A doctor shouldn't diagnose chronic fatigue without ruling out tons of other things (including infectious diseases like lyme disease and mono, sleep disorders like sleep apnea and narcolepsy, autoimmune and endocrine disorders like lupus, ms, thyroid issues and diabetes, ... and dozens of other things too).
Until you've had all the other possible disorders excluded, you can't be sure that you have chronic fatigue (and the good news is that there are treatments and even cures for some of the other possibilities).
An ER doctor shouldn't really be diagnosing chronic fatigue anyway - because emergency care is by definition supposed to be dealing with acute problems. You need a doctor familiar with chronic disorders, and you need to have the diagnostic tests done to rule out the other possibilities (because some of them are quite dangerous to leave untreated).
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