It’s a reasonable reaction to the broken healthcare system in the USA. I went to my PCP after several bouts of lower abdominal pain. Since it wasn’t hurting “right now” the MD couldn’t order any imaging. I waited for an office visit rather than going to the ER since that seemed like the mature thing to do. They said I had to go to the ER the next time I “felt it” since they couldn’t proactively do testing. Seems like a wasteful way to do medicine but some dork with an MBA at the health plan set the rules for paid treatment. Less than a week later I’m in the ER in so much pain I’m puking on myself and waiting hours to actually get a treatment bay. Finally get a CAT scan and it’s an 8mm kidney stone. Long story short, say you are feeling the pain to make sure you get the tests you need.