A card in the middle position indicates what is affecting your question at this time.
Meaning: It seems obvious that you have taken on too much; you are overstretched and, in a manner, a prisoner to your own successes and sense of responsibility. But remember that with responsibility one needs to master the ability to respond to situations in a manner that prevents them from overwhelming us. This card is a warning that your hard work, whilst paying off, possibly abundantly, is leaving its mark on your face, on your wrinkles, on your blood pressure! You are no doubt incredibly stressed.
You need to delegate, prioritize, and realize that your achievements should be for your benefit, not for the sole reason that it makes you look good.
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