Tired All The Time: Causes, Consequences and Cures

Why do we get tired from time to time? Why are some 'Tired All the Time'?

Why do some progress further - to fatigue and exhaustion, and suffer medical consequences?

For 50-years I have dealt with medical and cardiac patients complaining of these problems, and within I explain:

• The Causes: Few have a medical cause, so is it stress, strain, constitution or our mental energy spending that affects us? I have introduced two concepts - 'The Life Equation' and the 'Traffic Analysis Theory of Tiredness' - to aid understanding.
• The Consequences: From trivial to catastrophic (from worsening eczema to sudden heart attacks and strokes). The 'Health Divide' is a major problem in all societies. Why are the rich healthier than the poor, and why do they live longer? Find many reasons within.
• The Cures: Restorative sleep, sleep therapy, medication, meditation, yoga and prayer.

Energy is essential for healthy survival and for achieving success in life. In this book, I reveal the detailed reasons why most people suffer tiredness, fatigue and exhaustion, and how they can be overcome.

As a cardiologist I have seen both chronic fatigue ruin lives, and ruined lives cause fatigue. By considering tiredness, fatigue and exhaustion as potentially serious, doctors can limit clinical risk, reduce the frequency and severity of symptoms, improve angina and blood pressure, blood coagulation and immune responses - and sometimes save a life!

Unfortunately, few doctors now have the time or inclination to explore the reasons why their patients get tired all the time - especially given causes that mostly lie beyond their remit - to diagnose and treat physical and mental illness.

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.www.daviddighton.comemail: david@daviddighton.com 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 trans-venous pacing and collaborated in ongoing coronary artery research. 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 (for 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, seven books on medical and cardiac subjects. His latest (2025), a technical book, explores the possible neurophysiological bases for tiredness, fatigue and exhaustion. This is his eleventh book (see list of works by the author for details). He continues to publish books on cardiac topics, to write haiku and to research cardiac prevention.His interest in the frontier that lies between art and science in medical practice, led to his magnum opus. The Art and Science of Medical Practice, 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. As medical student, physician and cardiologist, he studied and worked within the fold of the UK medical profession for sixty years. 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 go to: www.daviddighton.comEmail: david@daviddighton.com.