1 man IT shops…

In many discussions, I keep reading about 1 man IT shops with hundreds of users and dozens or so servers.. How do you do it? Does any trivial tasks or documentation get done at all? How far behind do you get with software patches, hardware fixes, pc rebuilds, user complaints, inventory, etc.. etc..?

I’m 1 of 3 tech guys of a company with 12 locations, 250 users, and 16 servers… and we are thinking about adding a 4th. Is there a secret portal of efficiency that I have yet to discover?