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Don't actually think Negreanu is that bad an example anyway. He might not play insane volume but he plays a fair amount and has amassed some pretty impressive winnings. I would also guess his run to 10th or whatever in last years main event and playing 12 hours + a day for a week would have taken a fair bit of mental stamina.
"burn out" is impossible for me, as poker is not a chore, or hard work, or anything like that - it's a hobby, where I have fun, so burn out is impossible.
"playing & grinding?".......well I play, but I don't "grind". I loathe the term, it has negative connotations. Plenty of humdrum jobs in life must be a "grind", life must be a grind for many, but poker can never be a grind for me - if it ever became a grind I'd snap quit. It's fun. "grinding" does not sound like fun to me.
I play the hours I feel comfy with - usually 4 or 5 hours per evening. If the games kept going longer (they don't in my preferred format) I'd play a lot longer, but that'd be a problem, as I like to get up between 5 & 6am every morning.
I was in Vegas recently, & I hope this does not sound chirpy, but some of the playing days there were extremely long. I made 5 Day Two's, including 3 x WSOP Day Two's, so that means Day One would be 14 hours or so, & then we started again at Midday or 2pm the next day. I played one little (by Vegas standards) Big O Comp that cost $240 (about £180) to enter, & it started at 2pm in the afternoon & we finished at 0630 the next morning. So that was 16 hours straight (minus breaks, but breaks are a pain & are not really breaks at all). And so those days were mentally exhausting, keeping concentration all that time, but adrenalin is a wonderful thing & hypes you up. And the next morning, when you are due to start again, the adrenalin hangover kicks in, & you feel a little flat. But it's abso not a grind, its why we play poker for days like that, surely? Not sure I've ever played any online sessions of even half that length, but "live" is so different, so interesting, so exciting.
Health issues? This sounds a bit bizarre, but I'm not a young man, & I'm not well-maintained, far from it. And I took the view that this might be my last ever Vegas trip, so I actually trained for it. I started trying to get fitter & lose weight on January 16th, & walked between 2 & 4 miles every single day until June 2nd, the day before I left for Vegas. (Over 300 miles in total). I lost almost 3 stone, & was in the best nick I'd been for years. And I genuinely believe that helped me have my most successful Vegas trip ever. So yes, it helps to be healthy if you plan to play a lot of lengthy poker sessions.
Live - a good chat
And in both cases a large dash of Rosiness