My little sim girl worked in the science lab and had 3 promotions. She worked from 9:00am - 2:00pm and had time to go out after work and was still able to get max sleep and food. A pop up came to work for a medical career with a level for posistion and $73 an hour pay. Stupid old me thought this was awesome. The only problem is, my sim works from 8:00am to 7:00pm and is practically dead when she comes home. No wonder the difficulty level went from 1 to 3 x3
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Try going down to another job/level.
I'd say try to drink a bunch of coffee before work or at least try to go down a level for the job until she's ready.