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LittleMxSurly Yeah that sounds completely unsustainable. Do you have a coach? This is the kind of thing they can help with - take you through things like calendar audit etc and help you dig your way out.
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LittleMxSurly For appts one thing that helps me is to batch them and day a day off (but we have unlimited PTO and an expectation that heavier periods are balanced by lighter periods - eg I took 2 days for “life admin” once we were through perf)