Makes more sense. I think the ER only asked me once when I got there that time, but I wasn’t there for long.
My more recent ER trip, they just gave me drugs (like codeine or something I think iirc) without asking if I was in pain or if I wanted any. Kinda disappointed cause I was ready to not lie that time and say 0-1 (mostly because it was visible obvious why I was there, so no worries about people thinking I’m just wasting there time).