Burned Out and Without Interest

After being on the overnight on the "fall back" night and working an extra hour I just don't care about my current patient. She has "cotton-mouth in-and-out for a few hours" and her face "feels like it's stretching". Also, for about thirty minutes she feels like she's "floating when she walks". On top of this the poor thing has the "nervous jiggers". My differential diagnosis is "Not sick. Don't care. Here's your work excuse."