Lev Malinovsky is a paramedic for the Holby Ambulance Service. He joined the service in September 2019 as a replacement for Iain Dean.


Early life

Lev was born in Samara, Russia. During his childhood, Lev grew close to another boy named Sergei, but his brother Dimitri noticed and told him to stop behaving like a "pansy". When Sergei was forced to move to Plyos to stay with his mother's family, Lev was heartbroken, but his internalised homophobia pushed to punch Sergei and malign him as a "homosexual". (CAS: Episode 1175) During Lev's adolescence, he was pressured into joining Nevidimyye, a neo-Nazi "Football Army", by Dimitri who had become an infamous murderer. He later managed to leave the group and reform himself. (CAS: Episode 1151)

At some point, Lev married Faith Cadogan and had two daughters named Natalia and Ana together. In November 2012, Faith gave birth to their third child - a boy named Luka. (CAS: Episode 1158)

Joining the Holby Ambulance Service

On 14 September 2019, Lev was late for his first shift with the Holby Ambulance Service, and he was caught attacking a thug outside the ambulance station by operational duty manager Jan Jenning and paramedic Ruby Spark. Jan initially mistook him for a drug dealer, but Lev revealed that he was a paramedic, and he was stopping the thug from throwing a sack of kittens into a bin. (CAS: Episode 1144)

On 23 November, Lev and Ruby treated a drunk patient named Johnny with a head laceration. Johnny began touching Ruby inappropriately, and Lev forced him off the ambulance. When Johnny noticed a tattoo on Lev's chest, he backed away. At the ambulance station, Lev explained his actions to Ruby and told her about his time as a member of Nevidimyye; after researching the group and despite Lev's insistence that he had changed as a person, Ruby no longer felt comfortable working with him. Although she later reconsidered after witnessing Lev's tender care of Johnny's son Freddy, Ruby maintained that they would only work together as colleagues but not friends. (CAS: Episode 1151)

Luka's cancer

On 18 January 2020, Faith took Luka to Holby City Hospital's emergency department after he fell off Ana's bed. After his initial injuries were treated, consultant Dylan Keogh became concerned about Luka's clumsiness and eyesight issues and had him undergo a CT scan; Lev and Faith were horrified when it showed the presence of a brain tumour. (CAS: Episode 1158) The tumour was later determined to be malignant and growing around his brain stem. Whereas Faith was fearful for Luka's future, Lev was optimistic that the tumour could be removed through surgery. (CAS: Episode 1160)

In February, Lev and Faith were delighted when Dylan contacted Zsa Zsa Harper-Jenkinson — an eminent neurosurgeon and his old tutor — and she agreed to speak to Luka's consultant; Zsa Zsa eventually agreed to operate on Luka. (CAS: Episode 1163) Zsa Zsa managed to remove the tumour, but she soon found additional malignant tissue and was unable to remove any of it. Lev was furious and accused Zsa Zsa of failing Luka; he later apologised. (CAS: Episode 1164)

In March, Luka started undergoing chemotherapy. Faith disagreed with Lev over their approach to Luka's situation; Faith believed that it should not be "all doom and gloom" and wanted Luka to continue attending social events, whereas Lev insisted on focusing on the chemotherapy and even reprimanded Luka for wanting to play instead of resting. To Faith's delight, Lev later changed his perspective on Luka's illness and even got Luka's favourite graffiti artist to meet and play with Luka. (CAS: Episode 1167)

Confronting his sexuality

In May, Lev signed up to the LGBTQ dating app Villager and began talking to a man named Xander. (CAS: Episode 1175) He also became increasingly distant from Faith and continued to insist that Luka will eventually recover. (CAS: Episode 1176) In June, Sian Bowen, Luka's neurologist, informed Lev and Faith that Luka's cancer was terminal and that he was ineligible for proton beam therapy. Feeling helpless, Lev asked to meet up with Xander and confided in him before having sex. After Lev had deleted his Villager account and accidentally left his wallet in Xander's car, Xander visited him at the ambulance station and suggested that Lev just wanted meaningless sex. Lev rebuked and kissed him, but Xander urged him to "decide who [he was]"; unbeknownst to Lev, Dylan had witnessed the encounter. (CAS: Episode 1177)

The following week, after recognising his patient's partner as Xander, Dylan confronted Lev with he saw. Despite his initial denial, Lev begged Dylan not to tell Faith and insisted that he still loved her. (CAS: Episode 1178) In July, Dylan was forced to tell Faith about Lev and Xander, but Faith refused to believe Dylan and accused him of acting on a crush. (CAS: Episode 1179)

In July, as cases of COVID-19 began to rise, Lev agreed to continue working and live elsewhere to prevent Luka from contracting the disease. (CAS: Episode 1182)


Behind the scenes

Uriel Emil made his first appearance as Lev in Casualty in the sixth episode of series 34 in September 2019.

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