To answer your questions:
1) The CBC is not the definitve test to rule out lymphoma. A biopsy of a lymph node as well as imaging studies are further tests that may be needed.
2) Many conditions can lead to fatigue. I would include a metabolic panel, liver tests, tests for mono, TSH and vitamin B12 studies.
3) 88/60 can be considered low in some patients. However, in well-conditioned athletes, this is not uncommon.
4) Difficult to say without evaluation. I would consider the aforementioned tests to evaluate for any conditions that can lead to excessive sleep.
5) I wouldn't recommend treatment without a clear diagnosis.
6) An ANA level can be done to initially evaluate for lupus.
7) CFS is a diagnosis of exclusion - meaning it can be considered if the testing remains negative.
These considerations can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
Have you tested for Lyme?
Fatigue and aches are almost universal with Lyme, and if the rash looks like any of these, it's most definitely Lyme, according to the CDC. These rashes can hang around for a long time, and even come back for a short time after you first get treated with antibiotics.
http://www.lyme.org/gallery/rashes.html
When a Lyme doctor sees someone with Lyme and swollen lymph nodes and a sore throat, they immediately test for this other tick borne infection, Ehrlichia, which is a white blood cell parasite. People whom I've known with the Lyme Ehrlichia combo are often misdiagnosed with CFS, because they have devastating fatigue.
I would strongly urge you to see a Lyme experienced physician, which you can find by typing in your location to "Flash Discussions", then "Find a Physician" here:
http://lymenet.org/
Be aware that Lyme testing through the commercial labs is notoriously insensitive, with the FDA-approved test kits missing over 50% of positive cases.
In my opinion, IGenex, which specializes in tick-borne diseases, is the only reliable Lyme lab, because they test for multiple Lyme strains, not just the B31 Shelter Island strain, and they report on the most specific Lyme markers, the 31kDa and 34kDA bands. IGenex has recently passed Cal., NY, and CDC quality testing with flying colors. You can download the IGenex testing forms from my website; give these to your MD if you want to use this lab. MDL isn't bad a bad lab either.
Fewer than half the people with Lyme ever see a tick bite or a rash. Early treatment is essential with Lyme, so don't delay.
KrisKraft
http://www.lymediseasefilm.com/
I will check into Lyme Desease, thank-you. Although I have been battling this for many years. In particular the fatigue accompanied wit depression. I do live in the country and am outside a lot,