Hi Linda, first of all your posts are showing up, even #21, are you seeing them now.
As for sleeping, I too use a fan, actually I use two of them. When I go to bed I have a ear plug the is plugged into my radio, I fall asleep listening to a talk radio station, but music would be fine to. Sleeping for me has not been a real problem, I am retired so I stay up until I can't keep my eyes open any longer. If you are working then that is not a good idea if you have to get up early.
I read that Remeron can make you feel groggy, I guess that's why you take it for sleep. I would call or see the ENT and tell him you need something to help you to sleep. This way you can take the Remeron as prescribed.
Thinking about your T and the hissing is very hard to deal with when you first get it. I was on an emotional roller coaster when I first got it, I would have 7 or 8 really bad hissing day's, then it would be a mild hissing for 4 or 5 days, then back up to the loud hissing. I still get it that way, but have learned to deal with it a lot better.
You will eventually read stories of others here that have the exact same feelings as you do. Read through the support forum as well as " introduce yourself" forum and you will get a feel for this site and some relief.
To add a picture or avatar as some call it, go to forums, then click on Announcements & Feedback, go down about the 9th post and you will see a post about how to create an avatar/picture. There is some other good information there too. I asked a few question there myself.....