Im also struggling in med-surg, too. Right now, what is getting me thru the semester is med surg reviews and rationales. I got the book from amazon. I read the textbook, esp, the charts and tables. I create charts of each disease, that includes, the patho, clinical manifestations, diagnostics, meds, teaching, non sx management, sx management. On top of all of that I have a loud and outgoing study group. We are all on the same boat. It is great to surround yourself with people who have the same drive as you do. This is the time to place your pride away and ask help from others. I wish you the best of luck. Tell yourself that youve read it, seen it, and talked about it. So there is no way youll fail! Good luck, again.