GLENN Roeder's collapse after West Ham's game on Monday was the latest indication of the stress football managers work under, and Burnley boss Stan Ternent admitted: "I am not surprised."
The latest news on the former Burnley assistant manager suggests he had some form of stroke, with medical experts linking the problem to high blood pressure and stress.
It was only a couple of years ago that Ternent himself was rushed into hospital with a suspected heart attack at the end of the season.
"As with Glenn they whisked me into hospital and checked me for a heart problem first," he explained. "It turned out to be an ulcer but anyone who saw the programme when Big Sam (Allardyce) was wired up last season will know all about the stress managers are under."
Such is its concern about the health of their members, the League Managers' Association allows bosses to have regular and comprehensive health checks to try and detect any signs that a problem might be round the corner.
"I have to go down to the BUPA hospital near Manchester where they carry out all sorts of tests to monitor my health," added Ternent. "We are given lots of advice about what not to eat, what to eat, what exercise to do."
With so many managers losing their jobs, the dividing line between success and failure can be a very thin one and Roeder has spent all season battling relegation in the knowledge that if West Ham go down it could not only cost him his job, it could ruin the club for the foreseeable future.
Much has been said about how the job can be made less stressful but for Ternent there is only one solution, and it is not one he is planning on as he said: "You can just pack it in and take it easy."
The stress is all the greater because managers invariably have families around them.
"You try not to let them see it," admitted Ternent. "You do your best to hide the strain from them but then something like this happens to someone like Glenn and they are made aware of the pressure.
"I know Glenn reasonably well although he had obviously left Turf Moor before I became manager and I obviously wish him well, I am sure he will be okay."
Ex-Claret Paul Gascoigne, the godfather of one of Roeder's three children, is another to have sent best wishes to the Hammers boss.
Meanwhile the Burnley boss is having to check on his injured players as he prepares for the last home game of the season when Sheffield Wednesday visit Turf Moor on Saturday.
Following the match at the City Ground on Monday, Drissa Diallo has admitted he is out for the season with his latest hamstring injury while Dimitri Papadopoulos limped away with a recurrence of his hip injury.
They joined Paul Cook, Alan Moore, Paul Weller, Tony Grant, Dean West and Ian Cox on the injured list.
Comments: Our rules
We want our comments to be a lively and valuable part of our community - a place where readers can debate and engage with the most important local issues. The ability to comment on our stories is a privilege, not a right, however, and that privilege may be withdrawn if it is abused or misused.
Please report any comments that break our rules.
Read the rules hereComments are closed on this article