Extensive and serious med/surg hx 20yrs. high body awareness, my body does not follow typical patterns. sca in er (@35yo) d/t hypokalemia and tdp. 14yrs exp in pharm research. despite my hx, i wasn't believed @ last er. how can i be taken seriously?

ER is not the proper forum for long term health issues. Had you provided your symptoms it might have been feasible to suggest a specialist. You need to establish care with a primary care provider who can do initial assessment and coordinate your care. Wish you good health!

The emergency room does a great job of making sure there is no emergency that would keep you from leaving the hospital. They do not focus on prevention, managing chronic conditions. I can't tell you how many anxious people use the emergency room for minor issues because they are too anxious to wait. Please see a doctor who can spend the time evaluating you.