Personal View: Adapt and survive - don't give up
Having just had my left index finger amputated and been appointed editorial registrar at the BMJ, I can say with confidence that life does not always work out the way you plan!
When I graduated in 1992 from Aberdeen, I had a vague idea of what I wanted to do. Paediatrics in a developing country was looking likely-I had worked in a nutrition centre in Bangladesh for my elective, and in an orphanage in Romania for consecutive summer holidays. Having survived my house jobs, I opted for a general practice vocational training scheme as I thought this would be a useful addition to paediatrics for working abroad. While I was doing my medical rotation, I became increasingly alarmed at the colour of my hands, which at times would be almost black. Not wanting to be a paranoid health worker (every sore head is a potential brain tumour), I waited for