I have no doubt that Assanti is in pain and probably should be on pain meds. Maybe a low dose of a long acting OxyContin twice a day, might keep him more comfortable, if not pain-free. Not only the weight, but the fungus and infections have got to hurt.
Unfortunately, If you give him a months worth of narcotics it’ll be gone in two days, because, as somebody else said, he can’t tolerate the slightest amount of discomfort, whether it’s hunger or aching joints or even somebody saying no to him.
A doctor would probably prescribe something if he took it as directed. But he’s made it clear he won’t, so the issue then becomes, how does a doctor do the least harm? And in his case, it’s not to prescribe at all, to try to prevent an OD. That’s what Dr Now did, by putting his name on the registry.
But, I can see an ER doctor looking at his leg, seeing his tears, and giving him some meds believing he hurts, because he probably does.
The databases work pretty good but they are best used when writing a prescription and not in an ER situation. Steven won’t get a prescription to go home with but he’ll go to ERs at different hours of the day and night to get his 2 mg of Dilaudid or whatever and it’s hard to stop that. We’ve all seen the fits he throws, in a busy ER it’s probably easier to inject him and kick him out. They all have their frequent flyers and IANAD so don’t know what they do when they have somebody really in pain AND a drug seeker. I don’t think the ambulance can refuse him though so it’s the hospitals problem.
If he has a legit drug dependency, he’s just putting his already stressed body through withdrawal after withdrawal.
Boy’s a moron.