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working relationship with your employer. Tell him/her upfront that you need time off due to medical reasons (here you don't have to be specific unless you feel comfortable doing so). State that you know (and it sounds like you are a very dedicated employee) you are leaving the company in dire straits, but unfortunately it can not be avoided.
If you can work from home, (limited hours/projects), bring that up to your employer that you are more than willing to to do that.
Good luck with what ever decision you make and which ever path this situation takes you. 
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