*Hits head repeatedly on desk*

Fell into a silly mood. Woke late, dumped idea of going for Prof. Wang's clinics, refused to go before tutorial to practice. REALLY.... Where did this awful attitude come from? And I'm now doing no better at home, I'm doing nothing - absolutely nothing. Freaking boredom, websites do not interest me, there's a nagging at the back of the head that says do your work, I'm not going to admit to yx that I didn't go in the morning as she'll flog me, I'm just plain moodless.

You know what, I'm going to scare myself once again. Shock therapy. Write down in detail all the things I need to do, and get scared. Envision next Tues when I have to admit to my tester, "I have absolutely no idea what is wrong with the patient."

Or, "I'm sorry, but I don't know how to do a proper spine examination."

Or, "I forgot to take the drug history, medical history, family history and social history of the patient. I forgot, due to lack of practice. I had slacked last Wed, so I didn't practice. Please pass me, I beg you."

Or, for next Friday's OSCE test, see an X-ray of a Colles' fracture and claim it's a Garden's grade IV zygomatic arch fracture. (Is there even such a thing?)

Or, lose my head completely during the questioning. "What is the most common cause of avascular necrosis of the femoral head?" And I reply, "It's usually caused by absymally silly old osteoporotic women who fall down all the time."

Or, look at the chest X-ray of a woman and claim that there are 2 radioluscent bulges extending from the 4th to 8th rib and that it's a bilateral osteoid osteosarcoma. Sounds familiar, Dopey? Yes, I'm prone to making stupid mistakes like these. Can't tell a breast from a growth. And it happened during clinics yesterday. Saw an AP Xray of the knee, and thought to myself, "Hey, there's a sclerotic lesion at the lateral condyles!" It's just the patellar shadow.

Or, totally mix up the radial, median and ulnar nerves, and claim that an ulnar nerve lesion causes a fantastic wristdrop while Froment's sign is positive for a high radial nerve lesion at the shaft of the humerus.

Or, I could get the patient to stand up and walk to see his gait, turn round to tell my tester gleefully that it's a Trendelenberg's gait and explain in detail the many causes of such a gait and the exact biomechanics of it, and turn back only to find the patient sprawled on the floor with a severe head injury that subsequently leads to a subarachnoid haemorrhage.

Or, my freaking tester tries to be funny, AGAIN, like my medicine test, and gives me a patient with severe Alzheimer's, retrograde amnesia and expressive aphasia.

Or, I get a completely normal patient with absolutely no bony defects, and my tester asks me if I ballotted for his kidneys and it turns out to be a case of polycystic kidneys with end-stage renal failure and secondary hyperparathyroidism leading to osteoporosis.

The point is, you NEVER know what's coming. And I'm really screwed.