I introduced myself a while back and mentioned that I had an appointment with Nathan Holladay here in Salt Lake City, UT. I managed to get in and saw Nathan Holladay 3 days ago. We spent about 4.5 hours going through the paperwork I had to fill out regarding my symptoms as well as the test results and notes from all the physicians I have seen to date. He is a very nice person and really took the time to listen. I left our appointment feeling a little let down though. At the end of the appointment he said I met the criteria for ME-CFS but he also found neuropathic evidence that didn't fit the typical profile of ME-CFS and as a result did not give me a diagnosis. He is referring me out to have a small fiber nerve biopsy since I have some lack of feeling in my feet and legs for position, pain, temperature and vibration. I am pretty confused and the appointment sucked a lot out of me and I just now feel up to posting about it. I guess I am curious to know if a co-morbid condition can preclude a diagnosis for ME-CFS? I have zero doubt about the fact that I have ME. I have seldom been so sure of something in my life as I am of this and he even stated I met the criteria. I am stumped as to why he could not offer a diagnosis. By the end of my appointment I was already feeling foggy and tired and wished I had been able to ask that at the time. I have to admit, I am feeling a bit hopeless now and feel as though I am being turned away. How many other conditions could possibly have all these ME-CFS symptoms and still be something else? I feel like the life boat just told me there is no more room on board and kept on going. I am lost at where I go from here.