I was a government executive public relations manager until age 64 when I was injured walking to a meeting at our capital building with elected officials. I was off work for 3 months followed by 6 months of rehab several times per week. My job required me to regularly attend high profile in-person meetings and the capitol building had limited handicap access. I developed MG symptoms 3 days after returning to work at the same classification and pay but was reassigned to a 3 year project. I was diagnosed with MG a month later at a neuromuscular clinic in a nearby research university. Due to MG, I didn’t have the stamina anymore to do senior manager work 10-12 hours a day. Worst of all was the open office environment with a constant roar of talking, noise and catching every virus circulating from the 200 people in the project room. When the pandemic mandated remote work, I was much more productive as I gained an extra hour of sleep in place of commuting and had more flexibility in managing my health and energy levels. My MG has been stable since. I just retired at age 67. I am so thankful that my employer didn’t make me stay in the same job and allowed me to work remotely for the last two years. But the executive team did try to force all senior managers back into the open office setting in the summer of 2021 during the 4th wave of the pandemic but my neurologist provided a letter stating it was unsafe due to my medical condition. My plan had been to do pro bono public relations work for a couple of charitable organizations after I retired but I find I no longer have the mental and physical energy required, and I’m a hermit due to being on immune suppressants.