Casualty Spoilers 20 November 2010

Saturday 20 November
8.50-9.40pm BBC ONE
www.bbc.co.uk/casualty


Failing to summon the courage to confront Edward over his affair with James, Ruth heads off to the Emergency Department, where it's her first day as Clinical Standards Manager. But the gang give her a frosty reception, showing their displeasure over the treatment of Charlie, with Big Mac, Noel and Mads even going out of their way to play pranks on her.

Meanwhile, a married couple, Neil and Lou, are brought into the ED after Neil attacks Lou with a meat cleaver. Ruth treats Lou, while Neil, who suffers from severe night terrors, is taken to Pysch where he is attended to by Charlie. The arrival of Richard, who is a police officer and Lou's secret lover, complicates matter further. Is Neil aware of the affair and is he trying to use his condition to, literally, get away with murder?

Lenny is pressured into visiting a woman called Helen, but decides against it having left the past behind him. But, he has a change of heart when he treats a young girl who is brought into the ED by her brother. Helen, it transpires, is his sister and she will die unless she receives a bone marrow transplant. Will Lenny give her the chance she needs to save her life?

Meanwhile, Ruth and Charlie remain at loggerheads. Ruth stands by her decision to have him moved out of the ED and she finally plucks up the courage to confront Edward about his homosexuality. Might she be able to turn that situation to her advantage?

Casualty star Steven Miller has hinted that there are some emotional times ahead for his character Lenny Lyons in a forthcoming family storyline.

In tomorrow night's episode of the BBC medical drama, Lenny comes face-to-face with a woman named Helen, who announces that she is his long-lost sister and needs his help.

As Lenny chats to Helen, he hears that she is seriously unwell and urgently requires a bone marrow transplant - leaving him facing a dilemma over what to do next.

Miller told Inside Soap: "He finds her hooked up to a blood infusion machine and knows what that means. Lenny asks if the only reason Helen got in touch was because he'd be a good bone marrow match, to which she replies, 'Too right - wouldn't you do the same?'

"Her response is the type of thing Lenny would have said, and that's what wins him over."

He added: "It's really sad that the only reason Helen's contacted him is because she wants something. They go to a family therapy session in the coming weeks and it unlocks a lot of memories from Lenny's childhood that have been long buried."

Casualty continues at 8.45pm tomorrow on BBC One.