@RYO He was a dumb ass for several reasons. First he wanted me to have a cognitive assessment before and during to determine if IVIG was working. I contacted the Primary Deficiency foundation and they had never heard of that and suggested I have them contact him. He also wanted me to have a psych eval before he would even do it to make sure my symptoms were physiological. I told my PCP even if I was completely nuts, that didn't mean I still didn't have an immune disorder and needed treatment.
He was completely clueless about ME/CFS, his notes to summarize the appointment were what I can only describe and total fabrication due to his lack of knowledge and he is not someone, even if I didn't have ME, I would have treat me. He was an allergy specialist. I would have considerably more respect for him had he said this is not my area of expertise and got my HMO to send me to someone who had a clue.
I will be seeing a clinical immunologist who has been treating ME/CFS for over 20 years and rx'ing IVIG. I trust his judgement based on years of expertise vs some ego driven guy who was clueless.