Go to HR and tell them that you require a reasonable accommodation for your fibromyalgia.
At that point they have a legal obligation (at least in US washington state) to make a good faith effort to accommodate you. At that point it is a negotiation. You state what you need (ability to take PTO when in pain) and they state how they can accommodate that or have to prove that it is an “undue hardship” not to. Burden of proof is on them and they are legally obligated.
your supervisor is probably already in a bad spot legally, but might not know it. It’s HR’s job to know employment law so I suspect they will react differently. The end result will be a legal document which is an agreement between you and the company stating how the company will accommodate you. That agreement will follow you from supervisor to supervisor and failure to abide by it is a legal liability.
Also the moment you talk to HR about this any negative action towards you (like, god forbid, firing you) makes the company liable to be sued for illegal retaliation.
Agreed about talking to an employment lawyer if you can. Or at least doing some research on reasonable accommodation law to check that the above is all still true in your area of the world.
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