I was diagnosed with FM in 1994, and had a severe spinal injury which helped in my becoming disabled. I fought infections all the time, of the sinuses, skin, feet, and scalp. Nothing seemed to be able to totally clear them and I became more and more fatigued and the sleep disorder worsened and I gained weight. About a year and a half ago, it was discovered that my adrenals were suppressed and they thought it had suppressed my B lymphocytes and subset white cells, and I was treated with four IV Immune globulins. I improved slightly, and we thought that the problem was from the series of spinal injections which I had in the time leading up to that. However, I continued to deteriorate and had skin infections, fungal infections, yeast out the ying yang and bronchitis. Dr. Salvato once again did the B lymphocytes and they were all low, and no steroids were involved. She then did the stimulation test and my B lymphocytes did not move. We learned that I have primary immune deficiency, a genetic problem usually diagnosed in childhood or adolesence. I am 57 years old and had been an RN, an Advanced Nurse Practitioner and a Certified Registered Nurse Anesthetist with seventy hour weeks, stress, and one of the most demanding careers around, and was exposed to every disease known to man and yet I slogged my way through it for all those years until a serious injury and a sexual assault just made me deteriorate, become fatigued, disturbed my sleep, made me stiff, I suddenly couldn't tolerate the cold after working in 58 degree temperatures for years. I KNEW WHAT TO TELL THE DOCS AND HOW TO EXPLAIN THINGS and I had told them over and over that there had to be something in the labs that was being missed. Well, Dr. Salvato listened and did the tests and diagnosed me. I had seen world-renounced specialists in all kinds of fields and THEY ALL JUST FELL ON THEIR FACES. With the findings of the CDC about the genetic defects of CFS and Fibromyalgia patients I would urge all of you to have this checked. I know the FFC did not check them, when I saw them, and I know that none of the others did, either. They would look at the white count and say it was normal, and leave it at that. Without the subclasses, that MEANS NOTHING. I used to argue with surgeons about doing elective surgery on patients who had been on aspirin and or non-steroidal anti-inflammatories because they would take a platelet count and say, Look, it's normal. The only problem is that about three quarters of those platelets were not ready for duty, walking on two crutches, so to speak, and I would usually be proven correct and we would get into blood losses abnormal for the surgeries and end up having to give far more blood, fresh frozen plasma, and platelets to those patients, and the smug butt surgeons took years to finally admit that. THAT IS WHAT IS WRONG WITH AMERICAN MEDICINE, THE SMUG BUTTS WON'T LISTEN, AND THEY ARE KILLING US. I urge all of you to get a subclass, and if they are low, get the stimulation test and see if you can respond. WHEN YOU TELL A DOCTOR OR AN INSURANCE COMPANY THAT YOU HAVE PRIMARY IMMUNE DEFICIENCY, THEY WON'T GIVE YOU THE RUN AROUND. The tests are not that expensive and they are a blood test. BC & BS okayed TWELVE TREATMENTS FOR ME, at two week intervals, at $10,000 a whack, and you know that you are SICK WHEN THEY DO THAT. I do have CFS and fibromyalgia, but it is or was caused by the primary immune deficiency and I wonder how many of us have it. Believe me, NO DOCTOR WOULD EVER SAY AGAIN THAT FIBROMYALGIA OR CFS DOESN'T EXIST IF WE START SHOWING UP WITH THIS PIDEFICIENCY DIAGNOSIS, THE DUNDER HEADS.