[hollerith]

OK. Also, I can see how a patient might neglect to consider the hypothesis that he must pace mental work as well as physical work.

[lindsaywaterman]

Exactly - mental, physical, and emotional work. IMO real pacing is extremely difficult, requiring a real transformation in life approach over the course of 3-5 years. And without certainty that making the sacrifices will pay off, most people take only half-measures, get poor results, and conclude it doesn’t work.