"Please note that she is attending school, is playing sports, she swims and is an active girl scout.  She is living her daily life as though she is truly healthy.  She just has a little fever and doesnt feel good."

I am wondering if the extra activities are just not helping her at all.  Exerting oneself when one is ill without adrenal insufficiency is possibly not the right thing to be doing.  To be honest I would increase and have Ashley stay home for a day or two.  This to me would be something I did to just help really.  

You will have read about the study in people training in the mornings and the incidences for infection (related to lowered cortisol levels due to exertion in the mornings) and that study would have been done in normal healthy folks.  I am not a fan of my kids being off school, but when something is not quite right, I hate to send Ashley because his teachers would not respond as I would if anything occured.   I simply don’t send him to school if I have doubts about his health and as at the last visit to the hospital in crisis, even though I know as much as I do, no one listened to me--so why would they listen to a teacher--who would probably be unable to communicate his needs as well as I really.  I also not a fan of any physical exertion in any of my kids until they have fully recuperated from an illness let alone Ashley.  I have allowed him in the street on a summer evening and sat watching.  That was because he begged me basically, but in hindsight knowing what I know now, I really would have him stay in and wait the time out until atleast a day had past where there was no temp or complaint about any aches or pains.  Part of recovering from illness in anyone is to do that really.  I have had flu’s and colds last longer because I did not rest up in the past and now I just give in and go to bed.  It is over more quickly.