While I haven't had to use the ER due to The D, my husband was an EMT and an Emergency Manager/Incident Commander for Portland before retirement. The ER is there for all of us and we should avail ourselves of its services as needed. It's hard to imagine a situation in an ER that Isn't scary for all involved.
The cost my be prohibitive for many of us and I hate that. But it is also better to get help, than not....I do know from my own non-emergent surgical situations that my nursing caregivers, though kindly and wanting very much to help were clueless about caring for my complexly interwoven chronic illnesses: T2/controlling well with diet & exercise, fibromyalgia, arthritis.
It's never easy, but it might just save your life to get there---what else is there? We can fix the rest later, if we live....Blessings on us all...Judith in Portland