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Sinbadthesailor

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out of curiousity. what kind of drugs are doctors known to be addicted to? i mean you have access to all kinds of drugs, so you dont just get addicted to anything thats available. it must have some really nice euphoric effects. so what are they?
 
out of curiousity. what kind of drugs are doctors known to be addicted to? i mean you have access to all kinds of drugs, so you dont just get addicted to anything thats available. it must have some really nice euphoric effects. so what are they?

Addiction has to do more with the individual than the agent.

The agent is merely the individual's vehicle to numbing reality the individual doesnt wanna face.

That being said, I'd say the most common drug doctors are known to be addicted to, hands down, is alcohol.

In the anesthesia biz, your question becomes a little more dicey.

Because of our ability to put our hands on every pharmaceutical grade opioid/benzo/induction agent/et al,

if you're in the anesthesia biz and you've gotta substance abuse problem,

you may be in trouble.

Even if you don't have a problem,

you still may be in trouble.

At my previous gig, before I got there, one of the anesthesiologists was found in the mensroom stall dead from (probably) inadvertent opiod overdose.😱

He injected a buncha sufentanil into a heplock in his leg.....was probably just looking for a fix...probably didnt want to end his life that day, but only God knows his intentions during that episode...

Had a CRNA at previous gig addicted to opioids....retrospectively speaking, he did alotta opioid infusions to mask his addiction....TRINITY......you remember who I'm speaking of, huh?

Looking back at residency, had a dude in residency who acted bizarre alot...

LESS THAN A YEAR after his matriculation into private practice he was popped for shooting propofol in the OR. He was found in an OR, STUPOROUS.....LETHARGIC....WITH A PARTIALLY INJECTED PROPOFOL SYRINGE NEARBY.😱

Recently heard of another past-CRNA colleague succombing to opioid addiction....

SO TO ANSWER YOUR QUESTION, DUDE, I DON'T KNOW WHAT YOUR INTENTIONS ARE FOR ASKING, BUT DRUG ADDICTION IS A DISEASE THAT, LEFT UNTREATED, POTENTIALLY ENDS IN DEATH. THIS IS NOT A JOKING MATTER/THREAD/POST.

THIS IS SOME BAD S HIT.

substance addiction is a bad and potentially career-ending disease, with the addictive-agents ranging from the very common to the esoteric.

IF YOU'RE LOOKING FOR NUMBERS I'D SAY AMONG DOCTORS it is

NUMBER ONE: alcohol

NUMBER TWO: opioids....non-anesthesia dudes would be pills....percocet, darvocet, etc. Anesthesia dudes with opioid addiction will put heplocks in clandestine areas (foot, calf, or in the arm and wear jackets all the time) and feed their addiction with whatever opioid....fentanyl, sufentanil, morphine, meperidine, whatever is readily available.....

This is an uncomfortable post.

But an important one.

Recognize the potential for addiction. And recognize how to recognize a drug addict if you are an anesthesiologist.

You may save your best friend.

Or yourself.

Thanks for posting on a very important, yet very rarely talked about topic.👍
 
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i agree with jet regarding alcohol. unfortunately you can be an alcoholic and legally maintain a job.
roughly 70% of addiction within the anesthesia setting is fentanyl and sufenta.

one thing to keep an eye on is people coming in on their day off. i've known people coming in, heading off to the pyxis or to pharmacy in the basement to grab a fentanyl drip "for a patient", etc... also, know the signs of addiction/withdrawl --> mimicking signs of the flu.
 
out of curiousity. what kind of drugs are doctors known to be addicted to? i mean you have access to all kinds of drugs, so you dont just get addicted to anything thats available. it must have some really nice euphoric effects. so what are they?

Maybe it's just me, but this comment leads me to think that you should not choose anesthesiology as a career.
 
out of curiousity. what kind of drugs are doctors known to be addicted to? i mean you have access to all kinds of drugs, so you dont just get addicted to anything thats available. it must have some really nice euphoric effects. so what are they?

I'm just going to say this now, this is a very dangerous and slippery slope even wondering about such things. If you are going to be an anesthesiologist, you absolutely cannot allow yourself to even think about such things. Curiousity killed the cat.

-copro
 
I'm just going to say this now, this is a very dangerous and slippery slope even wondering about such things. If you are going to be an anesthesiologist, you absolutely cannot allow yourself to even think about such things. Curiousity killed the cat.

-copro

There is ALOT more to it than that. If you are being honest Who out of us hasnt thought about what it must feel like? Just because someone is curious about something does not make them an addict or prone to become one.
 
I'm just going to say this now, this is a very dangerous and slippery slope even wondering about such things. If you are going to be an anesthesiologist, you absolutely cannot allow yourself to even think about such things. Curiousity killed the cat.

-copro

Come on copro, I think you are being too stuffy there. Curiosity is a normal human feeling. There is a big difference between being curious about something and researching it legitimately, and actually going out to try to experience it for yourself.

A couple of months ago, a med. student asked me how the pharmacists knew I was returning a fentanyl syinge as opposed to one I filled with something else. My response was, "I'm not sure, but I think there is a aspect of trust involved. In addition they may randomly test some of the syringes for control purposes." The pharmacist heard the student's question and instead of answering it, made a statement similar to yours. I was going to use the student's question as a means to start a conversation about recognizing signs of addiction/abuse in physicians, but the pharmacist spoke in such a harsh manner to the student, that my opportunity was lost. Instead he ended up asking how I dealt with rude people.
 
Sorry, dudes. Hafta disagree. I like Jet's response.

Don't even think it. If you find yourself starting to think it, smash it out of your brain. Thinking such thoughts is the first step onto a slippery slope. There was something in the OP's question that has me a little bit bothered...

-copro
 
I'm just going to say this now, this is a very dangerous and slippery slope even wondering about such things. If you are going to be an anesthesiologist, you absolutely cannot allow yourself to even think about such things. Curiousity killed the cat.

-copro



I wonder about this all the time. I have never had surgery or anesthesia before nor have I ever taken anything stronger than tylenol or ibuprofen. Yet I talk to people about these things all the time.

Soemtimes I also think what would happen if I tripped and crashed into a neurosurgeon while they were operating under a microscope. Doesn't mean it's ever gonna happen though.
 
I wonder about this all the time. I have never had surgery or anesthesia before nor have I ever taken anything stronger than tylenol or ibuprofen. Yet I talk to people about these things all the time.

Soemtimes I also think what would happen if I tripped and crashed into a neurosurgeon while they were operating under a microscope. Doesn't mean it's ever gonna happen though.

Get help.

-copro
 

lol I am sure that I have some OCD traits.

ONE time I left the garage door open while I went to work. After that although I would be 99.9% certain that I shut the door sometimes I would circle back to the house just to double check. Of course it was shut every time.
 
Worriers and Pure Obsessionals
Worriers and Pure Obsessionals have repetitious negative thoughts that they can’t control and are very upsetting to them. The worrier does not experience any repetitious behavior, such as checking or hand washing, or any thinking compulsions. The worriers and pure obsessionals worry about health problems, past traumatic events, or failing at some task in the future. An example of someone not demonstrating compulsive behavior that would temporary alleviate their distress would be someone worrying about losing all of their saving in a market crash, and not being able to educate their children. A severe example would be shameful images of inappropriate sexual behavior, or impulses to kill or hurt themselves or their loved ones. Afterward, the person may dwell on how these thoughts may come true for hours or days (Foa & Wilson, pg 11).


:laugh:

-copro
 
thank you for the responses. i think it's a bit early for me to be interested in anesthesiology. i am only applying to med schools. one of the secondary questions asked me to list what specialties im interested in and this was not one of the specialties listed, so no big deal. and i always thought that all doctors had access to some of the common drugs like opioids and valium (one my profs in biology said how this was a really cool drug). are you saying that a family physician cant get his hands on morphine??
i really asked this question out of curiousity and it has no bearing on my career choice. one of my profs recommended a book "confessions of an opium eater" and i fully intend to read that book but i am really interested in some of the cool effects of the many other drugs available today. also another professor recommended a scifi book about life after an asteroid hits the earth, doesnt mean that i have some twisted interest in whatever deviances that book might represent. just like people who read "lolita" are not pedophiles. so which drug would you try instead of having sex with a hot 18yo girl, assuming you're not addicted to any drugs whatsoever?

and i agree with jet's statement that some people can try a substance and become addicted, while for others it's no big deal. alcohol and tobacco are supposedly up there with heroine in terms of addiction. i've tried both. i was once taken to a hospital because i passed out on the street. and a few times passed out in the company of others. but somehow im not addicted. also i will never ever try alcohol if i cannot see a sixpack when i look at myself in the mirror because alcohol has a lot of those calories(so now that im no longer in school and part of a varsity team, i am completely dry). also after trying tobacco and weed a few times, ive never had any interest in either of those. they do not have much of a euphoric effect for me. alcohol does.
 
Sorry, dudes. Hafta disagree. I like Jet's response.

Don't even think it. If you find yourself starting to think it, smash it out of your brain. Thinking such thoughts is the first step onto a slippery slope. There was something in the OP's question that has me a little bit bothered...

-copro

I don't know how you got involved in a science-based career with such a lack of curiosity. It is WEAKNESS that leads to addiction, not being curious. And I'm not casting stones, just making an observation.
 
....alcohol and tobacco are supposedly up there with heroine in terms of addiction. i've tried both. i was once taken to a hospital because i passed out on the street. and a few times passed out in the company of others. but somehow im not addicted. also i will never ever try alcohol if i cannot see a sixpack when i look at myself in the mirror because alcohol has a lot of those calories(so now that im no longer in school and part of a varsity team, i am completely dry). also after trying tobacco and weed a few times, ive never had any interest in either of those. they do not have much of a euphoric effect for me. alcohol does.

Sinbad, if you are applying to medical school, you had better think very seriously. If you have any doubts about your ability to stay clean, do your future patients a favor and pick another field. There will be too much temptation, otherwise, to "try" something. That behavior can put your patient's lives in danger, not to mention your career.
 
I don't know how you got involved in a science-based career with such a lack of curiosity.

:laugh:

You don't read many of my posts, do you? And, I also assure you that I've published more scientific papers in peer-reviewed journals than most people on this forum. If you're going to attempt to insult me, at least try to be more creative.

Furthermore, we're not talking about some mysterious black box of meds that no one really knows what they do or how they work. These drugs have been studied extensively, the dangers are real, and people who profess a strong (or even passing) "curiousity" as to what they feel like are, in my opinion, at much higher risk of becoming victims. You have unfettered access to these medications in this profession, and if the temptation to "understand" what they feel like, using desciptors like "must have some really nice euphoric effects", tells me that there is an increased risk of "experimenting" there.

To call that supposition a "lack of curiousity" speaks to your ignorance, not mine.

It is WEAKNESS that leads to addiction, not being curious.

Ummm... wrong. We're talking about powerful drugs that tend to take over your life, despite your best intentions not to let them. Many people get curious, they experiment, and next thing they know they can't get the monkey off their back. Many people in this profession have thought like you, and are now either dead or have ruined their career(s).

And I'm not casting stones, just making an observation.

You are casting stones. And, you are going beyond making a cogent observation by speaking from ignorance.

-copro
 
Sorry, you're just plain wrong.

And, you are right. It is ignorance that makes people say things like Pooh & Annie did.

This has nothing to do with lack of scientific curiosity; there's already plenty of literature, from pharmacology to addiction medicine, out there to satisfy your scientific curiosity. What we're talking about is satisfying personal curiosity. And, for that, you do need to be ignorant to think you won't become a victim.

(Man, the complete stupidity of her post is really sticking in my craw. "WEAKNESS"... sheesh... given me a f**king break. If I could count the number of arrogant people who thought like that and who are now dead, it would be more than I could bear.) 😡

-copro
 
Sorry, you're just plain wrong.

Pooh/Annie, I think what Jet is trying to say in so few words is, addiction is a disease. While the mechanisms may not be clear, it is not just due to a "weakness."

If it was due to a weakness, saying things like "Snap out of it" or "Hang in there" or "Be strong" would help. Although I may disagree with copro on other aspects of his posts, as I have a right to, I agree with him that these drugs can take over the lives of the most well intentioned, strongest minded people. That's why we need to respect the drugs we handle every day.
 
I don't know how you got involved in a science-based career with such a lack of curiosity. It is WEAKNESS that leads to addiction, not being curious. And I'm not casting stones, just making an observation.

Dude, you are so wrong its insane! Its ignorance at its finest. Observation versus research. Me thinks your mind may be a bit biased towards itself.

Do some research into the DISEASE of addiction. Go ahead, try it. Somebody close to you will be affected by it some day. Thats a 100% guarantee.
 
And, you are right. It is ignorance that makes people say things like Pooh & Annie did.

This has nothing to do with lack of scientific curiosity; there's already plenty of literature, from pharmacology to addiction medicine, out there to satisfy your scientific curiosity. What we're talking about is satisfying personal curiosity. And, for that, you do need to be ignorant to think you won't become a victim.

(Man, the complete stupidity of her post is really sticking in my craw. "WEAKNESS"... sheesh... given me a f**king break. If I could count the number of arrogant people who thought like that and who are now dead, it would be more than I could bear.) 😡

-copro
I think you are over reacting here.
There is a difference between being curious and actually acting on that curiosity.
You can't tell people to stop being curious because curiosity is simply human nature.
We can't prevent thoughts and emotions but we can educate people to be able to make the right choices.
Asking people to stop being curious is like asking them to stop thinking.
 
Asking people to stop being curious is like asking them to stop thinking.

I respectfully disagree.

The dangers are known and real. If you are curious about how these drugs feel - and I'm not talking about simple wondering, but curiousity - and you don't squelch that in yourself, I think you are one step closer to experimenting than those who may think it but then immediately put it out of their minds.

You just shouldn't ponder such notions, including being curious as to how they might feel.

-copro
 
I respectfully disagree.

The dangers are known and real. If you are curious about how these drugs feel - and I'm not talking about simple wondering, but curiousity - and you don't squelch that in yourself, I think you are one step closer to experimenting than those who may think it but then immediately put it out of their minds.

You just shouldn't ponder such notions, including being curious as to how they might feel.

-copro
Copro,
You don't choose to be curious, you are either curious or not, and if you are the answer is not denial but subjective thinking and education.
 
curiosity-->obsession---->addiction

You know these drugs are gonna mess you up. You can see that. Its obvious. So the curiosity part is...CAN I HANDLE IT JUST ONCE. If you get there, you need help. Its already too late.
 
Being curious could potentially cause trouble.

But I firmly believe that most of the time that it is just plain old human nature.

I am not attempting to minimize the seriousness of the matter at hand in any way. This is no joke.
 
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according to wikipedia: Curiosity is an emotion that causes natural inquisitive behaviour such as exploration, investigation, and learning, evident by observation in many animal and human species. The term can also be used to denote the behavior itself being caused by the emotion of curiosity.

Just because someone is curiouse doesn't mean they will have to experience something. I am curious how it would feel to dive off the cliff, but I ain't gonna do that! And I too am curious how great must heroin feel if you can get addicted to it just taking it once. But I am NOT gonna try it!!
 
curiosity-->obsession---->addiction

You know these drugs are gonna mess you up. You can see that. Its obvious. So the curiosity part is...CAN I HANDLE IT JUST ONCE. If you get there, you need help. Its already too late.

So, if you are curious what should you do?
Are you saying that if you are curious then there is no hope and are you basically screwed?
 
You don't know how thin that line is. Its razor thin.

Whats the reason to NOT try these drugs then? Its FEAR. Fear of addiction. You know how to dose it up so you won't die. At least not the first time. So you know you'll make it. At least the first time. So why not just give it a go. Just once? I mean...you are curious aren't you?

This is why drugs like Propofol and Sevo are getting abused. Because nobody thinks they can get hooked on em. Oops. Wrong.
 
So, if you are curious what should you do?
Are you saying that if you are curious then there is no hope and are you basically screwed?

If you are curious then ask yourself what exactly you are seeking and why?

I'm not saying that a curiosity of a drug's mind/mood altering effects on the mind is unusual. Its natural, especially if you have no experience with that drug at all.

The curiosity that I'm warning of, is that of the curious individual who really believes that they can shoot up or huff a potent mood/mind altering substance just once, and walk away from it. Thats the guy/gal who is gonna go down.
 
You don't know how thin that line is. Its razor thin.

Whats the reason to NOT try these drugs then? Its FEAR. Fear of addiction. You know how to dose it up so you won't die. At least not the first time. So you know you'll make it. At least the first time. So why not just give it a go. Just once? I mean...you are curious aren't you?

This is why drugs like Propofol and Sevo are getting abused. Because nobody thinks they can get hooked on em. Oops. Wrong.

I fear all of them because I know that the consequences can be deadly.
 
I quit dippin at least 10 years ago and rarely a day goes by that I don't think about throwin down a big fat BURL.

If nicotine is this addictive I can't imagine how it must be with the ones that we give to pt's all the time.
 
I think you are over reacting here.
There is a difference between being curious and actually acting on that curiosity.
You can't tell people to stop being curious because curiosity is simply human nature.
We can't prevent thoughts and emotions but we can educate people to be able to make the right choices.
Asking people to stop being curious is like asking them to stop thinking.

UMMMMMMM, PLANK,

Are you ever curious what it'd be like to do something really risky?

I dunno, pick one....

1) Go over Niagra falls in a barrel

2)Jump out of an airplane without a chute and see if you can grab your buddy who has a chute before you become a lawn dart.

3)Surf PIPELINE even though you arent a really experienced surfer

4)Bring the front tire of a RICEBURNER off the pavement at 80mph

5)Try and swim the shark infested waters at night from Anna Maria, Florida, to Bird Key (a little island between Anna Maria and Egmont Key)...uhhhh, dude did it when I was a kid. They found half of him.

6)Jump off a bridge with a bungee cord attached to your ankle



Everything above has been done.

They're all risky.

And in every one listed, people have died.

I guess because of personal experiences with people close to me with substance abuse problems, and several people I've seen in my life who seemed to be on top of their game and succumbed to substance abuse, I see no difference between the situations I've listed and.....what you minimalize as mere curiosity with drugs......

I'm REALLY SURPRISED, PLANK, being the obviously-knowledgable attending that you are, that you'd even CONSIDER trivializing a subject.....DRUG USE.....DRUG "CURIOSITY', AS YOU PROCLAIM OR CORROBORATE...

Dude,

Do you think an anesthesiologist, or any other person who becomes addicted to a substance thinks during their, as you put it, "curiosity phase",

"MAN! THIS IS SUCH GREAT S HIT I'M GONNA SACRIFICE MY WHOLE LIFE FOR IT!!!!! EVERYTHING I WORKED FOR? WHO GIVES A RATS A SS!

In other words YOU DON'T KNOW WHATS GOING ON UNTIL ITS TOO LATE.

So why be curious?

Dudes have jumped outta airplanes trying the ultimate stunt... trying to get to their buddy with the chute...and have become lawn darts.

Dudes have tried fentanyl/sufentanil/propofol/volatile agents et al for whatever reasons....you can naively refer to it as curious... and those dudes have ruined/altered their careers.....and some have become dirt pillows.

I see no difference between the parachute dude and the drug dude.....they were both curious....

In a specialty with such a high rate of drug abuse/death from the drugs we use I find it LAUGHABLE at your trivialization of the subject.

Here's my advice to my budding med student/resident anesthesiologists:


BEWARE.

We work with substances that, if you become CURIOUS,🙂lol::barf:)

COULD END YOUR CAREER/MARRIAGE/LIFE.

I'm really pissed off at all of you on this thread that trivialize this as curiosity.

WHAT A FU KKIN JOKE.

In my lifetime, I've seen TWO very successful, intelligent dudes sacrifice EVERYTHING for their next hit of fentanyl/propofol, respectively.

The fentanyl dude is DEAD.

The propofol dude is now in Florida somewhere, with kids, unemployable in our profession.

YEAH, ITS A "WEAKNESS." JEEEZUZ, HOW IGNORANT YOU ARE FOR SAYING THAT.
 
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I quit dippin at least 10 years ago and rarely a day goes by that I don't think about throwin down a big fat BURL.

If nicotine is this addictive I can't imagine how it must be with the ones that we give to pt's all the time.

I used to smoke 2-3 packs of cigarettes a day and quit 8 years ago, I have urges everyday.
I am not curious about cigarettes anymore though. 🙂
 
Addiction potential shows little correlation with euphorogenic properties. I can't lay my hands on the stats at the moment, but something like only 25% of people who try heroine at least once will become addicted. For tobacco the number is almost 40% (wish I could find the citation . . . stupid busy third year). Heroine abusers have described feelings of "a full body orgasm" and other such colorful descriptions. No one has ever referred to a cigarette that way. Clearly a lot of other factors come into play with addiction.

"A statistically significant correlation exists between the incidence of propofol abuse and the lack of pharmacy control over the anesthetic."

http://www.anesthesiologynews.com/index.asp?ses=ogst&section_id=1&show=dept&article_id=7579

I don't know about you guys, but our department had a huge "grab bin" in the local room. Its was literally full of every f'n drug except opiates. And if you looked hard enough, you could probably find those too.

Pentathol, ketamine, propofol, versed, etomidate, sevo bottles, whatever. It was there. All unaccounted for.
 
Pentathol, ketamine, propofol, versed, etomidate, sevo bottles, whatever. It was there. All unaccounted for.

I find that very surprising.

While my experience has been that my department has somewhat loose control over narcotics there certainly wasn't any ketamine or versed just laying around.

Etomidate and propofol did not have to be accounted for. STP did.
 
"A statistically significant correlation exists between the incidence of propofol abuse and the lack of pharmacy control over the anesthetic."

http://www.anesthesiologynews.com/index.asp?ses=ogst&section_id=1&show=dept&article_id=7579

I don't know about you guys, but our department had a huge "grab bin" in the local room. Its was literally full of every f'n drug except opiates. And if you looked hard enough, you could probably find those too.

Pentathol, ketamine, propofol, versed, etomidate, sevo bottles, whatever. It was there. All unaccounted for.

"grab bin" ?
 
I'm really pissed off at all of you on this thread that trivialize this as curiosity.

Ok how about Patron Margaritas?? Because alcohol is a legalized drug we can talk about it on many posts on this forum, trivialize it, brew our own etc... ETOH has the same addictive and destructive potential as any other drug. There are probably many more anesthesiologist who are impaired by etoh use than prop/fent.
So what is it? because opiates are "illegal" you can't touch on the subject? I'm not minimizing the dangers of opiates but i don't think we should speak of them like they are worse than any other addictive substance.
 
I'm really pissed off at all of you on this thread that trivialize this as curiosity.

WHAT A FU KKIN JOKE.
I can understand why anaesthesiologists will sacrifice their careers for these drugs after they are ADDICTED, but what I don't understand is why someone who has NEVER done a drug would risk throwing away everything to try it. How can someone be THAT curious that they think it is worth ruining their entire lives to satisfy their curiosity? I don't think it's stupidity, as we are all relatively intelligent people, so what is it then?
 
I can understand why anaesthesiologists will sacrifice their careers for these drugs after they are ADDICTED, but what I don't understand is why someone who has NEVER done a drug would risk throwing away everything to try it. How can someone be THAT curious that they think it is worth ruining their entire lives to satisfy their curiosity? I don't think it's stupidity, as we are all relatively intelligent people, so what is it then?

It is human nature.
Humans are not perfect and they don't always make the best choices.
If we always made the right choices human history wouldn't be full of wars and destruction.
 
It is human nature.
Humans are not perfect and they don't always make the best choices.
If we always made the right choices human history wouldn't be full of wars and destruction.

I'd just like to know from an addict what was going through their heads when they decided to steal a drug and then inject it. I wonder if most of them have had prior legit use of narcotics before deciding to steal from the hospital to cope with whatever problems they are facing.
 
Jet,
Excuse me but I simply don't understand your logic!
We all agree that drugs are evil, and we all agree that you should not try them, but you seem to try to say that if you are curious about drugs then the best way to deal with it is denial!
All I am saying is that curiosity about drugs does exist in our business as well as in other fields and that denial does not solve problems.
As you eloquently mentioned you can be curious about many dangerous things in life but that doesn't mean you should try these things.
Denying curiosity about drugs makes it taboo and taboos are more appealing than subjects that are discussed openly.
The answer to this type of curiosity is education and peer support.
Burying one's head in the sand does not make problems go away.
 
So I was in the ER with acute appendicitis. They didn't know it at the time, cause my presentation was a little atypical and in typical Radiology fashion it took me forever to get a CT.

Of course, pain was a big issue and the first thing they hit me with was IV morphine.

HOLY **** MAN is all I got to say about that one.

Does this mean I shouldn't go into gas? I mean I wasn't particularly curious, but now I know how good it feels, and it wasn't because of anything I did. Does this mean anyone who has been exposed to a narcotic shouldn't be doing this kind of thing?
 
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