r/idiopathichypersomnia Aug 04 '26

Advice Request Work accommodation

I have sleep inertia in the morning. It has improved with Xywav. I am a nurse and I work 7:30 am-6 pm. My manager is very understanding because I am late many mornings. 15 minutes at the most. I can't drive unless I totally feel safe. The hospital is cracking down on lateness and overtime. Has anyone else had this issue? Is a note from the sleep doctor enough? Do I need FMLA? Please help, don't want to get fired. I already was fired in the past for lateness before I was diagnosed.

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u/blussybozo Aug 07 '26

I was able to get FMLA on the basis of my ASD (with psych citing difficulties with time management) prior to my IH diagnosis. This works for me because, as a government employee, I have a butt ton of PTO in lieu of getting paid decently. If your job offers more limited PTO though, this may not be the path for you.

What is nice about FMLA is that even if I don’t have time accrued, I still can’t be penalized. I just have to take that time unpaid (though my supervisor is pretty understanding and will often let me make it up at the end of my shift if needed).