I am sorry to hear you are so frustrated. We had a girl who was 30 come in BP 230/130 pulse 140, she had abdominal pain, a patient waiting (needed refill of Xanax & Celexa) was PO'd because "why did that girl go back and was not even sick" UGH! Poor thing ended up having her gallbladder out. She was not even complaining, just said I am having so much pain, been laying in bed with a hot pack on and taking motrin & tylenol for the fever. Apparently when her mom called her and asked her symptoms mom said you better go to ER ASAP. She probably would still be in bed. Me on the other hand would be screaming and crying my way into the ER :)