Thanks everyone! Justy, I had a similar reaction from docs, who have said, "I've seen worse." Not exactly helpful!
xchocoholic, I have done elimination diets before and I have wondered about soy, thanks for the suggestion I think I will keep an eye on the soy and possibly other triggers.
Ironically, when I had "mono" (more likely a crash) three years ago it wasn't this bad. I also have the feeling of phlegm in the back of the throat that the mono folks talk about. These symptoms appeared during my current crash/illness.