Journal Entry - The Weight of Knowing
The emotional cost of seeing what others choose to ignore.
There is a particular kind of exhaustion that comes from carrying knowledge you wish you didn’t have. It isn’t the exhaustion of being busy or overworked, nor is it the exhaustion that comes from grief or loss, though it shares something with both. It is the fatigue that settles into your bones when you know something important is being ignored, dismissed, or deliberately misrepresented, and you feel powerless to make others see it.
I have learned that knowledge can be heavy.
People often speak about knowledge as if it is always empowering, as though discovering the truth automatically brings freedom or peace. Sometimes it does, but sometimes knowledge becomes a burden that sits quietly in the corner of your mind, asking impossible questions and refusing to let you rest.
What do you do when the evidence in front of you tells a different story from the one being repeated by governments, institutions, experts, and media outlets? What do you do when the data says one thing but public messaging says another, and when you can see contradictions that others either cannot see or refuse to acknowledge?
You carry it, and carrying it changes you.
I think people underestimate the emotional cost of this kind of awareness because they imagine that advocacy is driven entirely by passion or anger, but they rarely see the anxiety that comes with it. They do not see the sleepless nights spent rereading reports and checking statistics because you are terrified that you might have made a mistake. They do not see the constant questioning of your own perceptions and the endless cycle of asking yourself whether you have missed something or whether everyone else knows something you do not.
Then you go back to the evidence and realise, once again, that the facts have not changed. The numbers are still there, the contradictions are still there, the omissions are still there, and the silence is still there. That is the moment when the weight returns.
There is something deeply unsettling about feeling as though you are living in two realities at once. In one reality, the evidence exists in plain sight, and in the other, it is ignored because it is inconvenient, politically difficult, or incompatible with an established narrative. Living in that tension can slowly erode your peace and create a kind of moral fatigue that makes you question whether truth actually matters and whether evidence is enough.
You begin to wonder why some data receives endless attention while other findings are quietly buried, revised, or left unmentioned, and if you care deeply about the consequences of those decisions, the emotional burden becomes even heavier because this is never just about statistics.
Behind every number are people.
Some people smoke, people who are trying to quit, people who are struggling, and people whose lives may be improved or harmed by policies built upon selective interpretations of evidence. Knowing that makes it impossible to simply walk away.
There have been moments when I have wanted to switch it all off, to stop reading the studies, to stop analysing reports, and to stop noticing every inconsistency and contradiction because there is a strange kind of peace in ignorance. I sometimes envy people who can read a headline, accept it at face value, and move on with their day.
I cannot.
Once you see something, you cannot unsee it, and once you recognise patterns of omission or misrepresentation, they become impossible to ignore. The mind keeps returning to them, the questions keep coming, and the responsibility remains.
With that responsibility comes anxiety. There is anxiety in wondering whether anyone is listening, anxiety in knowing that speaking up may change nothing, anxiety in feeling perpetually outnumbered, and anxiety in watching narratives become entrenched despite evidence that challenges them.
Some days, that anxiety turns into sadness. Some days it turns into anger. Some days it simply becomes exhaustion, the kind of exhaustion that comes from shouting into the wind.
I think this is one of the hidden mental health consequences of advocacy and public engagement because people see the posts and articles and they see the arguments and rebuttals, but they do not see the emotional labour that happens behind the scenes. They do not see the constant sense of responsibility, the feeling that if you stop speaking, something important may go unchallenged, or the fear that silence can become a form of complicity.
That is a heavy thing to carry.
But there is another side to this burden because the weight of knowing also means that hope still exists. If I truly believed that truth did not matter, I would have stopped a long time ago, and if I believed that evidence could never change minds, I would have walked away.
The reason I keep going is that I still believe that facts matter, that honesty matters, and that eventually people ask questions. Narratives change, evidence accumulates, and silence breaks because history is full of examples where once inconvenient truths eventually became impossible to ignore.
Hope, I have discovered, is not the absence of frustration or despair. Hope is choosing to continue carrying the weight anyway. It is deciding that even if your voice is small, it is still worth using, and it is believing that truth deserves witnesses.
Some days the burden feels unbearable, and some days I wonder whether knowing less would make life easier. Perhaps it would, but I also know this: I would rather carry the weight of knowing than the comfort of looking away.
Because once you understand that real people can be affected by misinformation, omissions, or selective narratives, indifference is no longer an option.
The weight is heavy, but so is conscience, and some burdens are worth carrying.



This resonates deeply. Anyone involved in public health, research, or advocacy knows how challenging it can be to navigate the space between evidence and “accepted narratives”. Your reflection reminds us that persistence is sustained not only by facts, but also by conscience and hope.
This very much resonates with me.
Sadly it is triggered in the main by seeing 👀 albo or bumlet multiplying their ridiculous efforts at stopping nicotine consumption. So much revenue lost, buildings bombed, life/lives lost, insane $$$s wasted on abf and state police.
And then the next article I read on X or fb tells me that USA or, England or whoever is doing the prohibition route? Since the Tommy gun days of your namesake we have known it doesn't work!!