[adepressedthrow]

> My two years at Google were spent perpetually stressed, acting as an unofficial PM, helping run meetings and document decisions while dealing with sometimes hostile colleagues.

This is the position I found myself in while working on a greenfield project for a FAANG company. Management structure either didn't exist (we didn't have a proper PM for nearly a year) or wasn't competent enough to take pressure off of the devs. It was so hard to fire bad hires and make good new ones that I was the _only_ dev contributing for a long time (then it became 2 devs, and he's still the only competent dev on the team to this day).

I think most of the time when you're in this scenario, the best option is just to quit. Most likely you as an individual won't make enough of a difference to fix the problems, and regardless, it's not worth your health. I eventually left and worked at a decent sized startup for ~8 months before completely burning out. I wasn't forced by a doctor to take leave, but I felt like I had no other choice, and I'm still not working a year later.

TL;DR: Be careful and cognizant of your brain and body. Don't try to run everything at your job, because it likely won't end up getting fixed and you'll just kill yourself.