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This article covers a real-world subject which should not be taken as part of the Holby universe.

"Love Is a Sacrifice" is the 693rd episode of Casualty and the 7th episode of the 24th series.


Love is all around as one relationship gets decidedly rocky while another steps up a gear.

It’s Ruth’s birthday and Jay presents her with a necklace for their date at the surgeon’s dinner. Ruth’s happiness is short-lived when senior medic Sarah Evans warns her that Jay is bad news and that she’ll think twice about recommending her for the surgical training post if she continues to see him.

Feeling unwell, Ruth cancels the date, but is confronted by Jay at the dinner. As Ruth leaves in embarrassment, she collapses, haemorrhaging.

Meanwhile, Adam has his hands full with the F2s. He won’t allow them to treat patients unsupervised, but when Jessica and the F2’s become trapped in resus by a distraught relative, Adam is forced to watch as they save a patient’s life. Realising he must trust them more, Adam admits they did some good work. He thanks Jessica for her support and proposes they set a date for their wedding – New Year’s Eve.