31 yo F in med field. Hx of depression/anxiety after 9/11 and then serious panic/anxiety up until 2003. Cognitive Tx last 5 yrs and meds really helped. Aug. 06 - had some stress. Began getting tingling big toe. In few months, it spread to other toes and foot, up foot to calves. Dec '06 - couldn't walk up stairs w/o great effort, lost control of bowels for 4 days, no fever, but extreme fatigue, mild red rashes, fasciculations & aching joints. Shaking limbs. Jan 06 - MRI w/contrast brain & spinal cord - one small lesion on cc (Hx of migraines). MS workup norm (lumbar puncture, VEP). EMG norm. ANA norm, SED rate norm, all bloodwork norm EXCEPT elevated IgM - "apparent monoclonal gammopathy". Neuro sent me to a pain clinic with a Dx of Fibro. I do not want to be labeled incorrectly. Fam Hx of rheumatoid arthritis. The two rheumatologists in town won't see me down b/c they "do not accept Fibro patients." Had a "chronic fatigue panel" and found my IgM levels for HSV-1, CMV and HHV-6 to be elevated as if I had active infection, however, I have never had a cold sore in my life. Neuro put me on Neurontin, Famvir, Pamelor and Cymbalta. My symptoms SLOWLY got better until this August. I have had a "flair up" of the same symptoms again. My feet are burning (especially when in heat/sun), joints aching, fatigue, fasciculations, weak calves, cold extremities and feeling hot, but no fever. My neuro ordered another panel, but I am wondering if I should see a rheumatologist or immunologist. I don't seem to get sick with URIs, or any other infections easily?? I just had a physical with labwork and HIV test, all numbers looked great to my family doc, but I am experiencing these horrible symptoms that nobody can see. Pain clinic said it looks like "classic" idiopathic peripheral neuropathy. Where do I go from here? I want pain relief & an accurate diagnosis may be helpful before my nerves are completely destroyed.