(hollyscoop.com) - Can someone tell this woman to take a day off?! Madonna was photographed leaving the Kabbalah Centre with her kids last night in New York City looking like she's at deaths door. Madge is reportedly on the verge of a breakdown due to her intense tour training. She's also reportedly suffering from anemia and a knee injury. Sources close to the pop Queen say, "Madonna is doing less than OK. She has been rehearsing for the tour and she is totally miserable. She's down physically and mentally." Her entire face has caved in! That doesn't look normal--or healthy. Someone needs a vaca asap!