I teach middle school math, and have found that my administrators are very understanding. I was in the midst of getting my education to teach when I was diagnosed with POTS, and I specifically remember my neruologist telling me that it wasn't a great idea for me because of POTS. I am pretty stubborn, and I had wanted to teach all of my life, so I was determined to give it a go. I am definitely able to make it work (at least for now). Teaching is no longer the "stand in front of the class and drone on" type of job as it used to be so I get to sit with students in small groups for most of the class period. When I need to revolve around the room and I'm having POTS problems I just scoot around in my rolly chair. My room is an old science lab so I have a great high lab table in the front of the room with a high stool when I need to give direct instruction or demonstrate the use of mathematical models. In addition, technology has allowed for the use of document cameras to demonstrate math procedures, which allows me to skip standing at a chalkboard (my students actually prefer the document camera because the teacher's body doesn't block the view from certain classroom locations). In the winter I will wear compression stockings because I find them to be rather helpful. I do come home most nights quite exhausted because standing can't be avoided altogether and the pace can be quite hectic, so I tend to go to bed much earlier than "normal" folks. I also get up much earlier to allow my body a nice "acclaimation" period (I'm sure you all know what I am talking about), but I think of it as my "me" time. I get to watch my favorite shows that were DVR'd the night before and enjoy some coffee before making my body do what it doesn't want to do. Teachers also get to bring work home with them (not all, but a good bit), so that is helpful with respect to the work/family balance when you tend to be spent just from working. I don't want to make it sound like it is all roses, sunshine, and fantastic for a POTSIE.... Unfortunately, during the school year, the hours that I put in vary from 50-80 hours per week (including work done at home), so there isn't much of a life outside of work. From the beginning of the school year through winter break the hours are the longest, and after winter break it seems to ease up a bit. The upside is that about every 3 months you get a nice break (still doing work at home, but more in the couple of hours per day range), and outside of preparing for the next year and attending professional confrerences, the summer is a wonderful time to feel "normal" because I can meet up with friends for a few hours and not have to worry about paying a horrible price later because I can go right back home and lay down if needed.