Thank you all for your suggestions. I am having a sleep study done next week to see if I'm getting recuperative sleep - which I'm sure all of you know is critical for MG patients. I will also speak to an attorney today about disability. I'm just tapped out and near tears most days. What a frustrating disease - and one that is difficult to explain to people who have never heard of it (including my employer). I'm trying to figure out the best way to tell him without it sounding like I'm trying to get away with doing less work.