Hi, Leki
They've pretty much said what needs to be said, but I just wanted to share something my psychiatrist told me, that may or may not help you out. It's helped me some, but at first I was a little dumbfounded to realize What I'd been doing. What she told me was, "You're probably going to end up making sacrifices either way, so why should the sacrifice be yourself?". Don't misconstrue that as me telling you to up and quit. Ultimately you have to decide how important the appointment is, and how important the job is. Then give priority to whatever you feel is most important. If you do stay, as Laura said, there exsist alternative options. Just look into what is available to you, that will probably help in your decision making. Do what needs to be done, and don't regret your choice. Life is too short for regrets.
Hugs,
Maddy