Your to-do list is filled with crap that you added months ago, or you can't do right now, or is no longer relevant. How the fuck do you expect to use that to help you? Get a blank piece of paper and write down everything that you need to accomplish today. Put a star next to the 3 most important things. Now get started.
Yearning for a better to-do list? You need to read Getting Things Done by David Allen.