I read that, and while my first imaging thing was an ultrasound, and was read correctly, I had to wait HOURS to get that far at the ER. Hours during which I lay there crying for help and literally puked because the pain was so bad, and I was roundly ignored and dismissed by the hospital staff.

Only later did I learn that they were endangering my life, because had the thing burst it could have created the same situation as a ruptured appendix, and killed me.

So, yeah. How much you wanna bet that if some dude had come in exhibiting those kinds of symptoms, he'd have been taken care of IMMEDIATELY?