I always feel like I lose the trail. I barely ever even take lunch. I recently moved to a tech lead role and I barely have time to look at actual code. I still feel like taking time off is hard because I have to keep constant track of everything or I will completely lose the thread of everything that's going on.
I did get Friday off to drive back home from a working vacation. It felt great. The vacation was stressful as hell because I had family stuff and work stuff intermingled. I literally was in my car fixing an issue with a deployment one minute, boarding an airboat to look at alligators the next, and an hour later I'm in a forgettable meeting in the back seat of the car as someone else drives home.
It wasn't ideal but the vacation was booked before I had to change jobs and I went from being forced to take that week off to having to cover for 80% of my team. I'm definitely getting too old for this shit, but I enjoy it.