That's pretty much how mine works as well. Once things start accumulating to the point where I don't even try to get it down for a few days (200+ messages), it

That's pretty much how mine works as well. Once things start accumulating to the point where I don't even try to get it down for a few days (200+ messages), it pretty much means that I'm not in control at the moment. Conversely, actually getting it down below 20 or so (even if it means saying: "I'm not even going to bother pretending that I'm going to follow up on most of these") it really helps to clear my mind and make me more effective.