As Al Jourgensen’s 90’s Industrial heroes Ministry once implored, “Never trust a junkie’.
I can’t say that I ever gave too much consideration to this advice on account of a) it being quite obvious and b) never being in a position to need to.
On a recent illness induced trip to the emergency ward of St. Vincents at 1am on a Monday morning however, it was these words that kept coming to mind. Well, that and ‘duty of care’.
The ER really is no place to experience sober but how much easier would the lives of the people working there be if more people were?
It was a reasonably busy night and pretty long wait made even longer by one individual. He was on what must be a pretty regular attempted procurement stop, with his dilated pupils, swollen DVT leg, general incoherence and swearing. Every so often his partner would appear for moral support, mutual swearing, arguments, inappropriate touching, or to pop outside for another smoke.
As luck would have it they remained in (too) close proximity over the next 4 hours as we progressed through the waiting and treatment areas in a similar timeframe.
Now junkies aren’t subtle at the best of times and our unfortunate parallel lines ensured a full watching brief. Interestingly, given his difficulty in making sentences that made sense, his encyclopaedic knowledge of high impact hospital grade pharmaceuticals was thoroughly impressive.
When he wasn’t demonstrating this in various pleadings to nurses, doctors and any other person passing by in scrubs, it was all shifty eyes, looking for the opportunity to light-finger anything within reach.
Prior to an anonymous tip to the nursing staff the haul included a tourniquet, gloves and other generic sundries.
It could be that Ministry’s advice does constitute part of the ER educational syllabus though. The primary goal was never reached and he was dispatched swearing into the night with only DVT medicine and a reminder that the methadone clinic would be open in a few hours time.
This incursion over and the staff went back to their myriad other duties with the weary knowledge that the same act would play out again, if not the next night then the night after that. Repeat to fade.
Of course it was just another night in the ER: the tired staff; the overpowering stench of inebriation emanating from the pores and breath of battered faces; the police taking statements; the recriminations and accusations; the ambulance crews wheeling in the next case; the people on the front line.
All of humanity on display. The best and the worst.