The way paid time off works in WA is that it goes into a fund that you get paid out of for missing work. So, a minimum of one hour of wages gets added to the pot for every full week of work.

I go to therapy weekly, so I can choose to either take my PTO to cover the hour I miss each week, or I can choose to save it for when I actually get sick. Hypothetically, I could also save it for a vacation, but I’m not bougie enough to take a vacation.