I am office manager for 5 medical practices. I have been here for 17 years. I credential, do payroll, pay bills, talk to patients, oversee billing and collections and lots more. I interact with all insurances. Lately I wake up in the middle of the night and going over all I have to do (no assistant) and who to call and etc. It is affecting my sleep. I can t go back to sleep and get up early. I also am experiencing a pain in the ulcer area (started Protonix last 3 days and seems to help). I feel stressed. I work full time. I am on call 24/7 as there is always a problem with one of the buildings, someone can t make it in to work, heat problems and on and on. I have high blood pressure (take meds for it and have it under control). Am I burning out???? Pam