Should we outlaw dilaudid?

I swear to God; the drug seekers were dripping off the rafters tonight. I had one who got pissed that I gave him morphine instead. If I may diverge slightly; I preferentially give morphine for pain control despite its side effect profile because it is cheaper, and field units are more likely to be equipped with it, so I want to be comfortable with dosing it. Anyway, he said that he didn't like me, and that he 'felt threatened' by me (and no, I never drew down on him) and that he wanted a different doc. This ain't burger king and you do not get it your way. You want to see 'your' doctors, then go ahead and see the resident clinic during their hours. Don't roll into an ER on Friday night looking for narcotic score for what is obviously a poorly concocted story. Don't then take photos of me with your cell phone. Makes me think that you and maybe some of your friends are going to be waiting to ambush me in the doctor's parking lot.

I had another one who I had to settle his butt down. After getting a shot of pharmaceutical grade liquid joy (prescribed by the previous physician, who signed the patient out to me), he then pulled out some of his own stash of prescription pills and chased it down. He could barely  stand, and was trying to get behind the wheel. I told him he had to have someone come pick him up. Nobody was coming, so I told him that he had to wait for a few hours before we could release him. He got belligerent, He got vulgar. He got loud. He got abusive to the staff. He got Haldol. He got some rest.

Lots of patients with scores of visits for chronic pain issues asking for dilaudid. 

Just a few more shifts.....

Respectfully Submitted,
-doc Russia