“My time as a middle manager was a decade spent in high altitude professional astronomy. I found myself in a ‘Piggy In The Middle’ situation. The management team wanted a well performing telescope that was free of issues and the people I was managing appeared lethargic! I later discovered through research that the high altitude exposures drain them of energy. The high altitude workers end up in a state of mal-acclimatization, where they are never acclimatized to the mountain and they are never acclimatized to sea level. After a decade working at high altitude, I was also lethargic! It was a relief to leave the field of professional astronomy. I spent the following decades characterizing the toxicity of professional astronomy and I discovered a new sickness called ‘Altitude Hypersensitivity’.”