Coming back to the UK after an intensive, three-day consulting trip, I was on the edge of a panic attack. For a few seconds, I had a vivid “day-mare” of myself in the hospital, surrounded by doctors, with no way to cope or communicate coherently. As the vision passed, I became aware, for the first time in a long time, of a great heaviness and tiredness in my body. I realized – with some surprise – that I was burned out.