u/AdventurousAsh19

I have a weird conundrum and I'm not sure if this is the best place to even ask.

I work/live in CT and am moving to NV in June for family reasons. My company has an office in Nevada and does business out of there. My contract has me in a hybrid position but I got an accommodation to work completely remote(my team works out of two separate states and neither of those states are CT or NV).

I asked my manager just before April about moving and keeping my job. He was fine with it. His bosses were also fine with it. End of April, they took it to HR and got shotdown by CEO mandates(hiring freeze along with only allowing people to relocate to a specific state unless there is a "business reason to move the position anywhere else").

I assumed that meant the company was letting me go in June. Instead HR told me today that I would have to submit a formal resignation since "there is work available for you in CT". Should I go ahead and resign? Any legal standing not to?

I'm thinking I'm better off resigning but I've always read to never willingly resign.

I’ve been using my CPAP consistently for a week now. I set my own pressures to 6-10 to start, ESR 3, temp 70, humidity 4, have had no issues with mouth breathing, a little bit of minor leaks in the mask that took some adjustments. I have 0.0 Total AI with the Average pressure on my machine at 6.8. But every night when I turn it on it hurts. I have had costochondritis in the past associated with Ankylosing Spondylitis. That’s what it feel likes, pain in those tiny joints around the sternum, then on top of that my throat hurts. It feels like my airway hurts. It stays sore throughout the day and hurts more when I use the CPAP.

I have tried lowering my minimum pressure to 5 but could not tolerate it (could not get enough air). Upping humidity caused rainout. My doctor suggested using a 7 constant pressure and I tried that last night. It hurt even more when I tried to breathe out. It did feel like I was swallowing air when I was at 7 too. I lasted for a couple hours before waking up from pain and unable to sleep, then switched it back to 6-10. To top it off, if I try to fall asleep without the CPAP I wake up gasping for air every half hour(which never happened before, my guess is my body got used to actually getting oxygen and is now easily panicking when I stop breathing).

For background I also have PTSD, ASD, and ADHD. My sleep apnea is barely on the moderate side but during rem it can jump up to 40 events per hour.

Any advice would be amazing. It feels like trying to solve my nightmares keeps landing me in worse positions than when I started.

Hi!

I'm nonbinary AFAB and have 0 interest on being on testosterone. But many insurance providers in the US are idiots(like we all know), and require a year of testosterone. Metodioplasty and what happens to the clit on testosterone plus the extra body hair is just not what I want. My ideal genitals would be a phallus along with what I have now. I know from a surgical standpoint this is fairly easy to achieve (I don't want UL due to the complication rates), but getting insurance to cover such a procedure is an entirely other moster.

Has anyone gotten around the 1 year requirement? Like just filling a testosterone script for a year? Or being on such a low dose it doesn't make any changes?

My job is shuffling next month and I don't know what insurance I will end up with. So any tips on insurance providers that actually follow WPATH standard of care would be amazing.

Normal night of sleep for me is moving around like crazy, night terrors(had them since I was a child), sleep talking, sleep walking, and always sleeping on my side. No snoring, no gasping for air, no struggling to breath. Not even daytime sleepiness usually.

During my sleep study, I could only fall asleep on my back(something I can never do at home), 0 movement, and repeated nightmare of unable to breathe with people standing over me (consistent with sleep apnea). I only fell asleep like three times for four hours total. It took me five days of sleeping at home before I fully recovered.

I had my followup with my doctor today and the APRN was trying to convince me that the high number of REM events that happened on the sleep study was happening everynight, I tried to explain for the above reasons that it might be sleep apnea but it was not as severe as the study said, but she wouldn't listen at all. I eventually just gave up trying to explain it.

I'm also frustrated because I didn't get any other sleep disorder diagnosis as they are blaming it all on the sleep apnea. Vs a parasomnia sleep disorder. In all honesty I think it's both. I also have PTSD which can cause bad sleep too, but the PTSD came when I was a bit older and I've been sleepwalking since I was a kid.

I'd like to hear other peoples experiences, if other people have more than just sleep apnea. Thoughts on trying to bring up concerns again or how to word it to get doctor to consider it? Repeated sleep study seems like a waste of $800(that was with insurance).