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Posted by padolsey 10/29/2025

Tips for stroke-surviving software engineers(blog.j11y.io)
505 points | 189 commentspage 2
GianFabien 10/29/2025|
Most of the advice is good for pre-stroke persons too. Might even avoid having one.
oaiey 10/29/2025|
I think it is good advice for everyone.

Pre Texting, Pre Email in the 90s I believe this kind of work was normal. All this self motivated, hyper context switching jobs we all do are relatively new compared to human evolvement. And we see the tax on us.

anonym29 10/29/2025||
Thank you for sharing.

Reading this, I'm reminded of the idea that we should all care about accessibility, because barring death or radical advances in restorative medical technology, we will all rely on accessibility tech in some way eventually.

Besides what is listed here, have you observed anything that your coworkers or managers can do to help accommodate you? i.e. Is there a version of this for folks working with stroke-surviving software engineers?

elric 10/29/2025||
The accessibility field is pretty mature, with useful and thorough guidelines like WCAG. But many people in the software industry either ignore accessibility completely, or think it's "only" about the blind, slap some alt text on images, and call it a day.

We should try to do better.

ehnto 10/29/2025||
I feel like any such advice would also be good advice for protecting the health of any of your staff.
boardwaalk 10/29/2025||
How strange to come across someone whose medical stuff so mirrors my own. I was just a decade older and don’t have epilepsy symptoms with meds. I can get behind all the advice here. Running out of “juice” and needing a break is very much thing. Before too but more so now. And taking a lot of semi stream of consciousness notes to help my more limited memory is too.
anonzzzies 10/29/2025||
Good advice. I had one young too; I worked long days and had no life outside my company; it was in an economic downturn so I was also burning out (hindsight). I figured out what was important to me and that all changed everything.
emmelaich 10/29/2025||
All excellent advice even if you haven't suffered some health issue like stroke.
mmaaz 10/29/2025||
Good advice. I didn’t have a stroke but a couple months ago I developed blindness in my left eye. It came down to my optic nerve being inflamed. I was later diagnosed with a rare autoimmune condition called MOGAD which “attacks” the optic nerve. Thankfully my vision is approx 95% recovered by now. But I still can’t read, eg code on my laptop, which is scary (my right eye is basically making up for it). And I’m scared of another attack happening. So I’ve been really looking after my health and trying not to do the 12+ hr coding benders I used to do. I appreciate these tips!
WalterBright 10/29/2025||
> 12+ hr coding benders

Even when I was young, I discovered that after a certain level of fatigue my coding became garbage, and after a night's sleep I had to delete it and redo it. After this tipping point, I just stop doing the hard stuff. If I still want to work, I work on routine things that didn't take much concentration.

I never understood how people can write complex code when fatigued. I just get negatively productive trying that.

throwawayffffas 10/29/2025|||
> I discovered that after a certain level of fatigue my coding became garbage, and after a night's sleep I had to delete it and redo it.

My best work happens at 2am, at about 4am I am too tired and get slow and get stuck, I think even then code quality suffers only a little bit.

That's just my experience, I believe it happens because if I am working at that time, I am hyped and or in the zone. There is a sort of second wind involved. The lack of distractions also helps I guess.

mmaaz 10/30/2025||
Exactly the same here, late night would be my most productive. I don’t know how sustainable this is as I mature lol.
mmaaz 10/30/2025|||
Tbh the code I was writing wasn’t that complex from an engineering perspective. During my PhD I was writing “research code” which is more like writing scripts, not a full blown application or library. The most challenging part was translating the math/algorithms to code. And I would just get into a flow state sometimes and could not stop haha. I had a (bad?) habit during my PhD that whenever I was stuck on a problem I just kept bashing my head against it until I solved it (code or math).
padolsey 10/29/2025|||
Thanks for sharing! I feel the fear of another attack with epilepsy too. It is terrifying. The doom and the walking on thin ice constantly hoping you're not gonna over-step or do the wrong thing. And all that at the same time as trying to live your life fully. Do you have any devices or aid software to help with the not-reading thing? I imagine it's all really fresh still and you're just taking it a day at a time?
mmaaz 10/30/2025||
Wow, I feel for you, that sounds really scary. Honestly no, I’ve scarcely changed how I work, except for being more strict about keeping a rigid schedule, forcing myself to take breaks, etc. It’s only my left eye that can’t read, the right eye is totally fine. But I do feel the eye strain come on sooner from relying on one eye.
ares623 10/29/2025||
Doesn’t the immune system attack the eyes if not for a protective wall? Or is that just a myth.
mmaaz 10/30/2025||
Hmm not sure what you mean. In the case of MOGAD, it actually attacks the lining of the nerve. The MOG means myelin oligodendrocyte glycoprotein, which is a protein in the myelin sheath.
eternalreturn 10/29/2025||
Going through several panic attacks with stroke-level blood pressure elevation had a similar impact on my worldview and approach to work.

Slow down. Prioritize your own health and well-being. Focus on the essentials and cut out everything else.

If you are in pain, see a doctor before you end up in urgent care like I did.

drtournier 10/29/2025||
OP thank you for this generous text. I would add that these tips are amazing for people with post-covid/long-covid/brain-fog too
andhuman 10/29/2025|
Yup! I follow these and I also take walks, those can be helpful to relax and let the mind rest for a bit.
chillz2 10/30/2025||
Some of these apply to other neurodivergents like myself.

One thing I struggle with is that the only time I seem to really get in the flow is when no one is around and no one else is working. Some form of stimulant is needed, but no stimulant I can use gets me to the point where I can get into more flow than I can when no one is around. I sometimes dream of how much I could do if I just lived at my office alone. This is sad and frustrating, because I don’t want that life where I cannot have a life of my own and where I cannot interact with people at work or it disables my ability to get things done.

Nutrition and some form of exercise are also incredibly important, especially as you get older. Not everyone needs the same things, so don’t let others tell you what is the “right thing for everyone”- there’s no such thing.

throwaway290 10/29/2025|
It's very depressing how the article says "you don't have to do it alone! use AI"

ah this age where "not alone" means "AI"...

How about, enjoy good connections with nice people. Both in personal and work. Maybe those people can even see the warning signs and tell you to stop before you have a stroke.

bobsmooth 10/29/2025|
He says to use AI as a knowledge offloading tool. He literally says that he enjoys meetings.
throwaway290 10/29/2025||
wow I should have expected it to get only more depressing from replies I guess)

I'm not talking about meetings. relationships do not reduce to zoom meetings

and this is not about "knowledge offloading". that's a text file can do it. the key word is "help". the thing people did for each other;)

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