Make a Public "Insane Effort" Upon Occasion;
Consider It to Be an "Extreme Weapon" in your Success Arsenal
When an issue is of the utmost importance and at a standstill or in freefall, proactively look for an opportunity to "make a statement" through a gesture that indicates great pain and engagement and urgency on your part. Often, this comes in the form of "5,000 miles for a 5-minute audience" with a key participant.
(Is this Machiavellian? Sure, to some extent—but the fact is that you actually must care to do this. The "insane gesture" simply acts as proof that you'll go to any length to make progress.)