(Updated Below)
You are standing at the base of a brick wall. It extends for miles in both directions, and is higher than you can see. The only way out is through.
You have no phase shifter.
This is how it feels when I sit down to work most of the time. Usually I give up. Sometimes I’ll work all day, only to look at my work the next day and realize that instead of removing bricks I’ve just been rearranging them. Occasionally I sit down and plow straight through the wall, getting more done in a day than I have in the last month.
There’s been very little progress lately, because besides emptying a hoarder house, running an estate sale, selling the house, selling a car, buying a car, renting a house, and preparing to move — breathe — I now have nearly daily headaches from my neck, along with the lack of sleep, constant fatigue, and depression caused by this situation. I’ve been through physical therapy, 5 chiropractors, & therapeutic massage – all seem to help only temporarily.
When I was seven, I fell 6 feet out of a tree and landed on my back. My memories are blurry, but I remember struggling to breathe all night. I was never taken to a doctor. Was that the beginning of all this?
Two months ago, I got a new symptom: tingling & numbness shoot down my left arm several times a day, and I now have constant numbness in my left thumb. Finally, after many delays caused by waiting for doctor appointments, X-rays, and MRI, I got in to see an orthopedic surgeon yesterday. This is 2 months after the latest symptoms started, and quicker than usual since my wife works in a doctor’s office.
I need neck surgery. Soon.
I have degenerative disc disease, and unlike the image on that page, my disks are bulging on the spinal cord side of the spine. They are pressing into my spinal cord in several areas. I also have bone spurs and narrowing of the neural pathways. I was surprised to learn that I have no reflexes in my left arm and very little in my right. My reflexes are zero on this scale
This brings up many emotions, and questions:
- #1: A hearty F*# You to the orthopedic specialists at Stanford Hospital, who gave me the classic “its all in your head” line
- I wonder if my sleep problems and fatigue were caused by my neck all along, and not my gut issues?
- Did I do this to myself, by sitting with bad posture for the last 20 years? I’ve sat in kneeling chairs and on exercise balls, in expensive ergo chairs and on the side of a bed. My last job had 2-4 hour chairs instead of 10 hour chairs.
- Will the surgery be a success? Will I finally get back to full productivity after this?
I’ll see you next month, and to steal a line from Pink Floyd,
Tear down the wall.
Update
I’m scheduled for a fusion of C5-C6 on Aug 5th. The Orthopedic Surgeon said that without surgery, I could eventually end up with no feeling in my hands. Here’a pic from the MRI of the disc impinging on the spinal column. I have compression of the spinal column on the right, and compression of the nerve root on the left.

Update 2
The surgery was a success, I should be back at work soon!


July 1st, 2011 at 10:28 am
Hey Adam, it’s nice to hear from you and I can wish you nothing else than best of luck with the surgery! I hope you return home safe & healthy.
July 1st, 2011 at 10:40 am
Ugh. Good luck and everything.
July 1st, 2011 at 10:46 am
Adam,…the surgery will be well worth it to get rid of the pain and fatigue to be sure. You’ll be in my thoughts and prayers. Take care man, and keep away from those young nurses!
July 1st, 2011 at 3:24 pm
Ten years ago my dad was forced to retire from his successful career as a software engineer due to a chronic, painful illness that has now damaged his entire nervous system. We still haven’t managed to fully identify what he contracted. When this began, he got the “it’s all in your head” treatment as well.
Get well soon, Adam.
July 2nd, 2011 at 11:05 am
This sounds like burnout.
Do you take enough free time?
I wish you all the best, Adam!
July 2nd, 2011 at 11:19 am
Very sorry to hear of your condition, you have many fans here wishing you to get well.
July 2nd, 2011 at 12:09 pm
Thanks everyone!
Vielhuber, it’s not burnout, I’ve had that before and I thought that for a while but I have really good days sometimes when everything aligns and I don’t think that would happen with burnout.
I’ve gotten pretty scientific about my issues over the years, to help maximize my productivity:
problem: unmotivated / depressed
helps: find inspiration
problem: dumb
helps: get better sleep
problem: tired
helps: energy drink, power nap
problem: unfocused
helps: energy drink, eliminate distractions, trance music
problem: pain
helps: advil, stretching
I also have work modes which I can choose based on my issue(s) of the day. I had to write these down because its hard to think of them at the time:
end-goal-oriented – most valuable
brain required = smart, motivated, [focused]
working fast on top-priority goals / large scale
how to maximize: prioritize, set goals, filter out lower priority goals
focused
brain required = focused, motivated, [smart]
working on an isolated goal
how to maximize: define these goals/tasks while architecting, avoid all distractions, play loud music
how to kickstart: start a small task
drone
brain required = [motivated]
good for repetitive easy goals: lists, batch changes, small goals
how to maximize: define these goals/tasks while architecting
how to kickstart: set a goal, read game blogs, play a game for SHORT time
creative
brain required = special
having many great ideas
how to maximize: brainstorm, design, ?planning, ?writing
how to kickstart: ? try early/late/middle of sleep
Being burnt out I think is mainly a lack of motivation, and that’s the most important thing to have, as all the work modes I defined require motivation except “creative”. Most of my days lately fall under “dumb” and “pain”. Pain really saps motivation and “dumb”, well there’s only so much drone work you can do. By dumb, I mean generally the ability to keep thoughts in your head. On a good day I can have several things in my head which is great for architecting, on a bad day I can have maybe 2 things in my head and I tend to lose them, as in “what was I just thinking about?” then having to start over.
July 5th, 2011 at 3:07 pm
Hey I made an account just to say hope you get better! I played jetpack when I was a kid and its still one of my favorite games of all time. It and loderunner inspired me to become a programmer. Looking forward to the remake. I’ve been following it for a while and its really shaping up lately.
Cheers and good luck!
July 6th, 2011 at 4:29 pm
Best wishes from Austria! Hope you will get back!
July 10th, 2011 at 6:27 am
I’m sorry to hear bad news about your health again. I hope you get better soon!
July 18th, 2011 at 1:25 pm
Good Luck for you….
I hope that you can soon continue working hard on a project,
which has to be finished!
July 18th, 2011 at 7:40 pm
Good luck with the surgery.
August 10th, 2011 at 1:47 am
I hope you are doing well, Adam.
August 10th, 2011 at 6:03 am
Surgery went well, hands are good now, still having headaches so far. Biggest headache: my wife left me and my daughter 2 weeks ago. So now I’m a single dad. I do have enough savings to finish jp, hope it makes money. You got anything else, 2011? Cause I’m about at my limit.
August 12th, 2011 at 8:17 am
Damn Adam, that is very sad to hear!
What a tradegy.
Now finish JP and make the BEST out of it!
I think before focusing on levels and texture design, what about…
- speeding up load process
- integrate it in Facebook
- make sure that the system can be ported to other devices (to make money of it!)
I know that Adobe has a lot of things like AIR etc. to release an iphone / android version.
September 3rd, 2011 at 7:25 am
Flash is not a dying technology,
in games (especially Facebook Games)
it is more popular than ever!
How is progress going on?
November 1st, 2011 at 10:39 am
This blog needs some life signs. :S
November 1st, 2011 at 12:19 pm
So do I …
November 13th, 2011 at 9:38 am
It seems that the project cannot be continued due to personal reasons.
Adam, please tell us what we can do for you!
November 14th, 2011 at 10:57 am
I’ll be back, my friends. I just need a little more time. 2012 will be the year of the Jetpack.
November 22nd, 2011 at 2:28 am
Hey Adam — longtime Jetpack fan here. Wishing you all the best. Hope you feel better.
December 31st, 2011 at 9:55 pm
Happy New Year, Adam (and my fellow Jetpackers). Hopefully this is a better year for you. Can you give us an update anytime soon?
Also, I’m playing my levels again for the first time in months and I can’t even beat half of them. =p
January 14th, 2012 at 3:30 am
Hey man. Hang in there. When I was a child, I too fell out of a tree square onto a rock and couldn’t breathe for almost 2 minutes. I was sore for days and felt it in my lungs, but since then, I’m perfectly ok. Children heal faster and better than adults.
I’ve also gone through the depression bit – and it’s not easy to get out of, simply for the fact that when you get depressed, you get lethargic, worn out and unhealthy. So, it’s like an endless cycle: you can’t get better because you’re unhealthy, you’re unhealthy because you’re depressed. So I’m going to give you a tip that you might be surprised with: eat fatty foods. The brain is made of fat and it and your body crave it and use it. It helps with depression – as in it might get rid of it. There is a documentary called “Fathead” that’s about the truth about fat. You’ll also understand why the majority of diets out there fail. A lot of them are made to fail as well – but that’s another subject and I’m not a conspiracy theorist, however it makes sense. Anyway, I’ve been eating so called unhealthy fatty foods for a while and for years have not suffered a day of depression. I certainly do remember how crippling it was. Just don’t let it win. It’s all in the head anyway.
Keep working on the game as it kicks ass. I love these types of games.
January 15th, 2012 at 9:37 am
Thanks for the support everyone.
It looks like the last release has some messed up gameplay, which may making things harder than they should be.
Snow – That’s interesting, I’m going to try upping my fat intake and see if that helps. I already put heavy cream in my coffee/chai instead of milk – it’s so much better that way.
Modafinil works wonders, so I’m about to get serious with that, and also trying racetam’s and choline’s.
I’ll do another blog post with the final editor, once I get it fixed up. Not steady enough to estimate right now.
March 14th, 2012 at 7:17 pm
Hey Adam, how are things going with the game?
March 15th, 2012 at 8:18 am
I’m working on it, I found some big bugs in the physics stuff so I’m having to redo a lot of it. Just trying to get it stable to do a release.
March 19th, 2012 at 7:00 am
Oops, didn’t see this post. But my comments on the earlier post still stands.