I'm Under a Doctor's Care

“I parked illegally, and they towed my car. It’s in an impound lot, and, wouldn’t you know.….”

Tales of misfortune (as opposed to complaints of illness) at one a.m. are a routine tactic of drug abusers.

“…My prescriptions were in the glove compartment. I don’t know when I can get them. I’m under a doctor’s care for….”

I declined his request for Oxycontin. The call had come from the desk clerk who had immediately handed the phone to the guest. As a result, when I hung up, I knew the guest might inform clerk of his disappointment with the hotel doctor. 

Under those circumstances, I phone the clerk and explain that the guest has made a request that I cannot, in good conscience, grant. Remembering his manners, the clerk expressed sympathy, but you never know…. 

How Many Pills Were in the Bottle?

“I came back to the room, and my Vicodin was gone.  The maid threw it out when she cleaned.”

“And how many pills were in the bottle?”

“Almost two hundred. I’ve had four back operations.”

“That’s a lot of Vicodin.”

“Check me out. I’ll show you the scars. I need your help.”

Plenty of drug abusers lead productive lives although it depends on the drug. You can’t do this for long with speed. Amphetamines and cocaine poison tissues, the brain most of all. Alcohol is also a toxin; alcoholics wreck their health. This doesn’t seem true for narcotics (Vicodin, Percodan, Oxycontin, heroin, etc). One can consume high doses for a lifetime with no noticeable harm except chronic constipation. Street addicts die from overdoses, contaminated drugs, disease, and violence. In countries that provide clean narcotics to addicts, they have a normal life expectancy.

Narcotics are probably OK for selected patients with chronic pain and a competent doctor. But there’s no denying that too many people are taking more narcotics than they need. Good doctors object because there are better ways of treating chronic pain. Moralists object on the grounds that doctors should make patients feel normal but never better than normal.

“As a hotel doctor, I encounter this problem now and then...”

“I swear I’m not a junkie, Doctor Oppenheim. I have chronic spinal pain, and I’m under a doctor’s care.”

“I’m glad to hear that, because I’ll have to speak to him.”

“He’s in New York. It’s midnight in New York.”

“I know. So I’m going to phone ten Naproxyn to the Walgreen’s at Santa Monica and Lincoln. Tell your doctor to call me tomorrow.” 
  
“The damn hotel threw out two hundred pills! They said you’d replace them!”

“I don’t work for the hotel. It sounds like the Naproxyn is unacceptable to you. So…”

“I’ll take the ten.”

This would satisfy him temporarily, but the odds were one hundred percent that his doctor wouldn’t call, but he would. There was a small chance he’d be in another hotel and pester another doctor. There was a large chance he’d behave in a sufficiently obnoxious manner that the staff would take any complaint about me with a grain of salt.

A Few Celebrities

A famous actor at the Four Seasons showed me a pimple on his eyelid. This was a sty, I explained, a blocked gland. It wasn’t serious. There was no treatment except hot compresses. It would go away in a week or so.

He needed it to go quickly, he said. He had a television interview the following day. A previous doctor had stuck a needle into an earlier sty, and he’d be grateful if I did the same. He endured it stoically.

“You wouldn’t have any Oxycontin?” asked a guest. He was consulting me for a rash.

“I’m the doctor you call when you feel sick,” I said. “For Oxycontin you need a different sort of doctor.”

We parted on good terms. My refusal did not offend him; from his point of view there was no harm in making the request.

It’s wrong to divide celebrities into upstanding citizens and the drug-addled exceptions. They are a cross-section. Many work hard at their careers but enjoy the occasional drug if it’s available, and they move in circles where scoring requires only a modest effort. Wrecking your life with drugs, as with alcohol, takes persistence.