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Why do creatives struggle to spend any time on personal health?

Joel speculates that many people like him are often living with an imposter syndrome, constantly prioritising work over their personal needs, be that health or family.

Before working at Google he spent two years working for a startup, spending every waking moment living and breathing the needs of that company. One would think that joining Google would be easy, and allow Joel to rest, but even then, he's always feeling like he is not doing things fast enough.