C J Campbell wrote:

If you have to start lying to the
AME about your medical condition, for example, then it is time.

Or if you keep postponing seeing a doctor about some problem you have because
you're afraid the diagnosis will disqualify you.

"Honest, honey, it's just a little gas."

George Patterson
A diplomat is a person who can tell you to go to hell in such a way that
you look forward to the trip.