This is just my .02 worth, but as one who somedays takes 20 minutes to tie on a fly due to how well my hand's DON"T work due to "unkle Arty" all I can really offer is try the "Hemostat" knots, and all the others and use the one that is easiest(Try them at home while watching the idiot box) and use that method. Then when on the Stream do what I do just enjoy the surrondings where you are and don't worry about how long it take's for as Betty says"Trout don't live in ulgy places".