My Mum recently reminded me of this analogy, which does a good job of describing fatigue.  It involves money so it's particularly appealing to the economist in me. :-)
Fatigue is like a bank account.  To make withdrawals from it (do stuff requiring concentration), I need either a positive bank balance or a credit rating to borrow.  A positive balance comes from resting.  I have a particularly good bank balance in the morning after a restful sleep and I can increase my balance during the day by neuro-resting.
Early on after my TBI, I had no credit rating at all.  So there was no way I could borrow and make withdrawals without first having a positive bank balance.  I couldn't have a tiring day and expect to get away with only a good night's sleep that night.  Instead, I'd continue to feel tired for days afterwards.  Nor could I have a shortened sleep one night and expect to operate properly the next day.  I was almost completely reliant on having a good bank balance.
Slowly, my credit rating improved and I could get away with doing more without resting adequately first.  That has been a long process and three years on, I still think I'm 'sub-prime' or, if you want to get more technical, at least non-investment grade.  Slowly, though, I'm getting back up there.
Cheers,
Mike
Tuesday, 26 February 2008
The Fatigue Bank Account
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