Always Tired?. Dieser Artikel ist nicht verfügbar.Always Tired?

Why do we get tired? They are:We have an illness. We spend too much energy on our emotions. We spend too much energy on stress and solving problems. We do not sleep well enough to refresh our energy. Millions of people complain of feeling tired all the time. Most tiredness is trivial with an obvious temporary cause - late nights, overwork or worry. Sometimes it worsens, becomes prolonged, and leads to fatigue and exhaustion. Those who are get ill often feel exhausted; while exhaustion itself, whatever the cause, can make the illnesses we are prone to come to the fore. These situations make progressive tiredness more than a trivial problem. Many tired people seek the advice of medical professionals, but fail to get a satisfactory answer. So, is a medical cause likely? A medical cause is actually quite unlikely, even though the medical possibilities are numerous. Because visits to doctors asking: 'Why am I tired Doctor?' are often fruitless, an initial questionnaire is provided within as self-help to identify the few who might be tired for a medical reason. Is the cause psychological or a response to stressful circumstances? Perhaps both? Another questionnaire for self-assessment is provided to check these. Herein lie the commonest reasons for tiredness and fatigue. There are many and various scenarios, herein described at length and in case histories, although, all follow the same physical principles. In health, there is a never-ending supply of cellular energy available, so it's the spending of our energy that counts most when trying to account for tiredness. Although its origins are diverse, the effects on human functioning are common and standard; varying a little between people except for the degree - from slight to severe. That depends on individual constitution. Like elastic, some are prone to stretch easily - others are not. Even if a tired person fails to notice any change, others will - especially friends and family - those most familiar with them. Because tired people often want to detach themselves from their problems, they may see no point to addressing their situation. It is then a friend or family member might need to step in and help (if allowed). What changes can occur and why might tiredness be important - apart from making us irritable, inefficient, prone to accidents and infections, and a pain to be with? It can precede heart attacks, strokes, or mental breakdown. It can make high blood pressure, asthma, migraine, IBS or eczema, etc. worse. It can make us look haggard, and pre-maturely old. It can make us jettison much of our life. It can stop us sleeping - even though we are so tired (the 'sleep paradox'). It can make us socially unacceptable: inefficient at work and unreliable. It can make our friends and family worry about us - and rightly so. It might seem dramatic, but tiredness is most important of all for those whose families have suffered heart disease or strokes - they need to ask, 'Might I also be liable?' Asking this question could be the first step towards saving their life. But how? The many solutions possible are described and discussed within.

Cardiologist. Formerly, British Heart Foundation Research Fellow, St. George's Hospital, London. Lecturer in Cardiology, Charing Cross Hospital, London.Chef de Clinique, Cardiologist, Vrije Universiteit. Amsterdam.Former Director: Cardiac Centre. Loughton. Essex, UK. Dr. David H. Dighton qualified at the London Hospital Medical College in 1966 with MB and BS (London) degrees. In 1970, after a year or so in NHS general practice, he became a British Heart Foundation Fellow in Cardiology at St. George's Hospital, Hyde Park Corner, London, working with cardiologists Dr. Aubrey Leatham and Dr. Alan Harris. In 1973, he became a MRCP(UK), and later a Lecturer (London University) in Medicine and Cardiology at Charing Cross Hospital, London. In 1980, as Chef de Clinique (Assistant Professor) at the Vrije University Hospital, Amsterdam, he helped introduce transvenous pacing and collaborated in ongoing coronary artery research with Dr. Pim de Feyter and others. After returning to the UK in 1982, he worked both in his own private medical and cardiac practice in Loughton, Essex (The Loughton Clinic, established in 1973), undertaking invasive cardiac investigations at the Wellington Hospital, London. In 2000, he started a private cardiac diagnostic centre, specialising in the early detection and prevention of coronary artery disease (The Cardiac Centre, Loughton). This closed, once the Public Services Authority directed the GMC to withdraw his license to practice in the UK (the political reasons are detailed in his book, 'The NHS. Our Sick Sacred Cow.' 2023). As an independent private cardiologist and general physician, he disagreed with UK medical bureaucracy, and who they thought most qualified to devise, regulate and supervise medical practice; opinions he based on having been a medical student, general physician and cardiologist for sixty years. In 2003 and 2006, he wrote two books on food and the heart, and between 2022 and 2025, eight books on medical and cardiac subjects. A recent technical book (2025), explores the possible neurophysiological bases for tiredness, fatigue and exhaustion. Another recent medical book (his 11th) explains tiredness and its cure to a general audience (Tired All the Time, 2025). He continues to publish books on cardiac topics, to write haiku (his most recent - his twelfth - 'A Life: Contemplated in Haiku, Poems and Senryu, 2025) and to research cardiac prevention. This is his thirteenth book (see the list of his other books by the author).His interest in the frontier that lies between art and science in medical practice, led to his book, The Art and Science of Medical Practice. It details not only what he was taught by many experienced physicians, but what he learned from practising both the art and science of medicine in teaching hospitals and in private practice. He has other interests. He is a poor linguist but loves learning languages and communicating in languages other than his mother tongue. He draws and paints in oils on canvas. For his own amusement, he plays the guitar and piano. He likes to compose simple melodies, one of which introduces his YouTube videos for patients on understanding heart problems (Dr. Dighton Interviews). Another he played live for a friend on Facebook. For further information:www.daviddighton.com email:david@daviddighton.com