I don't think anybody is saying to "come clean" to anybody at work. I think we're just saying, explain your situation to your doctor - tell your doctor you need the least disruption to your life right now as possible. And figure out afresh what you need to do to accomplish this. Cuz it sounds like you are going down the tubes. You don't sound good, dude. I mean, not like you're gonna crash tomorrow, but you're not headed in a good direction. A lot of us have been there and we can see the signs. You said you weren't gonna argue with our advice, but you're not hearing it either.