He woke up early started to write trying to be normal. Keeping up with his work load get back on track with his pad work. Waiting on the transplant made him anxious. He was tired of arguing and waiting around so he took up more to keep from over thinking.
Speaking up last year was humiliating being placed on the back burner. Treated like a liability was insulting. He's one of the best workers but felt discredited his health condition didn't slow down his effort.
He took charge because he was tired of waiting around. He was the one that got things done pursuing his goals and dreams working in private behind the scenes onto of everything he's already doing.