After my wife's review was less than stellar, she decided that she has been pushing herself for all the wrong reasons.
So, she's gone on Short Term Disability with probable long term.
Her back pain has been bad for quite some time, and other problems have been coming up. So far, the dreaded C hasn't been back, but always a worry. She has a MRI in a couple weeks to recheck some stuff and we'll be seeing how her back goes with out the stress.
(Oh, and in her department, every one of the people in my wife's department, got reamed for one thing or the other. And they're all being set to compete against each other. )