Fatigue Management Quotes

Roza..." The voice caressed my skin, cold and deadly. Still scrutinizing his surroundings, Dimitri took one step forward. Then another. And then another. I think it occurred to him to look up the instant I jumped. My body slammed into his, knocking him to the ground back first. He immediately tried to throw me off, just as I tried to drive the stake through his heart. Signs of fatigue and fighting were all over him. Defeating the other Strigoi had taken its toll, though I doubted I was in much better shape. We grappled, and once, I managed to rake the stake over his cheek. He snarled in pain but kept his chest well protected. Over it, I could see where I'd ripped his shirt the first time I'd staked him. The wound had already healed. "You. Are. Amazing," he said, his words full of both pride and battle fury.

I think fatigue suits you, Zoya. The pallor. The shadows beneath your eyes. You look like a heroine in a novel. " "I look like a woman about to step on your foot. " "Now, now. You're managing remarkably well. And the smiling hasn't killed you yet." "Yet.

Very often the test of one's allegiance to a cause or to a people is precisely the willingness to stay the course when things are boring, to run the risk of repeating an old argument just one more time, or of going one more round with a hostile or (much worse) indifferent audience. I first became involved with the Czech opposition in 1968 when it was an intoxicating and celebrated cause. Then, during the depressing 1970s and 1980s I was a member of a routine committee that tried with limited success to help the reduced forces of Czech dissent to stay nourished (and published). The most pregnant moment of that commitment was one that I managed to miss at the time: I passed an afternoon with Zdenek Mlynar, exiled former secretary of the Czech Communist Party, who in the bleak early 1950s in Moscow had formed a friendship with a young Russian militant with an evident sense of irony named Mikhail Sergeyevitch Gorbachev. In 1988 I was arrested in Prague for attending a meeting of one of Vaclav Havel's 'Charter 77' committees. That outwardly exciting experience was interesting precisely because of its almost Zen-like tedium. I had gone to Prague determined to be the first visiting writer not to make use of the name Franz Kafka, but the numbing bureaucracy got the better of me. When I asked why I was being detained, I was told that I had no need to know the reason! Totalitarianism is itself a cliché (as well as a tundra of pulverizing boredom) and it forced the cliché upon me in turn. I did have to mention Kafka in my eventual story. The regime fell not very much later, as I had slightly foreseen in that same piece that it would. (I had happened to notice that the young Czechs arrested with us were not at all frightened by the police, as their older mentors had been and still were, and also that the police themselves were almost fatigued by their job. This was totalitarianism practically yawning itself to death.) A couple of years after that I was overcome to be invited to an official reception in Prague, to thank those who had been consistent friends through the stultifying years of what 'The Party' had so perfectly termed 'normalization.' As with my tiny moment with Nelson Mandela, a whole historic stretch of nothingness and depression, combined with the long and deep insult of having to be pushed around by boring and mediocre people, could be at least partially canceled and annealed by one flash of humor and charm and generosity.

The most common theory points to the fact that men are stronger than women and that they have used their greater physical power to force women into submission. A more subtle version of this claim argues that their strength allows men to monopolize tasks that demand hard manual labor, such as plowing and harvesting. This gives them control of food production, which in turn translates into political clout. There are two problems with this emphasis on muscle power. First, the statement that men are stronger is true only on average and only with regard to certain types of strength. Women are generally more resistant to hunger, disease, and fatigue than men. There are also many women who can run faster and lift heavier weights than many men. Furthermore, and most problematically for this theory, women have, throughout history, mainly been excluded from jobs that required little physical effort, such as the priesthood, law, and politics, while engaging in hard manual labor in the fields....and in the household. If social power were divided in direct relation to physical strength or stamina, women should have got far more of it. Even more importantly, there simply is no direct relation between physical strength and social power among humans. People in their sixties usually exercise power over people in their twenties, even though twenty-somethings are much stronger than their elders. ...Boxing matches were not used to select Egyptian pharaohs or Catholic popes. In forager societies, political dominance generally resides with the person possessing the best social skills rather than the most developed musculature. In fact, human history shows that there is often an inverse relation between physical prowess and social power. In most societies, it’s the lower classes who do the manual labor. Another theory explains that masculine dominance results not from strength but from aggression. Millions of years of evolution have made men far more violent than women. Women can match men as far as hatred, greed, and abuse are concern, but when push comes to shove…men are more willing to engage in raw physical violence. This is why, throughout history, warfare has been a masculine prerogative. In times of war, men’s control of the armed forces has made them the masters of civilian society too. They then use their control of civilian society to fight more and more wars. …Recent studies of the hormonal and cognitive systems of men and women strengthen the assumption that men indeed have more aggressive and violent tendencies and are…on average, better suited to serve as common soldiers. Yet, granted that the common soldiers are all men, does it follow that the ones managing the war and enjoying its fruits must also be men? That makes no sense. It’s like assuming that because all the slaves cultivating cotton fields are all Black, plantation owners will be Black as well. Just as an all-Black workforce might be controlled by an all-White management, why couldn’t an all-male soldiery be controlled by an all-female government?

And what is your current complaint?" I don't like Barrayar, I want to go home, my father-in-law wants to murder my baby, half my friends are running for their lives, and I can't get ten minutes alone with my husband, whom you people are consuming before my eyes, my feet hurt, my head hurts, my soul hurts... It was all too complicated. The poor man just wanted something to put in his blank, not an essay. "Fatigue," Cordelia managed at last.

I have to spend the rest of my life finding ways to deserve a certain white-haired girl. She’s very prickly, occasionally puts goose droppings in my shoes or tries to kill me.” “Sounds fatiguing,” I managed as his lips met mine. “She’s worth it. And one day maybe she’ll let me chase her into a chapel.

This life is over. Maybe I'll be smarter in the next one." I snorted. "We'll see. We're going to have to choose new names, you know." "Misha is already making a list of suggestions." "Oh, Saints." "You have nothing to complain about. Apparently I am to be Dmitri Dumkin." "Suits you." "I should warn you that I'm keeping a tab of all your insults so that I can reward you when I'm healed." "Easy with the threats, Dumkin. Maybe I'll tell the Apparat all about your miraculous recovery, and he'll turn you into a Saint too." "He can try," said Mal. "I don't intend to waste my days in holy pursuits." "No?" "No," he said as he drew me closer. "I have to spend the rest of my life finding ways to deserve a certain white-haired girl. She's very prickly, occasionally puts goose dropping in my shoes or tries to kill me." "Sounds fatiguing," I managed as his lips met mine. "She's worth it. And one day maybe she'll let me chase her into a chapel." I shuddered. "I don't like chapels." "I did tell Ana Kuya I would marry you." I laughed. "You remember that?" "Alina," he said and kissed the scar on my palm, "I remember everything.

One third of managers are victims of "Information Fatigue Syndrome." 49 percent said they are unable to handle the vast amounts of information received. 33 percent of managers were suffering ill health as a direct result of information overload. 62 percent admitted their business and social relationships suffer. 66 percent reported tension with colleagues and diminished job satisfaction. 43 percent think that important decisions are delayed and their abilities to make decisions are affected as a result of having too much information. (Reuters's "Dying for Business" report)

The Janus Guard will also be out that night,” he said, one hand reaching out to squeeze her shoulder. “Just as we have been and will be for every night of the Nine.” “Good.” “Speaking of which—Kelley…” Sonny seemed suddenly exhausted. He turned his face to the west, and she could see the fatigue etched into the lines and planes of his face. “It’s getting late. You need to leave the park. Please. Don’t argue with me this time. Just go. The sun will set soon, and I have to go to work.” He squared his shoulders as though he expected her to put up a fight. She did—a little—but only out of actual concern for him. “Shouldn’t you be taking it easy? I mean, you try to hide it with the whole tough-guy-swagger thing and all, but I saw the bandages. You’re really hurt. Aren’t you?” “It’s not so bad.” “Wow. You are a terrible liar.” He frowned fiercely at her. “You also look like you haven’t slept in a week.” She took a tentative step toward him and put a hand on his chest, looking up into his silver-gray eyes. He put his hand over the top of hers, and she could feel the rhythm of his heart beating under her palm, through his shirt and the bandages. “I’m fine.” “Are you sure?” With his other hand, Sonny reached up and brushed a stray auburn curl out of her eyes. “I’m sure.” He smiled down at her, and she felt her insides melt a little. His whole face changed when he smiled. It was like the sun coming out. “But,” he continued, “I’ll be even better if you are safe at home and I don’t have to worry about you for tonight.” “I can take care of myself, Sonny Flannery,” she bristled, halfheartedly. “Please?” He turned up the wattage on his smile. “I…okay.” She felt her own lips turn up in a shy, answering smile. “I’ll be good. This once.” “That’s my girl.” Kelley was silent. Those three words of Sonny’s had managed to render her utterly speechless.

Disgusted with herself, she’d slipped beneath his blankets. Matthias always slept with his back to a wall, a habit from his days in Hellgate. She’d let her hands wander, seeking his pockets, trying to feel along the linings of his trousers. “Nina?” he’d asked sleepily. “I’m cold,” she said, her hands continuing their search. She pressed a kiss to his neck, then below his ear. She’d never let herself kiss him this way before. She’d never had the chance. They’d been too busy untangling the skein of suspicion and lust and loyalty that bound them together, and once she’d taken the parem … It was all she could think of, even now. The desire she felt was for the drug, not for the body she felt shift beneath her hands. She didn’t kiss his lips, though. She wouldn’t let parem take that from her too. He’d groaned slightly. “The others—” “Everyone is asleep.” Then he’d seized her hands. “Stop.” “Matthias—” “I don’t have it.” She yanked herself free, shame crawling over her skin like fire over a forest floor. “Then who does?” she hissed. “Kaz.” She stilled. “Are you going to creep into his bed?” Nina released a huff of disbelief. “He’d slit my throat.” She wanted to scream her helplessness. There would be no bargaining with Kaz. She couldn’t bully him the way she might have bullied Wylan or plead with him the way she mighthave managed Jesper. Fatigue came on suddenly, a yoke at her neck, the exhaustion at least tempering her frantic need. She rested her forehead against Matthias’ chest. “I hate this,” she said. “I hate you a little, drüskelle.” “I’m used to it. Come here.” He’d wrapped his arms around her and gotten her talking about Ravka, about Inej. He’d distracted her with stories, named the winds that blew across Fjerda, told her of his first meal in the drüskelle hall.

When a man is happy enough to win the affections of a sweet girl, who can soothe his cares with crochet, and respond to all his most cherished ideas with beaded urn-rugs and chair-covers in German wool, he has, at least, a guarantee of domestic comfort, whatever trials may await him out of doors. What a resource it is under fatigue and irritation to have your drawing-room well supplied with small mats, which would always be ready if you ever wanted to set anything on them ! And what styptic for a bleeding heart can equal copious squares of crochet, which are useful for slipping down the moment you touch them ? How our fathers managed without crochet is the wonder; but I believe some small and feeble substitute existed in their time under the name of 'tatting'.

Shackleton faced many of the same problems encountered by managers today: bringing a diverse group together to work toward a common goal; handling the constant naysayer; bucking up the perpetual worrier; keeping the disgruntled from poisoning the atmosphere; battling boredom and fatigue; bringing order and success to a chaotic environment; working with limited resources.

She sculpted stories out of wax and set them over warm coals so they would melt and drip and fade. She organized willing participants into arrangements of tangled limbs and twined bodies that would last as long as their living pieces could manage, the story changing from each angle viewed and then changing more as the models fatigued, hands slipping over thighs in unsubtle plot twists. She knit myths from wool small enough to keep in pockets though when read with too much frequency they would unravel and tangle. She trained bees to build honeycombs on intricate frames forming entire cities with sweet inhabitants and bitter dramas. She sculpted stories with carefully cultivated trees, stories that continued to grow and unfold long after they were abandoned to control their own narratives.

This is not an argument with psychiatry. Mental and physical illness are equally real and horrible. As with any long-term illness, some people with ME/CFS will develop comorbid depression and other mental health problems – where CBT can be of help alongside good quality general management. The argument here is with a flawed model of causation assuming efficacy for CBT and GET while taking no significant account of varying clinical presentations and disease pathways.

I have seen mood stabilization, reduced or eliminated depression, reduced or eliminated anxiety, improved cognitive functioning, greatly enhanced and evened-out energy levels, cessation of seizures, improved overall neurological stability, cessation of migraines, improved sleep, improvement in autistic symptoms, improvements with PCOS (polycystic ovary syndrome), improved gastrointestinal functioning, healthy weight loss, cancer remissions and tumor shrinkage, much better management of underlying previous health issues, improved symptoms and quality of life in those struggling with various forms of autoimmunity (including many with type 1 and 1.5 diabetes), fewer colds and flus, total reversal of chronic fatigue, improved memory, sharpened cognitive functioning, and significantly stabilized temperament. And there is quality evidence to support the beneficial impact of a fat-based ketogenic approach in all these types of issues. – Nora Gedgaudas

Mal, you’ll have to be careful. The story of the amplifiers could leak out. People might still think you have power.” He shook his head. “Malyen Oretsev died with you,” he said, his words echoing my thoughts closely enough to raise the hair on my arms. “That life is over. Maybe I’ll be smarter in the next one.” I snorted. “We’ll see. We’re going to have to choose new names, you know.” “Misha is already making a list of suggestions.” “Oh, Saints.” “You have nothing to complain about. Apparently I am to be Dmitri Dumkin.” “Suits you.” “I should warn you that I’m keeping a tab of all of your insults so that I can reward you when I’m healed.” “Easy with the threats, Dumkin. Maybe I’ll tell the Apparat all about your miraculous recovery, and he’ll turn you into a Saint too.” “He can try,” said Mal. “I don’t intend to waste my days in holy pursuits.” “No?” “No,” he said as he drew me closer. “I have to spend the rest of my life finding ways to deserve a certain white-haired girl. She’s very prickly, occasionally puts goose droppings in my shoes or tries to kill me.” “Sounds fatiguing,” I managed as his lips met mine. “She’s worth it. And one day maybe she’ll let me chase her into a chapel.” I shuddered. “I don’t like chapels.” “I did tell Ana Kuya I would marry you.” I laughed. “You remember that?” “Alina,” he said and kissed the scar on my palm, “I remember everything.

In my work as a therapist I have seen hundreds of clients who struggle with these issues, and I am convinced now more than ever of one simple truth: they are not lazy. In fact, I do not think laziness exists. You know what does exist? Executive dysfunction, procrastination, feeling overwhelmed, perfectionism, trauma, amotivation, chronic pain, energy fatigue, depression, lack of skills, lack of support, and differing priorities. ADHD, autism, depression, traumatic brain injury, and bipolar and anxiety disorders are just some of the conditions that affect executive function, making planning, time management, working memory, and organization more difficult, and tasks with multiple steps intimidating or boring.

We are unprepared in part because, for the first time, the preponderance of choice has overwhelmed our ability to manage it. We have lost our ability to filter what is important and what isn’t. Psychologists call this “decision fatigue”: the more choices we are forced to make, the more the quality of our decisions deteriorates.5 TOO MUCH SOCIAL PRESSURE It is not just the number of choices that has increased exponentially, it is also the strength and number of outside influences on our decisions that has increased. While much has been said and written about how hyperconnected we now are and how distracting this information overload can be, the larger issue is how our connectedness has increased the strength of social pressure. Today, technology has lowered the barrier for others to share their opinion about what we should be focusing on. It is not just information overload; it is opinion overload.

The day after you pop up at your distillery alive and kicking, someone will come to finish you off." "Let them try," Keir shot back. "I can defend myself." The duke arched a mocking brow. "Impressive. Only a matter of days ago, we were celebrating that you were able to drink through a straw. And now apparently you're well enough for an alley fight." Keir was instantly hostile. "I know how to keep up my guard." "That doesn't matter," Kingston replied. "As soon as your arm muscles fatigue, your elbows will drift outward, and he'll find an opening." "What would a toff like you know about fighting? Even with my ribs cracked, you couldn't take me down." The older man's stare was that of a seasoned lion being challenged by a brash cub. Calmly he picked up a small open pepper cellar from the table and dumped a heap of ground black pepper in the center of Keir's plate. Perplexed, Keir glanced down at it, as a puff of gray dust floated upward. His nose stung, and in the next breath, he sneezed. A searing bolt of agony shot through his rib cage. "Aghhh! He turned away from his plate and doubled over. "Devil take your sneakit arse!" he managed to gasp.

With our desire to have more, we find ourselves spending more and more time and energy to manage and maintain everything we have. We try so hard to do this that the things that were supposed to help us end up ruling us. We eventually get used to the new state where our wishes have been fulfilled. We start taking those things for granted and there comes a time when we start getting tired of what we have. We're desperate to convey our own worth, our own value to others. We use objects to tell people just how valuable we are. The objects that are supposed to represent our qualities become our qualities themselves. There are more things to gain from eliminating excess than you might imagine: time, space, freedom and energy. When people say something is impossible, they have already decided that they don't want to do it. Differentiate between things you want and things you need. Leave your unused space empty. These open areas are incredibly useful. They bring us a sense of freedom and keep our minds open to the more important things in life. Memories are wonderful but you won't have room to develop if your attachment to the past is too strong. It's better to cut some of those ties so you can focus on what's important today. Don't get creative when you are trying to discard things. There's no need to stock up. An item chosen with passion represents perfection to us. Things we just happen to pick up, however, are easy candidates for disposal or replacement. As long as we stick to owning things that we really love, we aren't likely to want more. Our homes aren't museum, they don't need collections. When you aren't sure that you really want to part with something, try stowing it away for a while. Larger furniture items with bold colors will in time trigger visual fatigue and then boredom. Discarding things can be wasteful. But the guilt that keeps you from minimizing is the true waste. The real waste is the psychological damage that you accrue from hanging on to things you don't use or need. We find our originality when we own less. When you think about it, it's experience that builds our unique characteristics, not material objects. I've lowered my bar for happiness simply by switching to a tenugui. When even a regular bath towel can make you happy, you'll be able to find happiness almost everywhere. For the minimalist, the objective isn't to reduce, it's to eliminate distractions so they can focus on the things that are truly important. Minimalism is just the beginning. It's a tool. Once you've gone ahead and minimized, it's time to find out what those important things are. Minimalism is built around the idea that there's nothing that you're lacking. You'll spend less time being pushed around by something that you think may be missing. The qualities I look for in the things that I buy are: - the item has a minimalistic kind of shape and is easy to clean - it's color isn't too loud - I'll be able to use it for a long time - it has a simple structure - it's lightweight and compact - it has multiple uses A relaxed moment is not without meaning, it's an important time for reflection. It wasn't the fallen leaves that the lady had been tidying up, it was her own laziness that she had been sweeping away. We are what we repeatedly do. Excellence, then, is not an act but a habit. With daily cleaning, the reward may be the sense of accomplishment and calmness we feel afterward. Cleaning your house is like polishing yourself. Simply by living an organized life, you'll be more invigorated, more confident and like yourself better. Having parted with the bulk of my belongings, I feel true contentment with my day-to-day life. The very act of living brings me joy. When you become a minimalist, you free yourself from all the materialist messages that surround us. All the creative marketing and annoying ads no longer have an effect on you.

It was, in fact, his weapon of choice—extremely accurate, with a manageable form factor, and most importantly, dependable. The thing never jammed, never malfunctioned. When an operator needed to spit a lot of lead in the bad guys’ direction, an HK416 would do it forever without complaining once. “Who the hell are you?” Trapp asked, eyeing the man with his steel-blue gaze. The shooter was dressed in dark combat fatigues and had the mark of a special operator about him—a cold, lethal tension that suggested he could snap into action with a millisecond’s notice. Out of the corner of his eye, Trapp saw that the man’s partner was dressed and armed exactly the same. Except the other shooter had his weapon raised and aimed directly at Trapp’s skull. He did the math, quickly, and decided for the time being to play it cool. In all honesty, he didn’t really have much of a choice. Either of the two operators could drop him before he moved a yard. The man ignored the question. “Get back on the helicopter!” he yelled, his voice a slow Arkansas drawl. Trapp’s brow furrowed. The hell? What was the point in dragging him halfway across the country just to send him back? And then it clicked. The operator wasn’t speaking to him. “But—” “No questions. Get back on the helicopter, and fuck off!” the shooter shouted, jerking his thumb to accentuate his point. Trapp glanced over his shoulder at the liaison officer’s dismayed frown, and a wide grin crept across his face. Maybe he didn’t mind being held at gunpoint after all.

Let’s explore some key signs you should be watchful for: Unrelenting fatigue: Persistent exhaustion, even after adequate rest and sleep, is a key part of Autistic burnout. When grappling with burnout, your body may feel utterly exhausted, leaving you scrambling for energy to complete even the simplest tasks. Heightened sensory sensitivities: Sensitivity to sensory stimuli—be it noise, light, texture, or smell—intensifies during burnout, amplifying your susceptibility to sensory overload, meltdowns, and shutdowns. Sensory stimuli that used to feel manageable may now feel overwhelming. Skills and functioning decline: A conspicuous drop in skills like focusing, organizing, problem-solving, and speaking is another feature of burnout and makes social interactions more daunting. Emotional dysregulation: Burnout-induced dysregulation in your nervous and sensory systems hampers your ability to manage your emotions, resulting in intense emotions or emotional numbness. Increased anxiety, irritability, or feelings of being overwhelmed are common during burnout. Diminished tolerance for change: During burnout, your capacity to absorb and adapt to change wanes, and you may seek comfort in sameness and predictability. You might experience heightened distress in the face of the unexpected. Social isolation: Burnout can spark a retreat into solitude and diminish your ability to engage socially. You might withdraw from social interactions and lose motivation for once-enjoyed hobbies or activities. Masking: Burnout can throw a wrench in your masking abilities, and it can be confusing if you don’t understand what is happening! Interestingly, lots of adults don’t get their autism diagnosis until they are in burnout and have lost their ability to mask.

How often, after that day, in the course of my walks along the Guermantes way, and with what an intensified melancholy, did I reflect on my lack of qualification for a literary career, and abandon all hope of ever becoming a famous author. The regrets that I felt for this, as I lingered behind to muse awhile on my own, made me suffer so acutely that, in order to banish them, my mind of its own accord, by a sort of inhibition in the face of pain, ceased entirely to think of verse-making, of fiction, of the poetic future on which my lack of talent precluded me from counting. Then, quite independently of all these literary preoccupations and in no way connected with them, suddenly a roof, a gleam of sunlight on a stone, the smell of a path would make me stop still, to enjoy the special pleasure that each of them gave me, and also because they appeared to be concealing, beyond what my eyes could see, something which they invited me to come and take but which despite all my efforts I have never managed to discover. Since I felt that this something was to be found in them, I would stand there motionless, looking, breathing, endeavouring to penetrate with my mind beyond the thing seen or smelt. And if I then had to hasten after my grandfather, to continue my walk, I would try to racapture them by closing my eyes; I would concentrate on recalling exactly the line of the roof, the colour of the stone, which, without my being able to understand why, had seemed to me to be bursting, ready to open, to yield up to me the secret treasure of which they were themselves no more than the lids. It was certainly not impressions of this kind that could restore the hope I had lost of succeeding one day in becoming an author and poet, for each of them was associated with some material object devoid of intellectual value and suggesting no abstract truth. But at least they gave me an unreasoning pleasure, the illusion of a sort of fecundity, and thereby distracted me from the tedium, from the sense of my own impotence which I had felt whenever I had sought a philosophic theme for some great literary work. But so arduous was the task imposed on my conscience by those impressions of form or scent or colour - to try to perceive what lay hidden beneath them - that I was not long in seeking an excuse which would allow me to relax so strenuous an effort and to spare myself the fatigue that it involved.

The 5 Scientific Truths Behind Excellent Habits Truth #1: World-class willpower isn’t an inborn strength, but a skill developed through relentless practice. Getting up at dawn is perfect self-control training. Truth #2: Personal discipline is a muscle. The more you stretch it, the stronger it grows. Therefore, the samurais of self-regulation actively create conditions of hardship to build their natural power. Truth #3: Like other muscles, willpower weakens when tired. Recovery is, therefore, absolutely necessary for the expression of mastery. And to manage decision fatigue. Truth #4: Installing any great habit successfully follows a distinct four-part pattern for automation of the routine. Follow it explicitly for lasting results. Truth #5: Increasing self-control in one area of your life elevates self-control in all areas of your life. This is why joining The 5 AM Club is the game-changing habit that will lift everything else that you do.

Watts was so poor at managing his time and curbing his distractedness because he was dumb, and as he ran out of time and became more distracted [and fatigued] he became even dumber. It’s dumb and dumber, not smart undermined by dumbing influences.

As Peter Drucker said, “In a few hundred years, when the history of our time will be written from a long-term perspective, it is likely that the most important event historians will see is not technology, not the Internet, not e-commerce. It is an unprecedented change in the human condition. For the first time—literally—substantial and rapidly growing numbers of people have choices. For the first time, they will have to manage themselves. And society is totally unprepared for it.”4 We are unprepared in part because, for the first time, the preponderance of choice has overwhelmed our ability to manage it. We have lost our ability to filter what is important and what isn’t. Psychologists call this “decision fatigue”: the more choices we are forced to make, the more the quality of our decisions deteriorates.

IS FATIGUE ALL IN YOUR HEAD? In the early 1990s, in a physiology lab at the University of Cape Town in South Africa, an exercise scientist named Tim Noakes, MD, unveiled a radical new way to think about fatigue. Until then, prevailing wisdom held that fatigue occurred in the body. At a certain intensity or duration of physical effort, the demands we put on our muscles become too great and, eventually, our muscles fail. Ask any athlete, from a marathon runner to a powerlifter, and they will be familiar with the feeling. It’s not a particularly comfortable one. What at first is a manageable burn becomes worse and worse until they can no longer bear it. The runner’s pace slows to a mere shuffle; the powerlifter can’t manage to hoist the barbell up for one last rep. Try as they might, they simply run out of gas and their muscles cease to contract. Noakes, however, wasn’t convinced that fatigue occurred in the body or that muscles actually ran out of gas. He questioned why so many athletes, seemingly overwhelmed by fatigue, were suddenly able to speed up during the final stretch of a race when the end was in sight. If the muscles were truly dead, Noakes hypothesized, these finish-line spurts would be impossible. To prove his point, Noakes attached electrical sensors to athletes and then instructed them to lift weights with their legs until they simply couldn’t lift any longer. (In exercise science, this is called “inducing muscle failure.”) When the weights slammed down and each participant tapped out, reporting they could no longer contract their muscles, Noakes ran an electrical current through the sensor. Much to the surprise of everyone—especially to the participants whose legs were dead—their muscles contracted. Although the participants could not contract their muscles on their own, Noakes proved that their muscles actually had more to give. The participants felt drained, but empirically, their muscles were not. Noakes repeated similar versions of this experiment and observed the same result. Although participants reported being totally depleted and unable to contract their muscles after exercising to what they thought was failure, when electrical stimulation was applied, without fail, their muscles produced additional force. This led Noakes to conclude that contrary to popular belief, physical fatigue occurs not in the body, but in the brain. It’s not that our muscles wear out; rather, it is our brain that shuts them down when they still have a few more percentage points to give. Noakes speculates this is an innately programmed way of protecting ourselves. Physiologically, we could push our bodies to true failure (i.e., injury and organ failure), but the brain comes in and creates a perception of failure before we actually harm ourselves. The brain, Noakes remarked, is our “central governor” of fatigue. It’s our “ego” shutting us down when confronted by fear and threat. In other words, we are hardwired to retreat when the going gets tough. But like Boyle and Strecher demonstrated, it is possible to override the central governor.

THE SIGNAL CAME FROM XENIA, a small planet in a modest star system near the tip of one spiral arm of the Pinwheel Galaxy. There, at the start of a night that lasted for several Earth years, something like a child held up something not quite a flashlight to something quite unlike the Earth’s night sky. Near the child stood the closest living thing to what might be called its parent. On Xenia, the entire species of intelligent beings contributed a little germ plasm to birth each new child. But each Xenian was given one child to raise. On Xenia, everyone was everyone else’s parent and everyone else’s child, everyone’s older sister and younger brother all at once. When one person died, so did everyone and no one. On Xenia, fear and desire and hunger and fatigue and sadness and all other transitory feelings were lost in a shared grace, the way that separate stars are lost in the daytime sun. “There,” the something-like-a-father said to its something-like-a-child, in something almost like speech. “A little higher. Right up there.” The little one lay back, floating on its living kinship raft above the intelligent soil. It felt its not-quite arm nudged by a process of assistance no one from Earth would have a name for. “There?” the younger one asked. “Right there? Why didn’t they ever answer?” The older one replied not in sound or light but in changes in the surrounding air. “We bathed them in signals for thousands of their generations. We tried everything we could think of. We never managed to get their attention.” The sequence of chemicals that the young one emitted was not quite a laugh. It was a whole verdict, really, an entire astrobiological theory. “They must have been very busy.” THE DAYS LENGTHENED.

synchronized movement, along with synchronized singing, has been a vastly underappreciated force in world history, fostering cohesion among groups as diverse as the builders of the pyramids, the armies of the Ottoman Empire, and the Japanese office workers who rise from their desks to perform group calisthenics at the start of each workday. Roman generals were among the first to discover that soldiers marching in synchrony could be made to travel for far longer distances before they succumbed to fatigue.

One hundred percent of the fatigue of the sedentary worker in good health is due to psychological factors, by which we mean emotional factors. ​— ​Dale Carnegie

Movement quality is comprised of neuromuscular coordination, joint proprioception, and fatigue management. Let’s briefly look at each of these crucial pieces.

Injury prevention training boils down to two things: Reduce the acute and chronic stress placed on at-risk tissues (common injury areas or weak points) through periodization of intensity and proper movement mechanics. Increase the stress a tissue can tolerate prior to failure. This is accomplished through building overall muscle mass and strength, connective tissue resilience, sports- or lifestyle-specific corrective exercise, and fatigue management (you’re more prone to injuries when you are tired).

Increase the stress a tissue can tolerate prior to failure. This is accomplished through building overall muscle mass and strength, connective tissue resilience, sports- or lifestyle-specific corrective exercise, and fatigue management (you’re more prone to injuries when you are tired).

Saad Jalal Toronto Canada - The Science of Healthy Eating Healthy eating is not just a trend; it's a science that holds the key to a longer, more vibrant life. The choices we make when it comes to food have a profound impact on our overall well-being, from our physical health to our mental clarity. Understanding the science behind healthy eating empowers us to make informed choices and lead healthier lives. At its core, healthy eating is about nourishing our bodies with the right balance of nutrients. This means consuming a variety of foods rich in vitamins, minerals, fiber, proteins, and healthy fats. The science shows that such a diet can: Saad Jalal Promote Physical Health: Nutrient-dense foods provide essential vitamins and minerals that support bodily functions. They can help prevent chronic diseases like heart disease, diabetes, and certain cancers. Boost Mental Health: A well-balanced diet can positively impact mood and cognitive function. Nutrients like omega-3 fatty acids and antioxidants found in certain foods have been linked to improved mental well-being. Sustain Energy: Healthy eating provides a steady supply of energy throughout the day, avoiding energy crashes and fatigue. Saad Jalal Toronto Canada said Complex carbohydrates, lean proteins, and healthy fats are key players in this process. Support Digestive Health: Foods rich in fiber promote healthy digestion and regular bowel movements. They maintain gut health and contribute to a strong immune system. Maintain Healthy Weight: Portion control and balanced nutrition are fundamental to weight management. Eating mindfully and recognizing hunger cues can help control calorie intake. The science of healthy eating is an evolving field, continually revealing new insights into the connection between diet and well-being. By staying informed and making conscientious choices, we can harness this knowledge to lead healthier, happier lives. So, let's embrace the science of healthy eating and make every meal a step towards a brighter, healthier future.

There is rightful objection to the denial of appropriate investigations and to the nationwide implementation of behavioural modification as the sole management strategy for the nosological disorder ME/CFS. That strategy is believed to be based on (i) the commercial interests of the medical and permanent health insurance industry for which many members of the Wessely School work and (ii) the dissemination of misinformation about ME/CFS by the Wessely School, whose members also act as advisors to UK Government agencies including the DWP, which it is understood has specifically targeted “CFS/ME” as a disorder for which certain State benefits should not be available.

Worst of all, Patrick kept praising her; he said he didn't know how she managed it all. He was trying to encourage her, though it made her feel alone, too, that her experience was untranslatable, obscure to him. He did not perceive that she was half-mad with fatigue, and yet she rose each day and knew she must play her part, she must be a mother to her son, she must be measured with him, never raise her voice to him, even when her blood was curdling with frustration. Yet often she felt so happy, so overwhelmed with love - everything was incoherent and ragged and she could not explain it to Patrick; she mostly blamed him when things were hard. She wanted him to experience it, too - the relentlessness, how it did not end, and you could never rest, how it was beautiful and it smashed you to pieces at the same time - but he usually came home after Calumn was in bed, found her collapsed and monosyllabic on the sofa. She told herself each day she must remember he was a wonderful father, a wonderful husband, this would soon be over - then everything got clouded, this chemical exhaustion took hold of her, and she slipped again.

Historically in the literature CBT [Cognitive Behavioral Therapy] was inappropriately touted as a cure for patients with ME/CFS if they changed their “belief system”. ME/CFS is a physical illness and not a psychological illness, therefore CBT cannot cure ME/ CFS. What CBT can do is to help patients cope with being chronically ill and manage their emotional reactions better so that they do not waste valuable energy on worrying or feeling guilty about things that they cannot control. We like to think of CBT as “emotional energy conservation”.

In other words, questions about the validity of your ministry, your ability to do ministry, or who you are in ministry all have a causal point that has little to do with those specific questions, or is only tangentially related; the stated questions have more to do with unnamed and unexamined assumptions and expectations than the issue named on the surface. Being able to identify this underlying matter when addressing a superficial issue as presented is an important strategy for success. If you spend your time and energy tending the manifesting topic rather than the fundamental concern, this will be a significant cause, at best, for fatigue in your ministry and, at worst, for burnout. Managing the indications without addressing their root cause will also lead to a personal sense of loss—and likely an actual loss—of your own power.

For Jozef Galecki was one of those rare executives who had mastered the secret of delegation - that is, having assigned the oversight of the hotel's various function to capable lieutenants, he made himself scarce. Arriving at the hotel at half past eight, he would head straight to his office with a harried expression, as if he were already late for a meeting. Along the way, he would return greetings with an abbreviated nod, and when he passed his secretary he would inform her (while still in motion) that he was not to be disturbed. Then he would disappear behind his door. And what happened once he was inside his office? It was hard to tell, since so few had ever seen it. (Although, those who had caught a glimpse reported that his desk was impressively free of papers, his telephone rarely rang, and along the wall was a burgundy chaise with cushions that were deeply impressed....) When the manager's lieutenants had no choice but to knock - due to a fire in the kitchen or a dispute about a bill - the manager would open his door with an expression of such fatigue, such disappointment, such moral defeat that the interrupters would inevitably feel a surge of sympathy, assure him that they could see to the matter themselves, then apologetically back out the door. As a result, the Metropol ran as flawlessly as any hotel in Europe.

Fatigue makes cowards of us all.

This fits in with what I saw in staff in astronomical facilities and was reporting to the management team: 10-14% Oxygen: Emotional upset, abnormal fatigue, disturbed respiration.

The 5 Scientific Truths Behind Excellent Habits Truth #1: World-class willpower isn’t an inborn strength, but a skill developed through relentless practice. Getting up at dawn is perfect self-control training. Truth #2: Personal discipline is a muscle. The more you stretch it, the stronger it grows. Therefore, the samurais of self-regulation actively create conditions of hardship to build their natural power. Truth #3: Like other muscles, willpower weakens when tired. Recovery is, therefore, absolutely necessary for the expression of mastery. And to manage decision fatigue. Truth #4: Installing any great habit successfully follows a distinct four-part pattern for automation of the routine. Follow it explicitly for lasting results. Truth #5: Increasing self-control in one area of your life elevates self-control in all areas of your life. This is why joining The 5 AM Club is the game-changing habit that will lift everything else that you do. The 3 Values of Heroic Habit-Makers Value #1: Victory demands consistency and persistency. Value #2: Following through on what is started determines the size of the personal respect that will be generated. Value #3: The way you practice in private is precisely the way you’ll perform once you’re in public.

Men are often inclined to present anxiety in ’secondary’ emotional, physical, or behavioral ways. In other words, anxiety often sits beneath some other form of presentation; for example, expressing anger or aggression (a secondary emotion) rather than conveying fear or apprehension (a primary emotion). This is because anger is, hypocritically, a more socially accepted form of emotional expression for men than for women. In men, anxiety may express itself in secondary emotional or physical forms such as: • Anger • Irritability or ’being on edge’ • Restlessness • Depressed mood • Fatigue and/or burnout • Difficulty concentrating or being present • Sexual health issues (such as erectile dysfunction) Men are also more inclined to adopt compensatory behaviors that serve as coping strategies for their anxiety, such as: • Antisocial behavior or withdrawing • Risky behaviors or activities • Addictive behaviors (such as pornography or gaming) • Substance abuse

Decision fatigue depletes one's willpower.

One of America’s most distinguished psychiatrists, Dr. A. A. Brill, goes even further. He declares, “One hundred percent of the fatigue of the sedentary worker in good health is due to psychological factors, by which we mean emotional factors. ​— ​DALE CARNEGIE

to get the maximum output for ordinary shop work requiring neither especial brains, very close application, skill, nor extra hard work, such, for instance, as the more ordinary kinds of routine machine shop work, it is necessary to pay about 30 per cent more than the average. For ordinary day labor requiring little brains or special skill, but calling for strength, severe bodily exertion, and fatigue, it is necessary to pay from 50 per cent to 60 per cent above the average. For work requiring especial skill or brains, coupled with close application, but without severe bodily exertion, such as the more difficult and delicate machinist's work, from 70 per cent to 80 per cent beyond the average. And for work requiring skill, brains, close application, strength, and severe bodily exertion, such, for instance, as that involved in operating a well run steam hammer doing miscellaneous work, from 80 per cent to 100 per cent beyond the average.

There’s an assumption out there that good leaders are decisive and clear. They know the priorities and don’t let themselves get tangled up in agonizing thoughts about details. If you’re an executive, you want others to see you this way. Decisiveness gives the impression of confidence. And confidence helps others have confidence in you. As an entrepreneur, professional or executive, you know that making decisions is a large part of your daily life. You signed up for this – making decisions, big and small. So what make it difficult for smart, driven executives to be fully decisive? Indecisiveness is not just about decision fatigue or over-responsibility, although they may play a role. It’s about your executive functioning (EF) and how you’re managing it. To make difficult decisions, you need great EF – the brain-based skills for goal-directed behaviour and everything that goes with it. By virtue of where you are in your career, your EF is already well developed. And yet, you’d like to be more decisive. So what’s going on when you feel stuck in indecisiveness? Your particular brand of EF – your brain profile – may be highly comfortable with abstract thinking. Perhaps too comfortable. And that’s what can take you into endless ambivalence. Have you noticed that when you can’t land on a decision, there’s a sense of not quite settling? If you’re accustomed to thinking in the abstract, you may find it uncomfortable to land on a choice. If you want to be muscularly decisive, look at your emotions. Are they heightened? Triggered? If so, your EF will definitely go offline. You’ll experience mental fog, poor focus, and rumination. How do you respond when you’re triggered? Do you put your emotions aside? Do you tell yourself there’s no time during the work day to deal with them? Emotions don’t go away just because you decided not to pay attention to them. They’re still there, bubbling under the surface. If you try to think past the emotions, you won’t be effective. EF functions best when the brain is calm and clear. But emotions are very useful too – when you choose to pay attention to them. They’re a gold mine of information about risks, values, priorities and self-management. You need a balance of emotional information and facts to make a good decision. The most powerful leaders make decisions with a combination of intuition, past experience, emotional intelligence and cognitive flexibility. If you cut off these valuable data sets, the result will be indecisiveness. So how do you become confidently decisive? 1. Check in. Ask yourself: Who do I want to be as I make this decision? In what way may I be too comfortable with the abstract? What might I be resisting? Recognize that No decision IS a decision. Ask yourself: How do I benefit from making no decision? What if no decision is the best decision? Commit to making a decision anyway. Ask yourself: In what way can I make this decision more clear? Who will I be once I’ve made this decision? Accept that some ‘good’ decisions will feel uncomfortable. Ask yourself: What do I believe about what makes a good decision? What will deepen my comfort with what I don’t have control over? You can be a good leader and still be indecisive from time to time. The next time you have a difficult decision to make, draw from both emotional and factual information. And don’t forget to enjoy the afterglow of clarity! With love and gratitude, Lynda

He stands on the porch and I open the door before he knocks. His ears prick in surprise, and then he manages a fatigued smile for me. “Hello, Tabitha. How are you today, my sweet-smelling one?” I shrug, my arms crossed over my chest. This is the first time I’ve answered the door without a weapon in hand and I feel a little vulnerable. He’s going to ask to come in, isn’t he? I suspect he is. He looks like he needs a break, or a drink of water, but I don’t know how I feel about the thought of him demanding his way inside my sanctuary simply because he bought me some noodles. But he stands there with the noodle case in his arms and just looks at me expectantly.

1.          They were perfect… initially. We’ve discussed this one, but it’s worth mentioning again. A narcissist wants you to believe they’re totally into you and put you on a pedestal. Once they have you, though, they stop trying as hard and you end up being the one working to keep them. 2.          Others don’t see the narcissist the way you do. It’s hard enough to see it yourself, but when those around you, especially their friends and family, make excuses for them, you start doubting yourself even more. Stick to what you see. 3.          They’re making you look bad. In order to maintain their facade of perfection, they make you look like a bad person. Usually this involves spreading rumors, criticizing you behind your back, or creating lies you supposedly told. The worst part is that when you try rectifying the situation, or laying the blame where it should belong, the narcissist uses your defense to back their own lies. It’s frustrating because the generous, wonderful person they displayed initially is what those around you still see, even if you see them for who they really are. 4.          You feel symptoms of anxiety and/or depression. The toxic person may have caused you to worry about not acting the way you’re expected to, or that you haven’t done something right or good enough. In making this person your entire world, you may lose sleep, have no interest in things you used to or have developed a, “What’s the point?” attitude. You essentially absorb all of the negative talk and treatment so deeply, you believe it all. This is a dangerous mindset to be in so if you feel you’re going any steps down this path, seek outside help as soon as possible. 5.          You have unexplained physical ailments. It’s not surprising that when you internalize a great deal of negativity, you begin to feel unwell. Some common symptoms that aren’t related to any ongoing condition might be: changes in appetite, stomach issues, body aches, insomnia, and fatigue. These are typical bodily responses to stress, but if they intensify or become chronic, see a physician as soon as you can. 6.          You feel alone. Also a common symptom of abuse. If things are really wrong, the narcissist may have isolated you from friends or family either by things they’ve done themselves or by making you believe no one is there for you. 7.          You freeze. When you emotionally remove yourself from the abuse, you’re freezing. It’s a coping mechanism to reduce the intensity of the way you’re being treated by numbing out the pain. 8.          You don’t trust yourself even with simple decisions. When your self-esteem has been crushed through devaluing and criticism, it’s no wonder you can’t make decisions. If you’re also being gaslighted, it adds another layer of self-doubt. 9.          You can’t make boundaries. The narcissist doesn’t have any, nor do they respect them, which is why it’s difficult to keep them away even after you’ve managed to get away. Setting boundaries will be discussed in greater detail in an upcoming chapter. 10.    You lost touch with the real you. The person you become when with a narcissistic abuser is very different from the person you were before you got involved with them. They’ve turned you into who they want you to be, making you feel lost and insecure with no sense of true purpose. 11.    You never feel like you do anything right. We touched on this briefly above, but this is one of the main signs of narcissistic abuse. Looking at the big picture, you may be constantly blamed when things go wrong even when it isn’t your fault. You may do something exactly the way they tell you to, but they still find fault with the results. It’s similar to how a Private feels never knowing when the Drill Sergeant will find fault in their efforts. 12.    You walk on eggshells. This happens when you try avoiding any sort of conflict, maltreatment or backlash by going above and beyond to make the abuser happy.

As neurotechnology and the algorithms decoding them continue to improve, EEG-based systems will become the gold standard in workplace fatigue monitoring. Not just employers but society as a whole may soon decide that the gains in safety and productivity are well worth the costs in employee privacy. But how much we ultimately gain from workplace brain wearables depends largely on how employers leverage the technology. Will employees receive real-time feedback from the devices so they can act on it themselves? Will managers directly monitor employees’ incidence of fatigue? If so, will they use that information to improve workplace conditions? Or will it justify disciplinary actions, pay cuts, and terminations of employees who suffer from fatigue more often?

When I really asked myself a question, I still responded, here there was still something to be wrested from me, from this heap of straw that I have been for five months and whose fate, it seems, is to be set alight in the summer and to burn away before the spectator can blink. If only that would happen to me! And it should happen to me ten times over, for I don’t even regret the unhappy time. My condition is not unhappiness, but it’s not happiness either, not indifference not weakness, not fatigue, not interest in anything else, so what is it then? The fact that I don’t know is probably connected with my inability to write. And this is something I think I understand without knowing its cause. For whatever things occur to me occur not from the root, but beginning somewhere toward their middle. Just let someone try to hold them, let someone try to hold and cling to a blade of grass that only starts growing from the middle. Perhaps some can, Japanese acrobats, for example, who climb a ladder that isn’t resting on the ground but on the upturned soles of a partner lying on his back and isn’t leaning against a wall but goes straight up into the air.[ 5] This is more than I can manage, not to mention the fact that my ladder doesn’t have even those soles at its disposal. That’s not all, of course, and such a question still isn’t enough to make me speak. But each day at least one line should be pointed at me as people are now pointing telescopes at the comet.[ 6] And if I would then appear once before that sentence, lured by that sentence, as I was last Christmas, for example, when I had gone so far that I could only barely contain myself and when I really seemed to be on the last rung of my ladder, which, however, stood steadily on the ground and against the wall. But what a ground! what a wall! And yet that ladder didn’t fall, so firmly did my feet press it against the ground, so firmly did my feet raise it against the wall. Today, for example, I committed three impertinences, toward a conductor, toward a superior of mine, well there were only 2, but they’re plaguing me like stomach pains. Coming from anyone they would have been impertinences, all the more so coming from me. Thus I went outside myself, fought in the air in the mist and worst of all no one noticed that I committed, had to commit, the impertinence as an impertinence toward my companions too, had to bear the right expression, the responsibility; but the most awful thing was when one of my acquaintances took this impertinence not as a sign of a certain character but as the character itself, called my attention to my impertinence and admired it. Why don’t I stay within myself? To be sure, I now tell myself: look, the world lets you strike it, the conductor and your superior remained calm as you left, the latter even said goodbye. But that means nothing. You can attain nothing when you abandon yourself, but what do you miss anyhow in your circle. To this speech I respond only: I too would rather receive a beating within the circle than myself give a beating outside it, but where the devil is this circle? For a while I did see it lying on the earth, as if sprayed there with lime, but now it just hovers around me, indeed doesn’t even hover.

Phase 1: Discovery 1. Define the problem statement What is the challenge that will be solved? The problem statement is defined at this step and becomes the foundation of the project. Here is a sample problem statement: The company has more than one hundred thousand email addresses and has sent more than one million emails in the last twelve months, but open rates remain low at 8 percent, and sales attributed to email have remained flat since 2018. Based on current averages, a 2 percentage-point lift in email open rates could produce a $50,000 increase in sales over the next twelve months. It’s important to note that a strong and valid problem statement should include the value of solving the problem. This helps ensure that the project is worth the investment of resources and keeps everyone focused on the goal. 2. Build and prioritize the issues list What are the primary issues causing the problem? The issues are categorized into three to five primary groups and built into an issues tree. Sample issues could be: •​Low open rates •​Low click rates •​Low sales conversion rates 3. Identify and prioritize the key drivers. What factors are driving the issues and problem? Sample key drivers could include: •​List fatigue •​Email creatives •​Highly manual, human-driven processes •​Underutilized or missing marketing technology solutions •​Lack of list segmentation •​Lack of reporting and performance management •​Lack of personalization 4. Develop an initial hypothesis What is the preliminary road map to solving the problem? Here is a sample initial hypothesis: AI-powered technologies can be integrated to intelligently automate priority use cases that will drive email efficiency and performance. 5. Conduct discovery research What information can we gain about the problem, and potential solutions, from primary and secondary research? •​How are talent, technology, and strategy gaps impacting performance? •​What can be learned from interviews with stakeholders and secondary research related to the problem? Ask questions such as the following: •​What is the current understanding of AI within the organization? •​Does the executive team understand and support the goal of AI pilot projects?

Don’t confuse the need to rest with the desire to give up.

In his classic book, How to Stop Worrying and Start Living, Dale Carnegie wrote the following: One of America’s most distinguished psychiatrists, Dr. A. A. Brill, goes even further. He declares, “One hundred percent of the fatigue of the sedentary worker in good health is due to psychological factors, by which we mean emotional factors. ​— ​Dale Carnegie

You try to work full-time, but you can’t. You try to keep the house clean, but you fail. You try to make your mum’s birthday lunch and go to your son’s graduation, but you crash, you just can’t do it. You try to be nice to your partner, but you snap. You try to be patient with your kids, but you are short-tempered. You want to catch up with your friends, but it’s too hard. You try to exercise, but you feel too exhausted. You try to think positive, but you can’t seem to do that either. It’s OK. If you just manage to pull back a little from pushing against your boundaries, life will stop slapping you in the face with them.

Due to the progressing sickness that the doctors appeared not to understand, I could only hold a job for months before I would be laid off. My manager would slowly become aware that I had health issues. Chronic fatigue and mental confusion are hard to hide on a daily basis! I was working for older electrical engineering managers and they also appeared to have health issues. One was constantly taking vitamin energy drinks, another had a brain tumor removed in the past, another would open his desk drawer and there would be several bottles of prescription medications in there, and another had been wondering the streets in confused state a year earlier! Engineering staff I was supervising had unusual personalities and issues with progressing their work. Some appeared to have health issues comparable to my own. This was the reality of my “American Dream”.

I was living in a state where the mountains tower up to 12,637 feet and some of them have manned telescopes atop them! Many towns are thousands of feet high in Arizona! I saw people just like me in those telescopes. Confused and forgetful, struggling in their jobs, looking ill, clearly fatigued and known to the management teams for their poor performance in the workplace. Some of my astronomy coworkers have died relatively young, others have gone on to develop cancers and illnesses, and some are just weird! Hypoxia can do a myriad of strange things to people.

The following information really should be placed on all very high altitude job adverts and company contracts: WARNING – Very high altitude commuting presents many known health risks to sea level adapted humans. Some of the documented conditions are headaches, forgetfulness, confusion, irritability, aggression, hallucinations, visions, light headedness, fatigue, fainting, sore throats, runny noses, digestive disturbances, changed personality and panic attacks. Development of cancer, anemia, high cholesterol, heart, lung, brain, and blood oxygenation issues have occurred in very high altitude workers that have resulted in disability and premature death. The nearest fully equipped hospital accident and emergency facility is typically one to two hours away. Numerous very high altitude workers have been killed due to fatal mistakes on the job. Workers are expected to use a variety of company supplied drugs to offset the daily very high altitude sickness including "RX-Only" prescription medical oxygen. Daily long term self medication is known to damage human health. The work environment is comparable to a Faraday cage and Faraday Cage Sickness (FCS) may occur in long term workers. Radiation levels are abnormally high and long term radiation sickness may result. Blood oxygen levels are typically in the region of 80% and the medical profession regards this as a health risk. Extreme night shifts are associated with causing poor health and lifelong sleep disorders. Low oxygen environments are associated with the onset of irritability, fatigue and Sleep Apnea. Repeatedly reporting observations of abnormal behaviors in workers to upper management may result in your contract not being renewed or termination without notice. Permanently sickened workers are unlikely to qualify for corporate government disability payments, which may lead to a lifetime of extreme poverty.

To feel alive rather than caught in a downward spiral. But, for the most part, all I could manage were audiobooks,

Imbalance of the adrenal hormones is one of the most common conditions I see in my practice. The typical cause is chronic stress, which can result in diminished adrenal function (sometimes called “adrenal exhaustion” or “adrenal fatigue”) and may include the depletion of DHEA. DHEA and cortisol levels are most reliably determined using saliva tests. It takes time to resolve adrenal depletion, which is a condition that typically brews for months, if not years. You can promote adrenal balance by attending to the basics: Learn stress-management techniques, drink plenty of water, and regulate your blood sugar levels by eating small meals throughout the day. Along with potential bone loss, some of the most common symptoms of adrenal imbalance are listed below: • allergies/ asthma • arthritis • chemical sensitivities • morning/ evening fatigue • high blood sugar • inflammation • increased abdominal fat • memory lapses • sleep disturbances • susceptibility to infections • autoimmune illness • sugar cravings • aches and pains • infertility • chronic illness • elevated triglycerides • depression or anxiety • nervousness or irritability

The timetable is protracted, fatigue increases, productivity drops, and the timetable again is protracted.

In a world of change, you have to learn to change with the World!

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