If you are relatively early in the illness (<5 years) you should seriously look into seeing an ME/CFS specialist. The first few years seem to be the magic window for treatment. If you get aggressive treatment during that period you have the best chance of achieving full functionality. Increasing age and longer time ill both reduce your chances. Yes, it's expensive and difficult to see an ME/CFS specialist, especially if you have to travel. But is it any less expensive or difficult to live with ME/CFS as it gets worse and worse? Wouldn't it be better to go now while you have a job and some kind of insurance rather than wait until you can't work anymore and don't have insurance? If you have NK cell dysfunction and high titres for CMV and EBV, you might get a local infectious diseases specialist to treat you with the strong antivirals necessary, but probably not for the long time (1-2 years) that ME/CFS patients need. You also might get a local cardiologist or electrophysiologist to treat you for an autonomic dysfunction if you have it. They also don't know about ME/CFS, so they might not recognize or properly treat it, though. You can try taking the ME/CFS Primer for Clinical Practitioners to your local docs with the appropriate parts highlighted (immune stuff for the immune doc, autonomic stuff for the cardio, etc). It's worth reading yourself, by the way, to learn more about ME/CFS. Your best bet, though, is to find an ME/CFS specialist in NYC. I'd suggest Dr Enlander as one who has a broad variety of treatments available depending on your symptoms, but other people may be able to suggest more specialists in the area. Most ME/CFS specialists only require you to see them face-to-face once or twice a year if you are from far away. The rest of the time they'll work with you via email or phone. That helps with the travel cost. Chronic EBV and CMV are seriously bad. You do not want to mess around with them. The longer you wait, the more damage is likely to be done and the harder it will be to treat.