Cognitive Dissonance Has a Physical Sensation My recent fascination with myokines has made me much more aware that skeletal muscles performing hard work signals for beneficial adaptations in all of the tissues of the body. The brain and nervous system are no exception. In the recent past, I have become much more aware of this fact. In my professional life as an emergency physician, the recent years have heralded an almost exponential increase in the stressors faced by emergency physicians. At baseline, it is amongst the most cognitively demanding landscapes imaginable. High stakes situations present without warning and many times…