Major Update: I will be allowed to telecommute one day out of the week for a couple of weeks to work out the kinks in the plan and then I will be allowed to work from home TWO DAYS out of the week. See. The squeaky wheel does the get grease!!!! In my situation (I'm not recommending this for everyone), I didn't need to pull out the ADA card or consult a lawyer to get what I wanted. I didn't even have to use my rheumy's sucky letter. I talked to the CFO in a non-threatening way. I told the CFO that I needed to speak with her about my health and clear up some serious mis-communication about fibro and how it affects my ability to work. The CFO has rheumatoid arthritis. So I told her, like with your condition, you can come into work sick as a dog, perform somewhat normally, and not "look sick." I explained that I have come into work for months now without having slept at all. I don't know what happened since I last spoke with my supervisor about this situation, but SHE went into the CFO's office this afternoon and talked to her about my telecommuting (I would have killed to be a fly on that wall). I don't know if she read over the ADA information I gave her or if she saw me walking (and I use that term loosely) around like a 90-year-old woman and realized that I'm not pretending. It doesn't matter. I got what I needed. Patience is a virtue, although it isn't a quality I've necessarily cultivated. But I do have rabid determination and persistence. Like I've said before, you have to know how to pick and choose your battles. To me, this was one worth fighting for...my own way.