I don't know that anyone can answer the question about loving what you do vs. physical pain. It really isn't a bipolar question. Reading your post, it does seem as if you're a bit hypomanic, though. The best thing to do would be to get a psych evaluation. There are a lot of disorders that could cause you to be self-destructive if your focus on your work is an obsession. Then again, you could just be a really passionate person with lots of energy!
The "who am I?" question is one I think people over complicate. At least I do. I've decided that Popeye had the best answer to that question..."I am what I am." Hope that helps.
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Put the hammer down, keep it full speed ahead
Better not look back, or you might just wind up crying
You can keep it moving, if you don't look down" - B.B. King
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