@christine5 I suggest you get with whom ever is treating you for your “slow gut” and your dissections to provide you with a treatment plan written on their letter head with instructions to the ER. This should be your best approach instead of depending on the ER for answers. This provides the ER treating doctors with answers to questions they may have concerning your illness’s and their treatment. They can call the doctor(s) for answers if they still have more unanswered questions. But considering that you have a history of a potentially life ending illness and ER’s look for an immediate threat to life and limb which is their job, you cannot blame them for going down that pathway initially. If you feel it’s your slow gut then having a treatment plan from your GI doc would be most imperative but you may still encounter push back from an ER doc out of concern.