all change

Am quite liking my new job - we had clinic all day on tuesday, and I saw (and made decisions about) patients with conditions ranging from the commonplace (migraine without aura, suspected absence seizures) to the exceedingly rare (cat eye syndrome, mitochondrial electron chain complex 4 deficiency). Nearly lost my voice dictating all the clinic letters afterwards. Today was slightly duller - 5 patients on the ward round, a psychosocial meeting, and having to grapple with really stupid computer-programmed theatre lists that won't let you put a patient on the list who does not have a surgeon for a consultant. Whoever designed it didn't figure that there are other reasons to have an anaesthetic apart from surgery. Have to be in at 08:00 tomorrow to clerk in the patients for lumbar punctures and manometry under general anaesthetic. Should be interesting to do though. Not inspired enough to blog properly about individual patients at present.