This answer was simplified by a lot from the original one.
Consider a relation defined as follows: $x \sim y$ if $x > y$, or $y = x + 2^{m}$ for some $m\in\mathbb{Z}$.
The idea is that the first part of the definition will force the function to be strictly increasing, the second part constrains what the values of $f(x+2^m)$ might be in terms of $f(x)$. This then gives us a single sequence along which $f(x+2^m)$ converges to $f(x)$ and monotonicity then forces $f$ to be sequentially-continuous.
First, let's demonstrate that any function preserving this relation is strictly increasing. Assume $x > y$, if $f(x) \leq f(y)$ then we must have $f(y) = f(x) + 2^{m}$.
Pick $z$ such that $x>z>y$, then we have $f(x) \sim f(z) \sim f(y)$. There are uncountably many such $z$ so there must be uncountably many $z$ satisfying $f(x) > f(z)$, since otherwise we would have $f(z) = f(x) + 2^{m}$ for some $m(z)$. This implies $m(z_1) = m(z_2)$ for uncountably many pairs $z_1, z_2$. Since $f(z_1) \sim f(z_2)$ as well as $f(z_1) = f(z_2)$, we have a contradiction, as $a\sim a$ never holds for our relation.
We apply this same argument to all $z$ satisfying $f(x) > f(z)$, to establish $f(z) > f(y)$ for some $z$. Therefore, we have successfully shown $f(x) > f(y)$.
Next, let's demonstrate that any function preserving this relation is continuous. Since $x \sim x + 2^{m}$, we have $f(x) \sim f\left(x+2^{m}\right)$. As $f$ is strictly increasing, this can only occur if $f\left(x+2^{m}\right) = f(x) + 2^{k(m)}$. Therefore, $\lim_{m\to-\infty} f\left(x+2^{m}\right) = f(x)$, as $k(m)$ is strictly increasing. Consequently, $f$ being strictly increasing gives us right continuity.
Similarly, since $x - 2^{m}\sim x$, we have $f\left(x - 2^{m}\right) \sim f(x)$. Again, considering $f$ is strictly increasing, this can only occur if $f\left(x - 2^{m}\right) = f(x) - 2^{k(m)}$. Thus, $\lim_{m\to-\infty} f\left(x - 2^{m}\right) = f(x)$, since again $k(m)$ is strictly increasing. This leads to left continuity.
So we have shown that $f$ is continuous. Furthermore, $f(x) = 2^n x$ for any $n$ preserves this relation.