#030 The Healing Pause | Ntseiseng Lephole
1 September 2024 · 38 min · as at 2024-09-01
Petro du Pisani (host) · Ntseiseng Lephole (guest)
Listen to the episode on iono.fm · MP3
About the guest
Ntseiseng Lephole
Joburg
Works with international NGOs. Took a career break in 2015 for health reasons after a hyperactive thyroid diagnosis, and studied a master's in development finance with UCT.
In Ntseiseng's own words:
“I work with international NGOs, and, the last NGO that I worked with, the project closed at the end of March.”
“2015, I had also planned to study the master's in development finance with UCT. Once I started with my master's, I then realized that I actually do need a break.”
Guest details come from the published episode notes or the guest's own words in the episode.
Episode analysis
Analysis by AI, drawn only from this episode; every point links to the moment it rests on.
In the fourth episode of a series on conscious breaks from work, host Petro du Pisani talks to Ntseiseng Lephole, who works with international NGOs. Ntseiseng describes taking a voluntary package in 2015 after a hyperactive thyroid, surgery and a cancer scare, using the break to study a master's in development finance. She explains how returning to a high-pressure job made her ill again, how she recovered through exercise, healthy eating and a regular routine, and how she now keeps up journaling and meditation. She closes by urging listeners to have holistic health checks during their breaks.
Key ideas
- Ntseiseng says her doctors warned that she had to manage stress for her thyroid medication to work, which drove her decision to take the package and a break. [01:25]▸ [02:05]▸ [04:32]▸
- She observed that her medication dosage stayed stable while she was off work, but had to be changed repeatedly once work stress returned. [11:56]▸ [24:38]▸ [25:18]▸
- Ntseiseng argues that work is never finished, so people must deliberately rest, for example keeping one day a week as a rest day. [20:42]▸ [21:05]▸ [21:20]▸ [22:42]▸
- She found the break brought unplanned reflection, a return to things she used to enjoy, and fresh ideas when she went back to work. [19:31]▸ [20:13]▸
- The host argues that lessons from a sabbatical should be carried back into the workplace; Ntseiseng does this through journaling and meditation. [31:02]▸ [31:27]▸ [32:31]▸ [33:35]▸
- Ntseiseng urges holistic health care and annual checkups, noting her thyroid was only found because a specialist ordered a full check. [34:13]▸ [34:20]▸ [35:43]▸ [37:10]▸
Ntseiseng's daily journaling routine
- Keep separate journals, such as spiritual, work, daily and a colouring journal.
- Journal in at least one of them once a day.
- Stay conscious of what happens around you during the day.
- In the evening, write each event into the matching journal.
- When stuck at work, pause, look in the mirror and tell yourself you are still good enough.
As described in the episode: [31:27]▸ [32:31]▸ [33:35]▸ [33:53]▸
Lessons
- Ntseiseng suggests trusting the inner sense that a decision is right, even for a risk-averse person. [15:54]▸ [16:19]▸
- Having a structured activity, such as studying, can keep a break from feeling like idle recovery, according to Ntseiseng. [09:17]▸
- Her experience shows that returning to long hours can undo the health gains of a break. [24:38]▸ [24:53]▸ [25:18]▸
- Ntseiseng recommends taking short pauses and rest days rather than going months without rest. [21:20]▸ [22:42]▸
- She advises fitting a full body check into a career break. [37:10]▸
Who it's for
People considering a career break for health or burnout, professionals returning to work after a sabbatical, and anyone managing a chronic condition alongside a demanding job who wants practical ideas on rest, journaling and health checks.
Facts stated in the episode
- Ntseiseng was diagnosed with a hyperactive thyroid from 2013 and it did not respond to medication through 2014. [01:39]▸
- She studied a master's in development finance with UCT in 2015. [03:11]▸
- After the break she left her first new job after six months because it was not busy enough. [24:23]▸
- She lost more than 20 kg and began running 3.5 to 5 km a day from 2019. [26:31]▸ [27:03]▸
- She once had to produce about 190 pages in less than a week on a project. [14:11]▸
- Ntseiseng plans for her next break to be the full Camino. [30:39]▸
Questions this episode answers
- Why would someone take a career break for health reasons?Ntseiseng took one after a hyperactive thyroid that would not respond to medication, surgery and a cancer scare, coinciding with a restructuring; her doctors said she had to manage her stress levels. [01:25]▸ [01:39]▸ [02:05]▸
- How do family and friends react when you take a break?Ntseiseng says she got many questions about the risk, the loss of medical aid and provident fund, and whether she would find a job again; she replied that her health was more important. [04:16]▸ [04:32]▸
- What should I do during a career break?Ntseiseng studied, which kept her busy; she wishes she had read more and spent more time in nature, and she advises getting a full body health check. [09:17]▸ [18:15]▸ [37:10]▸
- What happens when you go back to a stressful job after a break?Ntseiseng's thyroid flared again when she worked late hours in Pretoria; her doctor said he could do nothing until she managed her stress. [24:38]▸ [24:53]▸ [25:18]▸
- How can I keep the benefits of a sabbatical after returning to work?Ntseiseng keeps a routine of meditation and several journals, stays conscious of events during the day and pauses when stuck at work. [31:27]▸ [32:31]▸ [33:35]▸ [33:53]▸
- Is it okay to rest before finishing a work project?Ntseiseng says work is never finished, so take a breather, reflect and return after resting, and keep a weekly rest day. [21:05]▸ [21:20]▸ [22:42]▸
- Why are annual health checks important?Ntseiseng's thyroid condition was discovered only because a neurologist ordered a full check by several specialists; she says she might otherwise have died. [34:13]▸ [34:20]▸ [35:43]▸
In their own words
Longer stretches of the conversation, word for word from the transcript, turn by turn.
Thyroid illness, restructuring and the decision to leave
Note (AI): Ntseiseng's full account of why she took a voluntary package: illness, a cancer scare, doctor's warnings about stress and a planned master's.
Ntseiseng Lephole, guest · [01:25]have taken a break before. That was way back in 2014, December 2014, so my break was in 2015. Why did you take that break? it was health reasons. So from 2013, I was diagnosed with a very hyperactive, thyroid. Between 2013 and 2014, it wouldn't respond to medication. I went through a lot in terms of, being hospitalized regularly, and then there was a, a scare of cancer as …
Read the full passage (316 words, 01:25–03:46)
Ntseiseng Lephole, guest · [01:25]have taken a break before. That was way back in 2014, December 2014, so my break was in 2015. Why did you take that break? it was health reasons. So from 2013, I was diagnosed with a very hyperactive, thyroid. Between 2013 and 2014, it wouldn't respond to medication. I went through a lot in terms of, being hospitalized regularly, and then there was a, a scare of cancer as well on the thyroid, and around that time, there was also a brutal, restructuring, as you said earlier, at our organization, and, everyone literally had to apply for their jobs. And going into the operation, my doctors had already warned me that, after the operation, I need to manage my stress levels so that they can get me into the right dosage for my medication. so it was that, and also looking at the restructuring, I had about Five or six jobs that I could have applied for, but I imagined, going for one interview and being told you're not successful, and then another, and another, and another. So the, after the operation was in October, and the, the restructuring happened around that same time. So after the operation, then I decided to take the package, voluntary package, and, just take a break. Initially, I had thought that maybe after three months, I will start looking for a job, but 2015, I had also planned to study the master's in development finance with UCT. Once I started with my master's, I then realized that I actually do need a break. so I was on break for almost a year, ten, eleven months, while I was studying, and, I started looking for a job on the, I think the ninth month or so, and then I was lucky to get the first one that I went for an interview for. But yeah, that was the reason why.
Facing a cancer scare and turning down an interview
Note (AI): Shows how a health crisis reset her priorities and how she withdrew from a job opportunity to protect her break.
Ntseiseng Lephole, guest · [05:45]I think at first I had to deal with my operation and going into a major operation, not knowing whether I have cancer or not, that, took over. And for that period, I didn't think of anything else except is there going to be cancer or not. And, in 2013, I had lost my aunt to cancer. so it was still like the, the, the scale of cancer, the reality …
Read the full passage (348 words, 05:45–08:10)
Ntseiseng Lephole, guest · [05:45]I think at first I had to deal with my operation and going into a major operation, not knowing whether I have cancer or not, that, took over. And for that period, I didn't think of anything else except is there going to be cancer or not. And, in 2013, I had lost my aunt to cancer. so it was still like the, the, the scale of cancer, the reality of cancer was still like very new, for me. And, I'd also lost my cousin, who was, in fact, my cousin I lost in 2014 in December, she had leukemia and had her treatment at the Donald Gordon, Hospital as well. So with her, I had a, a very rough experience of cancer cause I was at the hospital every single day. I saw what she went through. In November, my concern was just my health. And, years we went through meetings with my, my boss and the other leadership team, and, I remember the first meeting after I came back from my operation, they had already started with the initial meetings with all the other staff, and when I came back, then they had a meeting with me, and, from that meeting, I made it very clear to them that I'm gonna take the package for health reasons. I explained to them what my doctor said, and they did accept that. So when the results eventually came back and there was no cancer, reality hit, then on the other side, that your living work was gonna happen. I remember I actually had applied for one position, and I was called for an interview, and I went for that interview, and I was like, if I get this job, maybe I should just get, take it or not. But something just kept telling me that you need the break. So after the interview, even before they came back with the results, I actually wrote an email to them and I told them, you know, I am taking a break, so please, rule me out for, for this position.
Why rest matters even when work is unfinished
Note (AI): Her core argument for regular rest, including the weekly rest-day idea she took from a priest.
Ntseiseng Lephole, guest · [20:42]Like I say, it wasn't something that I really planned, but then as I look back, I realized that I did a lot of reflection. I came out of it saying, I need to take care of myself more. Work is work. You can do whatever you can do, what you're able to do. But I also came to the realization that you can never, ever at work say you …
Read the full passage (328 words, 20:42–22:59)
Ntseiseng Lephole, guest · [20:42]Like I say, it wasn't something that I really planned, but then as I look back, I realized that I did a lot of reflection. I came out of it saying, I need to take care of myself more. Work is work. You can do whatever you can do, what you're able to do. But I also came to the realization that you can never, ever at work say you have finished. Something. There is always, always something. It's important that you get time to rest. Even if you haven't finished a project at work, just take a breather, do an introspection, reflect, and get back to it, after you, you have rested. There is just no point in waking yourself to your death, and at the end of it, then you're feeling so fatigued, so tired, and you don't even have the time to do the things that you, you want to do that will make you come back refreshed, you are putting them aside. So having time for self, it's very important. In fact, last week, I was watching something on Instagram, and, the priest was saying, We put so much time on earthly things and wanting to do things and doing them right all the time, we never give ourselves time to rest. And, by the time we get time to rest, it's too late. Our bodies have taken the toll, and you may recover, but your body will never fully recover. And he said, you know, God, when he created earth, he worked for six days, and he rested for one day. Can we just practice that? If God could do that, why can we not do that? So tell yourself on Sundays, it's your rest day. You can work, even on Saturdays, yes, you do your personal stuff and everything, but Have time to rest. Do not go for a month, two months without resting, and then you're complaining how tired you are.
Relapse under workload, then recovery through balance
Note (AI): A turning point: long hours made her ill again; a normal-hours job, exercise and healthy eating restored her health.
Ntseiseng Lephole, guest · [24:38]And I moved to another organization. Oh my God, didn't I get busy? And, that's where then my thyroid started acting up again because it was in Pretoria. I live in Joburg. It was so busy that at times I would leave work at 10 PM, driving back to Joburg. What do you do when you get home at 11 PM? All you need to do is shower, get into …
Read the full passage (369 words, 24:38–27:21)
Ntseiseng Lephole, guest · [24:38]And I moved to another organization. Oh my God, didn't I get busy? And, that's where then my thyroid started acting up again because it was in Pretoria. I live in Joburg. It was so busy that at times I would leave work at 10 PM, driving back to Joburg. What do you do when you get home at 11 PM? All you need to do is shower, get into bed, and go to work the following day. And that's where I understood what my doctors meant when they said I need to manage my stress levels because I started getting sick. And my doctor kept saying to me, there is absolutely nothing I can do for you until you start managing your stress levels. I can give you all the medication I can, but if you don't manage your stress levels, There's nothing that I can do for you. And the moment that I managed that stress, I got another job and moved back to Joburg. I was weighing over a hundred Ks. My feet were swollen all the time. My iron deficiency was bad. magnesium, calcium, every, every time I did bloods, everything was just low. And my thyroid was either hyper or hypo. When I moved back to Joburg, the job I got was, normal hours, hardly ever working overtime. And, I started finding time to go to the gym. I started going back to walking and hiking here and there. And by the end of, that was in 2019, by the end of that year, I had lost so much weight. overall, I lost more than 20 Ks from what I was weighing, and then I started to see my health improving again, and, I was also eating healthy. I've never been a diet person going on diets. I was just eating healthy, and everyone complimented me. I started glowing. My skin went back to the smooth skin that it used to be, and I've never turned back. I started running in 2019 for the first time ever in my life. I don't do marathons, but I run like 3.5 to 5 Ks every day, and I've gone back to hiking. it's It's just amazing.
Keeping the sabbatical mindset through journaling
Note (AI): Describes her practical daily routine of multiple journals, mindfulness during the day and pausing when stuck at work.
Ntseiseng Lephole, guest · [31:27]You know, I have created a routine on things like meditation, journaling, things that after our executive MBA program, I'm sure all of us, we thought this is how we're going to do our lives. But, along the way, they fall off. you get home in the evening, you're tired, and you're like, no, I can skip a day without journaling. And then it becomes two days before you know …
Read the full passage (393 words, 31:27–34:05)
Ntseiseng Lephole, guest · [31:27]You know, I have created a routine on things like meditation, journaling, things that after our executive MBA program, I'm sure all of us, we thought this is how we're going to do our lives. But, along the way, they fall off. you get home in the evening, you're tired, and you're like, no, I can skip a day without journaling. And then it becomes two days before you know it, you have stopped. And I went through that. And, when I went to, so I did my Camino in Spain. When I went to Spain, I told myself, I'm going to spend that whole week journaling my everyday experience of my work every day. And, I created a theme for each day. And I did that, and I did meditation, and I came back, and I consciously told myself, I'm not gonna stop. I actually ended up buying so many journals. Yeah, I have a journal for my spiritual life, I have a journal for work, I have a journal for my normal day, and then I have a, a, a journal that has, mostly where you can color in and all of that. So either way, between the four or the five journals that I have, I have to at least once a day journal on any of them something that happens. And I realized that it becomes easier if you become conscious throughout the day on things that happen around you. Then in the evening, you're looking forward. To actually then say, I remember this happened, I'm going to write about it. Oh, it's spiritual because I felt God was talking to me. Then I go to my spiritual journal and I, I write about that. Oh, I met this very nice stranger and this person said this to me, you know, and then you go to your gratitude journal or whatever. So I have found that it's best or it's better to not just go through the day and just be swallowed up in the things that are happening, but become conscious of things that are happening. Taking a pause at times, and, if you are stuck at work, with a report that you are doing, just take a pause, go to the bathroom, look at yourself in the mirror, and just say to yourself, I'm still good enough.
How a referral uncovered her thyroid condition
Note (AI): Her story of how a specialist's full check found the thyroid condition, and her advice to use breaks for health checks.
Ntseiseng Lephole, guest · [34:13]You know, seeing that I took my break for health reasons, I would say it's very important for people that as you are taking care of all your other aspects of life, take care of your health aspect of life, as well. It's very important. Those annual checkups are important. I didn't know that I had a thyroid until my aunt that I said had a cancer passed on. She …
Read the full passage (452 words, 34:13–37:22)
Ntseiseng Lephole, guest · [34:13]You know, seeing that I took my break for health reasons, I would say it's very important for people that as you are taking care of all your other aspects of life, take care of your health aspect of life, as well. It's very important. Those annual checkups are important. I didn't know that I had a thyroid until my aunt that I said had a cancer passed on. She passed on in April 2013, and then around June, I went to my GP, and I said to my GP, I've told you about the history of cancer in my family. I've just lost my aunt to cancer, and, at that time, I was suffering from lots of migraines for years. I had even gone to the head clinic and I didn't get help. My gynae had suggested, that I put them in renal loop, and, I'm one person, I don't want anything foreign in my body, and I refused, but my migraines were hormonal. They will come at the end of my periods. And when my aunt passed on, her cancer was called R&B for short, I can't pronounce the full name, but it was, on the nerves next to the brain. And that's when I went to my GP and asked my GP to refer me to a specialist, and, he didn't hesitate. He referred me to a neurologist who then did the EEG, sent me for, MRI, and, they actually picked that I have lesions on my brain, that is my other risk cancer that I'm living with. And then This lady decided that she's gonna admit me in hospital to investigate those lesions further, but then she's also going to invite a whole lot of specialists so that they can have a full check on my body. And that's how my thyroid was discovered. had she not done that, had she ac- admitted me in hospital and just, invited a neurosurgeon, I wouldn't, probably I would be dead. The thyroid would have killed me. So it's very important to Manage your life holistically. Right now, even though, as I say, I'm at risk of cancer and cancers, I know which cancers I'm at risk of, and my doctors are on alert on those. They know the things that they need to check. I didn't know that, acid reflux, if it goes untreated, it can cause stomach cancer until I was under the hands of my doctors. So yeah, I would say it's important to take care of self and self holistically. So when you take those breaks, fit in a full body check during those breaks, that you are to make sure that health-wise you are still okay.
Quotes
“It's like you have a guardian whispering in your ear all the time that, remember, you need to do this.”
“I would wake up Monday morning, and I would already be looking forward to Saturday,”
“It's amazing how it's almost like your body has to tell you that you need a break, and then you listen to it.”
“There is just no point in waking yourself to your death,”
“he worked for six days, and he rested for one day. Can we just practice that? If God could do that, why can we not do that?”
“It's like you're not going to be on your deathbed and wish you'd done more meetings or more Teams calls.”
“I can give you all the medication I can, but if you don't manage your stress levels, There's nothing that I can do for you.”
“And I was like, so I can finish a cup of coffee without sugar.”
“So my next break, it's going to be doing the full Camino.”
“look at yourself in the mirror, and just say to yourself, I'm still good enough.”
What was said, by topic
Returning to work
“I work with international NGOs, and, the last NGO that I worked with, the project closed at the end of March.”
“Going back into work as well, I realized how fresh I was, and how then I would come up with all these fresh ideas.”
“besides feeling that I was, being disskilled, I also felt I have too much time on my hands. And I actually stayed in that organization for six months. I left because I didn't feel busy enough.”
“It was so busy that at times I would leave work at 10 PM, driving back to Joburg. What do you do when you get home at 11 PM?”
“I think it's important that you bring those lessons into, if you re-enter the workplace again afterwards, to bring those lessons with you.”
Stress and thyroid health
“So from 2013, I was diagnosed with a very hyperactive, thyroid. Between 2013 and 2014, it wouldn't respond to medication.”
“It was so bad that at one point I begged my doctor to remove it. The thing had totally taken over my life, the fatigue, the headaches, I was just not in control of my body.”
“I saw from the beginning the benefit of just letting go and, managing the stress, because from the first dosage that my doctors put me on, it just stayed like that. they didn't have to change it after that.”
“there was a project that I was working on, and I had very tight, tight deadlines that, I had to do over nine, one hundred and ninety pages in less than a week. And I didn't sleep, and my body took that in.”
“And my doctor kept saying to me, there is absolutely nothing I can do for you until you start managing your stress levels.”
“overall, I lost more than 20 Ks from what I was weighing, and then I started to see my health improving again, and, I was also eating healthy.”
“So sometimes it's just things that will happen by mistake, but they are the right decisions you're making for your health.”
Career break for health
“there was also a brutal, restructuring, as you said earlier, at our organization, and, everyone literally had to apply for their jobs. And going into the operation, my doctors had already warned me that, after the operation, I need to manage my stress levels so that they can get me into the right dosage for my medication.”
“2015, I had also planned to study the master's in development finance with UCT. Once I started with my master's, I then realized that I actually do need a break.”
“I got a lot of questions about, are you sure you want to do this? What are you going to do? It's risky, you know, are you sure you don't want to have a job? There won't be medical aid, there won't be provident fund, what are you going to do?”
“my answer to them was, you know, I believe my health, it's more important, and, I'm just gonna take the advice from my doctors, and I'm going to study,”
“When, when the restructuring started, I, I knew because I'd already decided ten years ago I was going to do this. so I had a bit of time to prepare and, and people were also very, very shocked when I left.”
“So after the interview, even before they came back with the results, I actually wrote an email to them and I told them, you know, I am taking a break, so please, rule me out for, for this position.”
“the studies helped a lot because then I was busy with something. I felt that way something keeping me busy, rather than now saying I'm recovering, what do I now do with my life while I'm recovering?”
“You know, I am a risk-averse person, and, I was very proud of myself that I made that decision, and I took the risk of not having a regular income coming in every month.”
Reflection and self-care
“I actually learned that sometimes it's important to make decisions that are right for you. And, when those decisions are right for you, you will know, because there's a nagging thing within you that keeps telling you that you're making the right decision.”
“I wish I could have read more, and explored nature more. I love nature. I love being around nature, but I, I wish I could have taken more walks.”
“I went back to my youth years and the years that I started working and thought a lot about the things that I used to enjoy doing. After that, I actually just wanted to go back into those things, like hiking.”
“But I also came to the realization that you can never, ever at work say you have finished. Something. There is always, always something. It's important that you get time to rest.”
“Even if you haven't finished a project at work, just take a breather, do an introspection, reflect, and get back to it, after you, you have rested.”
“So tell yourself on Sundays, it's your rest day. You can work, even on Saturdays, yes, you do your personal stuff and everything, but Have time to rest. Do not go for a month, two months without resting, and then you're complaining how tired you are.”
“I started running in 2019 for the first time ever in my life. I don't do marathons, but I run like 3.5 to 5 Ks every day, and I've gone back to hiking.”
“One, I realized when I got, started doing the walk that I had not mourned my mother, and that week that I spent working, that was the week that I mourned my mother.”
Journaling and meditation routine
“Yeah, I have a journal for my spiritual life, I have a journal for work, I have a journal for my normal day, and then I have a, a, a journal that has, mostly where you can color in and all of that.”
“I have found that it's best or it's better to not just go through the day and just be swallowed up in the things that are happening, but become conscious of things that are happening.”
“if you are stuck at work, with a report that you are doing, just take a pause, go to the bathroom, look at yourself in the mirror, and just say to yourself, I'm still good enough.”
Preventive health checks
“it's very important for people that as you are taking care of all your other aspects of life, take care of your health aspect of life, as well. It's very important. Those annual checkups are important.”
“He referred me to a neurologist who then did the EEG, sent me for, MRI, and, they actually picked that I have lesions on my brain, that is my other risk cancer that I'm living with.”
“So when you take those breaks, fit in a full body check during those breaks, that you are to make sure that health-wise you are still okay.”
Episode notes (as published)
From the episode notes published with the podcast.
Health First: The Power of taking a Career Break for Self-Care. Episode 4 of a series of podcasts on taking conscious breaks from work. In this episode, Petro du Pisani speaks to Ntseiseng Lephole about her experience of taking a career break to focus on health issues and to further her studies. Ntseiseng highlights the importance of self-care, reflection, and finding a work-life balance. She emphasizes the need to listen to one's body and prioritize health over work demands. After her break, Ntseiseng returned to the workforce but faced challenges in managing stress levels again. She eventually found a better balance by incorporating healthy habits like exercise, journaling, and meditation into her routine. The conversation underscores the value of taking breaks for personal growth, rejuvenation, and reassessing priorities. More about Petro du Pisani and On Change here · Connect with Petro · Solid Gold Podcasts · Solid Gold Podcasts
Every quotation and passage on this page is copied word for word from the episode audio transcript and linked to the moment it was said. Quotations are never written or altered by AI; topic labels, passage notes and the episode analysis are AI-generated. Guest details come from the published episode notes or the guest's own words.
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