Zoo, I know just even going to the ER is not fun...I hate the waiting and the sometimes unsavory characters and unpredictable behavior that comes with the territory there. I am horrified of internal exams as well, obviously less than you given what you said about them being a trigger. However, your symptoms of vomiting and fever sound especially alarming. I hope you will get help now. Is there an urgent care clinic near you that is not a full-scale hospital type ER? I find those places more comfortable. Good luck.