for the airport, Lenny has a change of heart and comes running out – but is he too late?

Lawrence takes a turn for the worse and his breathing becomes stridor. Feeling responsible, Jay implores Miriam to try an adrenaline nebuliser, which Miriam hesitantly agrees to. They all wait with bated breath, but, in the end – to Jay's relief – Lawrence's breathing stabilises. But Jay's strange behaviour throughout the day has made his grandmother suspicious. Will he find the courage to open up to his Nan and tell her that he has cancer?