Just back from night duty, and we didn't see much either. Seems like this is a tumour day, we clerked a really strange case that turned out to be mets to bone with unknown primary tumour. And Prof. Lee (EW) said sometimes the primary regresses so it's unknown. A couple more cases of bone mets in the wards too, in addition to the prostate CA mets case. One's from previous breast CA and the other from previous urothelial bladder CA who now has a possible complication of pneumonia. The guy HO, who's NOT on duty yet was still around at 7 or 8, gave us a pretty nice talk on prospective short and long cases in the final MBBS and what to do as a HO when a patient has a fever in the middle of the night. He also interpreted an Xray for us, it's supposed to be a Salter-Harris type 2 fracture of the wrist, but for all the world we couldn't figure out where the fracture was on the Xray, let alone grade it. And this patient beside the Xray box kept moaning and groaning and calling out loudly.

Subsequently Nic presented to us his septic arthritis case. Gah. Had a totally lousy day. Spent the entire morning and half the afternoon combing through all 4 wards (is 53 even an ortho ward? I only found 3 beds with Balkan Frames) - and found nothing interesting that I could use as a writeup case. Maybe I'll do a diabetic foot. But what actually constitutes a short writeup or a long one? I don't think septic arthritis should be made into a short writeup - doesn't do it justice, given the gravity of the condition. But yet most of the time, the history turns out to be rather unremarkable.

Dinner was a pathetic affair. We were over-charged for poor-quality food, but thankfully there was good Delifrance cappucino to save the day. Felt so much better after my shot of legal dope!

HS may be glad to know that EW has not recovered from her neck stiffness yet, and in addition, has also developed cervical ache and lower back pain.