Since being appointed as a Consultant, I think there's only one patient I've ever initiated lithium with.
But I've inherited many, so today reviewed a lady (as I am wont to do, every 3 months). All was well, it always is, but she still likes to come to see me. She's always beaming. For a lady who's on lithium as augmentation for the treatment of depression, rather than lithium treating mood swings or bipolar disorder, this is pleasing to see. Much goodness. She's no mood problems, no change in activities, no side effects, no new physical health symptoms or problems, no changes in other medication, all is well.
Lithium levels are perfect, renal and thyroid function are normal, calcium's fine.
I think the only useful thing I did with her today was comment on the splendid weather and glorious sunshine. "It's getting hot, you're on lithium, remember to drink plenty of fluids!"
Some days, my work really isn't too, too taxing.