WoW! Around here they just treat the symptoms in the ER. Unless it's immediately life threatening they won't usually diagnose a lot. I've been in when they've been hesitant to diagnose kidney stones. I go in there in unbelievable pain, throwing up, tell them I've had kidney stones before and they'll say, well it could be. Then they load me up on pain killers and tell me to see my urologist in the morning!