There are times when I just feel like I am not up to it, that I still profoundly lack the skill of a polished physician, that no matter what I do or try to do, I will never be able to do better. For more occasions than I can recall, I missed the liver where there should indeed be one. I misplaced a spleen for a kidney. A vague mass that turned out to be nothing more than an extension of normality. I am a complete dork. What am I fucking doing? Why are my finger tips and pulps failing me? I want to really mutilate myself now. Damn!