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Posted by padolsey 10/29/2025

Tips for stroke-surviving software engineers(blog.j11y.io)
505 points | 189 comments
weddpros 10/29/2025|
Suffered a stroke in 2004 (migrainous infarction). Became half blind. Rested for a good year. Became a photographer for 8 years, then switched back again to software development. From then on, the limits were: WFH only, limit stress, run away from job if things go bad again. Nap if brain feels exhausted. Sleep, more and better. 20 years later (53yo), I'd say I'm doing great! Also fitness helps remind me to take care of the body...
ownagefool 10/29/2025||
Tech has built literal industries of people trying to stress you out, and they mostly don't have actual tech skills or the empathy that comes with them so back it up.

For me, I usually try to avoid anything where the working practices are strongly defined. Agile has long been a bad word.

I'm glad you're doing well now.

ricardobayes 10/29/2025|||
Unfortunately while the intentions around agile were noble it's pretty much a direct way to burnout or worse. The human mind is not designed to "sprint" run a marathon, metaphorically speaking, forever.

I see older devs being active in the trade well into their 60s but even as I much younger person I don't see how agile development is sustainable for a ~50-year career.

ownagefool 10/29/2025|||
The thing is, the core agile points from the manifesto are pretty much universally fine and can pretty much be boiled down to, "make changes fast, get feedback, gain more understanding faster".

Pretty much everything that's been layered on top though has either nothing to do with the manifesto, or actively breaks it. i.e. there's a burning issue, I'll get to that after my sprint commitment, which was sold to let me finish work, but now only exists to stress me out to squeeze more widgets per unit of time, where the widgets pretty much never actually map back to anything actually tangible.

hexbin010 10/29/2025|||
> Pretty much everything that's been layered on top

...and that /is/ topic of discussion every time this discussion happens

Every agile criticism conversation goes like this

A: agile as practiced is bad

B: but the manifesto is solid

It's predictable as the sun rising

alexjplant 10/29/2025|||
Because it's true.

Scrum is like Spaghetti Carbonara in America. The ingredients are simple and there's a tiny bit of technique involved that anybody can figure out after a few tries. For some reason though almost everybody that makes it decides that they know better than the people that invented it and so adulterates it with peas and onions and garlic and cream and cream cheese and Italian seasoning and parsley and chives until it ends up being Olive Garden Alfredo. If they wanted Carbonara then they would have cooked the Carbonara, not the waterfall with a bunch of JIRA workflows and four-hour meetings layered on top. They just did what they would have done anyway while attempting to sound fancy via obfuscation.

sokoloff 10/30/2025||
"If it had ham, it would be closer to a British carbonara..."

https://www.instagram.com/reel/DK3aeJjyv98/?hl=en

ownagefool 10/29/2025||||
It's not just Agile but the same applies to DevOps.

DevOps is a culture. It can also be the specific subset of highly skilled individuals who were part of or an outcome of said cultures cross pollination. Today DevOps most often means fairly unskilled person hitting pipelines with hammer.

In the end, the same old people with the same old commercial interests adopted the term in a way that benefited them but changed the meaning of the term because change was not actually something anyone wanted.

moregrist 10/29/2025||||
And usually:

C: Therefore you’re doing it wrong.

And once an “agile guru” enters the conversation:

D: You need my book / seminar / services.

eru 10/29/2025||
Is agile the socialism of software development methodologies?

(Not for any deeper reason, only that whenever socialism fails, people tell you that 'real socialism' hasn't been tried, yet.)

joquarky 10/30/2025||
It's the same with every *-ism.
eru 10/31/2025||
That's not actually true. To give a silly example: does anyone (seriously) claim that 'true fascism' has never been tried?

Or: liberal democracy (I'm sure you can find a synonym that ends in *-ism) has been tried. It's been doing ok-ish. Obviously it has warts and all. But more importantly: approximately no one ever seriously claims that 'real liberal democracy' hasn't been tried.

Similar for constitutional monarchy, or 'social market economy', or dictatorships, etc. People can mostly agree that the real deal has been tried.

threetonesun 10/29/2025||||
Any principle or practice falls apart when tied to an economy. See also: religion, politics, society at large. I don't foresee that changing in our lifetimes, so make money doing it the wrong way, and do it the right way in your free time.
cweld510 10/30/2025|||
I don’t agree with that though, plenty of places practice agile well. Maybe big corporations don’t practice it well, but startups often do agile correctly and understand the philosophy.
bitwize 10/29/2025|||
Nobody gives a fuck about the Agile Manifesto.

Inasmuch as Agile was adopted at companies, it's because it was sold to them as a way to provide greater transparency, accountability, and control into a chaotic software development process. The vice president behind the company's "Agile Transformation" probably can't even name point one of the manifesto; "we're doing Scrum with JIRA, therefore we're agile" is the extent of his concern.

gedy 10/29/2025||||
You say that, but it was way more stressful pre agile with the fixed date, fuck around for a few months planning, then dev, run out of time then death march to finish, etc.

A lot of young guys like that D-Day style work, then goof off for a while, but not me. Continuous sustainable work is much preferred.

giantg2 10/29/2025||||
That's not really Agile's fault. That's PMs overcommitting the team. Those bad PMs would also make unrealistic waterfall schedules.
LeifCarrotson 10/29/2025|||
There's a difference between "bad PMs using the tool wrong" and "ordinary, human PMs using the tool in the way that common business incentives would lead you to predict they'll use it".

If the tool is used wrong most of the time, it's at least partially to blame.

giantg2 10/30/2025||
"If the tool is used wrong most of the time, it's at least partially to blame."

Only if there were other tools that didn't fall victim to the same business incentives, but they all do.

I've had PMs that find a balance with the business incentives and make it work. If you’re human and make the wrong choices, then most people, including me, will likely call you bad in that context. If they can't stand up to find balance with the business incentives, then they're a bad PM. That doesn't make them a bad person.

wonderwonder 10/29/2025|||
I mean if something doesn't ever work in real life then its not good. Intentions aside.
nradov 10/29/2025|||
I have seen Scaled Agile Framework (SAFe) work in multiple real program teams. Doing it successfully requires total commitment at multiple levels and many organizations are culturally incapable of making the transitions.

To be clear I am not claiming that SAFe is necessarily the best possible methodology. There is certainly room for improvement. But empirically it can work in real life.

fnordle 10/29/2025||
The organizations I've seen do SAFe at the top level "coincidentally" have so much in the way of resources that if they do software at the group level at all, they do it like a gentleman farms.
giantg2 10/29/2025|||
"I mean if something doesn't ever work in real life then its not good."

Are you talking about Agile, Waterfall, or project management in general?

I've seen Agile work just fine. I've also seen it fail miserably. I've seen both of these at the same company with the main difference being how aggressive/delusional the leadership is. The easy test is if your leadership is legitimately ok with your team going home early if you complete your sprint commitment early, and it actually happens on occasion.

wonderwonder 10/30/2025||
"Are you talking about Agile, Waterfall, or project management in general?" lol, yes
jacquesm 10/29/2025||||
Agile isn't sustainable for younger people either. But they just get replaced by more younger people. Burn-out in IT is way too common.
joquarky 10/30/2025|||
It feels like over the past decade or two, every company that builds software has gradually adopted the same terrible practices as is commonly found in game development studios.
alaithea 10/29/2025|||
Since tech has largely stopped hiring younger people, sounds like a problem.
wonderwonder 10/29/2025||||
I have never seen Agile used correctly in practice. Its just mini waterfall with additional annoying ceremonies lumped on top.
nradov 10/29/2025||||
That is why more advanced agile methodologies such as SAFe use the neutral term "iteration" rather than "sprint". It doesn't imply anything about team velocity or individual workload.
roryirvine 10/29/2025|||
The term "iteration" was in common use by many of the big 90s proto-agile methodologies (think RUP et al). And XP - which I guess is what most people would regard as the first "true" form of agile - used it too.

SAFe is just an attempt to mush something that like looks like agile to delivery teams together with something that fits into more traditional program management, governance, and strategic direction lifecycle models.

There's no particular magic to it, and it's probably better to think of it in terms of being an "enterprise variant of agile" rather than a "humane variant of agile".

nradov 10/29/2025||
Yes, that's accurate. In the real world sometimes software programs have to make compromises in order to align with actual business needs. Like if you're going to be manufacturing hardware to go with the software or scheduling training for users then you have to apply strict program management discipline to ensure everything comes together at the correct time.
psunavy03 10/29/2025||||
SAFe is not "advanced" Agile. It's training wheels Agile for managers and execs who can't give up control and devs who want to be told what to do.
nradov 10/29/2025||
Sure, that's fair. In the real world there are a lot of developers who want to be told what to do, or need to be told what to do because they lack business domain knowledge. A defined methodology like SAFe allows large enterprises to move forward at a steady pace and get some productive work out of those people.

The reality is that in some domains there just aren't many developers who are highly motivated, self directed, and thoroughly understand customer needs. Those people just aren't widely available in the labor market regardless of wages or working conditions. So if management doesn't impose a fairly strict methodology then then the program will collapse.

psunavy03 10/29/2025|||
I'd make a separate case that learned helplessness is a reversible thing, and more highly motivated and self directed devs can be grown.

But leadership has to incentivize not just being a ticket monkey, and needs to mindfully empower people. You can't just flip a switch in a feature factory and say "fly my pretties, be free!"

nradov 10/29/2025||
Sure, that's also fair. But it takes a long time to turn culture around. And in the meantime the company has to continue shipping releases to customers or else they run out of cash and everyone gets laid off.
joquarky 10/30/2025|||
> developers who are highly motivated, self directed, and thoroughly understand customer needs

Why would someone with these qualities work for someone else?

OJFord 10/29/2025|||
In my experience of it though (only two workplaces, but not one) it's used for higher level planning, rather than being a 'more advanced agile'. I.e. a SAFe iteration spans some number of sprints greater than one. What are we going to deliver this quarter versus how are we going to break down and monitor progress of the quarter's deliverables week by week. (Don't read that like I like it.)
nradov 10/29/2025||
I think you're confused about the terminology. SAFe doesn't have sprints. Depending on the program planning horizon, several iterations can be grouped together into a larger program increment which typically lasts about a quarter.
OJFord 11/1/2025||
I didn't implement it or name it, just worked in it.
paulcole 10/29/2025||||
Why is anything supposed to be sustainable for a ~50-year career? That’s a long time! Things change and people change.

It’s not like my great grandparents had a passion for farming in South Dakota and that’s why they did it until they dropped dead. It’s all they knew and what they did to survive.

If you gave them the option to tap on a keyboard in an air-conditioned room for 10 or 20 of those years they would’ve taken it.

codr7 10/29/2025||
Not so sure they would if they knew what it means, beyond tapping keyboards.

Too much software and you start turning into a computer, which obviously doesn't work very well.

paulcole 10/29/2025||
They know it's not backbreaking labor...
p0nce 10/29/2025|||
Agile (or rather modern management) converts human capital into capital as fast as possible. Considering the endless supply of developers and lack of accountability there is no downsides to doing that, you are an externality.
eru 10/29/2025||
Where can you get an endless supply of (good) developers from?
p0nce 10/30/2025|||
If you only hire young, there will be new yield every year.
eru 10/31/2025||
There's a new yield of 40 year olds every year, too.

That doesn't make it endless.

kajic 10/29/2025|||
Green cards
eru 10/30/2025||
There's an endless supply of green cards?
windex 10/29/2025||||
Reminds me of this Indian boss I had whose only agenda used to be calling me up and telling me that others had complaints about my work. After 2 years of listening to his stories, I had to tell him off one morning. I quit about 4 months later. The guy was a completely talentless aggregator. I don't get how some Indian firms promote people and this wasn't a small firm either. He ended up being promoted upwards.
accrual 10/29/2025||||
> For me, I usually try to avoid anything where the working practices are strongly defined.

I'm grateful I've managed to avoid this so far. My favorite place to work has been more akin to "we need X done in Y system before Z date, but how and when it's done is up to you".

827a 10/29/2025|||
The worst part is how these people almost always work on the most boring, rote crap. They could be selling mens hair loss medication on the internet (cough) and key individuals in the organization are convinced what they do is life-and-death, future of humanity, work nights and weekends, we're the next Google. It's so deeply cringe-worthy. Meanwhile, I know a ton of people in the traditional pharma industry (e.g. not Novo, but Novo-adjacent); those companies broadly treat their employees pretty well, very minor amounts of overwork, they're well-staffed, some still have pensions, people spend their whole working lives there.

Tech sucks. It's filled with talentless hacks who think "because we use computers" means you've got a blank check to make every individual do the work of three individuals. And then your company gets gutted by private equity anyway, because it turns out hiring talentless hacks and overworking has consequences.

This is a weird take, but I genuinely and deeply believe the world would be a far better place if everyone experienced a life-threatening but recoverable major medical event and/or had children, while young. Perspective-shifting events that are core to the human condition and help ground your reality in work not being everything. By the way: The businesses our society would build would also be stronger.

bonesss 10/29/2025|||
> WFH only, limit stress, run away from job if things go bad again

I’m facing a similar set of health-based restrictions, it’s edifying and impressive how you’ve pushed through. I’m curious: how do you broach this with potential employers and shape your job search/career path around it?

Applying for pure remote positions puts one in direct competition with younger people who can pull obscene hours with no accommodation needs. Leading with disability/accommodation needs feels like the opposite of the ‘best foot forward’ honeymoon phase salesmanship associated with new jobs, and kinda soul crushing regurgitating the circumstances for chronic illness while hoping for a job. And uncontrollable management changes can eliminate medical protections and acceptable working environments, leading to an enhanced need to be able to hop jobs (exacerbating both the previous situations).

I’m fortunate my primary skills are amenable to straightforward accommodations, but you gotta get the job to do the job…

jnovek 10/29/2025|||
> kinda soul crushing regurgitating the circumstances for chronic illness while hoping for a job

I have to do this every time now because I have a resume gap. I don’t have to explain in detail, but even revisiting those three years for a brief explanation sucks.

I’m sure there’s an implicit realization that I will likely ask for accommodations when I explain the gap which likely reduces my chances of being hired.

rangestransform 10/29/2025|||
> I’m curious: how do you broach this with potential employers and shape your job search/career path around it?

Could you get the job without these conditions and then drop the bomb on them as a disability accomodation

iberator 10/29/2025|||
Whats your stack? (Software). Very impressive after 8 years to come back
weddpros 10/29/2025||
Today it's Go-TS-react-node-K8s-mongo-PG-RabbitMQ

Well, I said "I'll never do IT again"... and when I say never, it usually happens in the end ;-)

hn_user82179 10/29/2025|||
I'd be interested in how you managed the impact to your vision, any particular technology improvements you made? My dad had a stroked over the summer and lost vision on his right side - he's older but still works at a computer and is pretty particular about workflows so I don't want to muddle with what works for him too much.
weddpros 10/30/2025||
Hi! I hope your dad gets better soon. My vision got better over 3 months, then more slowly over a year. I keep a "small" blind spot in my field of view (where I can hide my hand). I didn't need more management of this condition but rest.

I remember the first months, trees felt exhausting to look at because of their complexity, and I couldn't watch an action movie because it felt too intense.

boobsbr 10/29/2025|||
Did you work with something else during your rest period?

I don't think most people wouldn't be able to, financially.

lm28469 10/29/2025||
> I don't think most people wouldn't be able to, financially.

Pretty sure you'd be covered in a lot of western countries, and if not you have relatively cheap insurances that cover these things.

thw_9a83c 10/29/2025|||
Given enough kids to take care of, a mortgage and other financial/dept obligations, your insurance money might be just a drop in a bucket and your only destination will be a social welfare system. And even that might not save you from having to sell your house or apartment.
footy 10/29/2025||
this means you are underinsured for your lifestyle.
W0lfEagle 10/29/2025|||
This feels like a very naïve viewpoint. The reality being that you can't rely on insurance at all. You might have insurance but that certainly doesn't guarantee you'll be financially supported through health issues. You'll also be required to engage in legal battles with your insurance company which might be prohibitively complicated after a brain injury.
lm28469 10/29/2025|||
> This feels like a very naïve viewpoint

It's just an European viewpoint... I know for americans it's like a sci fi movie but it's very real here lol

In France you get ~67% of your salary for 36 months, after that it's case by case.

In Germany you get ~70% of your salary for 78 weeks, private insurances will cover more/longer too, for like < 50 euros a month

weddpros 10/30/2025|||
I got unemployment assistance, I'm french and lived in France at that time. Be it family, savings or social security, I didn't take a year of vacation. I was trying to pivot to another activity which is difficult in itself, more so after a stroke.

Also before you tell me how good social security is in France :-) you must know my doctor likely caused or amplified the stroke by giving me the wrong treatment at the wrong time, and by not telling me to go to the hospital before 3 full days... and then they let me out. I returned urgently the week after, when a neuro-surgeon freaked out.

jack_tripper 10/29/2025|||
You're talking about unemployment or disability?
lfkdev 10/29/2025|||
No, at least in Germany (pretty sure other western countries too) you are covered after stuff like this. You won't be rich, but enough housing food and your camera.
immibis 10/29/2025|||
Note: only if you're a German citizen.
lm28469 10/29/2025||
Nope, you just need an health insurance, which you'll have if you worked
immibis 10/29/2025||
Ah, I thought you meant the more general Bürgergeld.
kleiba 10/29/2025|||
> Became half blind. ... Became a photographer

Impressive.

weddpros 10/30/2025|||
Thank you!

I'll modestly add that my sight was getting better and wasn't really an obstacle. It started with an activity of carbon ink large format B&W art prints for other photographers... then I became one too.

The "irony" didn't appear to me at that time, someone had to tell me it was ironic!

kleiba 10/29/2025|||
Why do you guys downvote - is it because the comment sounded snarky? It wasn't meant to be, I think it is (obviously) an impressive feat to work as a photographer when your eye sight is severly limited.
navigate8310 10/29/2025||
Usually one worded complements are frowned upon.
apprentice7 10/29/2025|||
As a migraine sufferer this sounds scary and only today I have learned about it. What was it like? If I may ask. Is there a way to prevent it? I googled it and it seems to appear rather arbitrarily and suddenly.
weddpros 10/30/2025||
It's very rare. I was a migraine sufferer, but this is how that time it was different:

- I was under severe stress at work - I woke up with aura, realised it when looking at the mirror, I had only one eye - visual symptoms (aura) didn't go away after 1 hour. That's the limit where you MUST seek medical advice - having "a migraine" that day raised my stress level... because work... - symptoms persisted... and after getting better over a year, what was left became permanent (blind spot where the migraine started in my field of vision)

DO NOT take triptans during the aura. DO NOT take any vasoconstrictors during aura, since it's a phase where blood flow is restricted. That could have caused my stroke.

When a migraine hits, I take aspirin, stop all stressors, ALL stressors, try to calm down (I've used anxiolytics occasionally), breathe and rest. I'm often off for 2 days. It happens about once a year.

Again, migrainous infarcts are VERY rare. You'll be fine, just let the aura pass, and know to seek medical attention if it doesn't.

apprentice7 10/31/2025||
Thank you very much for this information. I hope you're doing well now!
typpilol 10/29/2025|||
My dad's suffering with aphasia from a large half brain stroke too.

You give me some hope things will get better for him.

weddpros 10/30/2025||
I hope your dad gets better soon. It takes patience, it's a very gradual process, over months if not years.
blitzar 10/29/2025||
> WFH only, limit stress, run away from job if things go bad again

Sounds like senior management

weddpros 10/30/2025||
I haven't had management roles, but I'm now an entrepreneur...
buserror 10/29/2025||
Had a stroke 2 months ago at 55, after an entire life (professionally since I'm 16) as a dev. I mostly followed these rules apart from when I got dragged into a project that was sufficiently interesting that I started overworking. 12-14h days.

Just don't do that. I used to do that just fine and that's why I thought I was OK. I mean, I USED to go on in huge coding benders, did'nt I ? Well apparently not at 55, when the pressure has been on for months instead of weeks.

Other things to watch -- diet! With the work came less free time, put on weight etc and all the good habits I had built for years, disappeared.

And the worst bit you can think of is "Oh but I'm so CLOSE to being done, I'll just fix it up later when I can relax". Just don't.

I lost all sensation on the right side. It is coming back slowly. I can still work, didn't lose speech or mobility or strength, I consider myself super-mega-lucky in that.

padolsey 10/29/2025|
> when I got dragged into a project that was sufficiently interesting that I started overworking

This is what bites. I have some really narrow interest areas that I can end up being obsessive about, to my own detriment. We have to be careful.

Glad you didn't lose mobility and speech! I also feel lucky. I met others in neuro-rehab in far worse situations. For three months I couldn't walk and now thankfully do so with a stick and ankle brace. The hard stuff isn't the stuff you can see visually though. People see my floppy leg, and might presume that's the main thing, but nope. The big thing is the epilepsy, this constant monster present in the background. It's the invisible stuff that's often hard.

OsrsNeedsf2P 10/29/2025||
Strikes close to home. 8 years ago I was in a bike accident that took me out for 4 months. I instantly felt dumber. The headaches became a fact of life, and the need to get out of the house early in the day to avoid brain fog creeping in became a routine.

It... sucks. I've still progressed my career and made significant strides, and come to appreciate things that I never would have noticed if I kept on my previous trajectory, and while I don't think about it much anymore, for years it ate at me.

az226 10/29/2025|
Do you still have headaches?
antisthenes 10/29/2025||
I was also in a bike accident that resulted in brain trauma (not a stroke), and yes, still get headaches 5 years later.

But it does get better with exercise. I was able to reduce weekly headaches to about 1/month.

wjnc 10/29/2025||
For those in workplaces that treat you well. One suggestion that is not in OP: Tell others, explain, expand, give presentations on what you went through. Not only will it help your environment understand WHAT you are doing, they then are also able to understand the WHY. I've had my share of colleagues with afflictions. Your environment must know to understand! Otherwise, you are only allowing them to react to resulting situations, without understanding of the why. Second order benefit is that if people would do this more, general kindness towards how personal situations influence business situations would rise. We need more kindness, from understanding each other. (I understand this is an advice that does not work for those workplaces where HR is the enemy, the boss is their to get you, co-workers are in a free for all for bonuses and promotions. I hope most of us are not in that kind of work situations.)
MisterTea 10/29/2025|
> I hope most of us are not in that kind of work situations.

It is unfortunately very common and becoming more common with the rise of PE.

donbox 10/29/2025||
Sorry what does PE mean here. Thanks
MisterTea 10/29/2025||
Private Equity.
hotpotat 10/29/2025||
Interesting to see all the people in this thread who had a stroke. I had a mild and then moderate cerebellar stroke within a 7 day span about two years ago. I remember being on the stroke neurology floor of the hospital with a lot of bed ridden people who had also suffered them. I know because, within 24 hours, I was doing hourly walking laps with my nurses because I was bored. In other words, I was one of the lucky ones. Within a week I was back at work — not because I felt pressured to by them, they were completely understanding, but because I had no more symptoms that were experienced simply because I was sitting down to work.

I also see some advice about listening to your body after the fact, which I fully agree with. In my case, without going into too much detail, the stroke might not have happened if I had listened to my body beforehand, as it was caused by an injury I could have prevented.

So if I could give any advice from this place of experience it would be to listen to your body, and try to hear it when your fears and ego are shouting.

stouset 10/29/2025||
Stroke survivor here checking in.

As I understand it, post-COVID a lot more people are having strokes at younger ages, primarily from PFOs. 10–15% of us are walking around with a small pathway between the atria of our hearts, and if a clot happens to form, it can pop into the other side of your heart and get pumped straight to your brain.

I was exceedingly lucky in that it cleared up on its own after about an hour. I was unable to speak and unable to move so much as a finger or toe on the right half of my body. I was completely incapacitated. They had me in the CT when it cleared up, and I immediately was back to my original self with no lasting defects.

giraffe_lady 10/29/2025|||
I know a vascular neurologist who says that the average age of his patients has dropped by nearly a decade in the last five years. Many more "young" (<60) men with minor strokes, and more frequent serious strokes in the 40s for both sexes. He's treated as many under 30 y/o stroke patients in the last two years than he did in the first two decades of his career. He's a few years from retirement and basically completely rattled by this sudden shift.
hotpotat 10/29/2025|||
I have an out-there hypothesis I’d want to test. Much of the population has one or more MTHFR mutations, which can increase homocysteine if left untreated and that’s been linked to increased risk in stroke. Treatment includes more B vitamins. I wonder if the declining nutrition in foods and lack of B vitamins has anything to do with this.
croisillon 10/29/2025|||
i don't know how to word it better than: there's much we don't know yet about the extent of ~"long covid", or "down the road covid outcomes"
zahlman 10/29/2025||
> Interesting to see all the people in this thread who had a stroke.

Indeed. My first thought was "....just how common is this?"

HeyLaughingBoy 10/29/2025||
Far more common than I thought. My wife had multiple small strokes before she was 40.
wedgel 10/29/2025||
I had a stroke roughly eleven years ago. When the stroke started, I got really creeped out. I was in an elevator and I thought a stranger was reaching around me from behind to grab me. It was my right arm. I cracked a joke about it, I didn't know it, but I wasn't soeaking. Just mumbling and making creepy gutteral noises when I thought I was laughing. Then the face droop. Followed by my right hand becoming locked in a fist. It took months on rehab to get it open. And it lost a lot of function.
wonderwonder 10/29/2025|
damn, sorry friend. Must be terrifying to feel your body essentially betraying you.
boobsbr 10/29/2025||
> HEADPHONES, blinders, and 'No'. Eliminate unwanted inputs at the earliest point of entry.

Open-floor offices, non-stop emails and chat messages, several meetings scattered throughout the week and the day.

This kills productivity and increases stress and fatigue for people that need to concentrate to work on complex stuff. There's also the time you need to properly switch contexts.

whalesalad 10/29/2025|
The word "blinders" really stood out to me in this. Does anyone have a recommendation for something that is literally like horse blinders but for people? I genuinely feel like my peripheral vision is "too adept" and overwhelming sometimes. If I cup my hands around my temples and over my brow, I feel a sense of calm. Trying to find a real product that does this - but I suppose I could just try to prototype my own with an old baseball hat or visor that has some vertical pieces on the side.
ta_09867534567 10/29/2025|||
This might sound silly: I used post-it notes as human-blinders.

I turnt the post-it note sideways, wrote `FOCUS TIME`, and put it on my temple, to block out my vision in that direction.

I joked about it with my team before, and then just did so when I felt comfortable enough with them. I utilize this strategy at home for deep focus in a chaotic living room setup.

2x Post-its, baseball cap, and over-the-ears noise-cancelling headphones is peak `focus-time` I've found.

whalesalad 10/29/2025||
there are at least two of us!
bradyriddle 10/30/2025||||
Check out pashmina‘s. It’s common to see people wearing them over their heads at EDM festivals if they are feeling over stimulated.

I occasionally use them while I’m working for the reason you mention.

I love my pash. Highly recommend.

aendruk 10/29/2025|||
Pop the lenses out of glacier glasses?
keyle 10/29/2025||
I haven't had a stroke but I did get a nasty tropical mono when I was young. You never quite recover from that one. I've got ibs since. My stomach just gets tired and stops. My mental focus feels the same. I sleep 9 hours a night, often 10 and I'm still tired.

I feel I always have less stamina than other people.

So this list is close to what I have always preached.

Time as in energy is my most precious resource.

Don't let processes suck the life out of you. They're there to serve the people not the other way around.

simonbarker87 10/29/2025|
Gut directed hypnotherapy has worked wonders for my IBS. The research on it is really solid and was recommended to me by a registered dietician. The one I followed is called Nerva. Might be worth a try for you.
fennec-posix 10/29/2025||
I think these are also good strategies for anyone who suffers from mental illness/burnout.
y-curious 10/29/2025||
Which tips would you apply to burnout? Because certainly AFAIK, you don’t really get legal protections from burnout
primitivesuave 10/29/2025|||
I finally figured out how to address my burnout with a 10 day Vipassana meditation course (dhamma.org) - hope it potentially helps others as well.
vpShane 10/29/2025|||
With burnout it's simple, rest. Get away, go spiritually connect with something new, like laying on a beach or doing something completely new. Burnout is real and will make you _hate_ anything.

I watch for burnout in my teams, and become burned out myself at times, but if you're burning out, tell somebody and get moved elsewhere. Coder doing some star-coder stuff the last 6 months, but can do sysadmin/devops things? Switch to that for a few weeks and come back mentally rested.

Legal protections against burnout I'm not aware of but the illness associated with elevated stress levels and 'burn out' do create other health complications.

Burn out is bad, bad stuff. Once somebody's burned out they can't do _anything_

cindyllm 10/29/2025||
[dead]
Muromec 10/29/2025|||
All of that and parenting. Notifications off, camera off, WFH to the max and keeping the journal of where you were before attention was hijacked by the usual suspects.
ngcazz 10/29/2025||
ADHD...
consumer451 10/29/2025|
I have not had a stroke, but a few years ago I noticed my eyesight was getting strange. There were many other things including a very fuzzy brain, and wanting to stay in bed for weeks. I thought I was just sad until the eyesight issue.

It turned out I had Advanced Neurological Lyme disease. It took a couple years to recover from it. I also have Cluster Headaches, one of the most painful medical conditions known to science. Losing my the ability to think clearly, was worse.

As someone who uses my brain for work, the depression that arose from losing my mental faculties was very significant. I searched TFA for depression and did not see a mention. If anyone is dealing with a neurological issue like this, I would imagine that second order effects like depression are common, correct?

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