Hey Crackhead
Date: 2004-03-27, 3:36PM PST



Yes, you. You sick fucker. On Wednesday morning I emerged from my girlfriend's building by U.N. Plaza to find that you had sawed the tops off both the sparkplugs on my motorcycle. At the time, I had no idea why anyone would do that. Other than the sparkplugs, the bike was untouched. Some kind of bizarre vandalism? A fraternity prank gone awry? I had no idea. All I knew is that I looked like a huge douchebag riding the Muni to work in a padded motorcycle jacket and helmet.

Because the bike was immobilized I got a $35 street sweeping ticket that night. Thursday I had it towed to the shop ($45) where they replaced the sparkplugs and the boots ($50 including labor). They explained to me that "people" - I use the term loosely here - like you break off the tops of spark plugs and use the porcelain tubes to smoke crack. As an engineer and former MacGyver fan, in a way I think this is kind of cool. But then I remember that I just paid $100 for YOUR crackpipes, and I get angry again.

Crackhead, it was really good to have my bike back though. I rode home from the shop with a couple of spare sparkplugs and a smile on my face. I figured the next time I parked at my girlfriend's place overnight I would have to buy some crackpipes and tape them to my bike as a peace offering. Overall, I wasn't that upset. Despite having to ride the bus for three days and dropping a hundred bones at the shop, I had gained some fascinating knowledge, a new set of sparkplugs, and a pretty funny anecdote about how fucked up you are, and how our paths once crossed briefly in the night.

But you couldn't just let sleeping dogs lie, could you Crackhead. You couldn't just stay in on Friday, watch Letterman through the window of a home electronics store and then call it a night. You couldn't rest on your laurels. Two porcelain sparkplug crackpipes just wasn't enough for you, was it Crackhead? You just had to come back for more.

This morning, a scant fifteen hours after I rode it out of the shop, I found my motorcycle violated once again. This time you only took the right one - maybe you were having an off night. At least this time I had a spare sparkplug and the tools to fix it - or so I thought - having ordered a 73-piece toolset from SEARS.com last week. But no, the sparkplug socket in my new toolset was for American sparkplugs. So I had to go down to the neighborhood Ace hardware. They had an 18mm socket that would fit over my sparkplug, but it was for a 1/2" drive ratchet. My toolkit only has 1/4" and 3/8" ratchets. So I had to buy a 1/2" ratchet along with the socket. Even though the clerk took pity on me and gave me the senior citizen discount (I'm 25) it still cost me $22 all told. Now, you might say that I should have just gotten a 3/8"-to-1/2" drive adaptor instead of springing for the whole ratchet. And to that I say "Shut the hell up, Crackhead, I'm not finished. And besides, I was eventually going to buy a 1/2" ratchet anyway so it's probably not worth it to take it back now."

OK, now I'm rambling. But the point is, Crackhead, that you have done me wrong. Now, I get that you love crack. That is totally understandable. I've heard it is really fun, at first, and quite addictive. What I don't understand is,

YOU ARE A CRACKHEAD. WHY DON'T YOU OWN A CRACKPIPE?

I am an engineer. Do you ever see me shaking down bums in the Loin for a calculator and sliderule? No, you don't. Because engineering is the main thing I do, I went and bought myself a calculator. The main thing you do is crack. How do you get by without a crackpipe? The other crackheads must clown on you non-stop. I mean, the fucking saw you used to saw off my sparkplugs is probably worth five or ten bucks. Why not sell or trade it for a crackpipe? You really haven't put much thought into this, have you?

Please, Crackhead, please don't tell me you sold your crackpipe to buy crack. Even a stupid crackhead such as yourself couldn't possibly be that stupid.

I've decided that taping crackpipes to my motorcycle would be tantamount to appeasement. You have crossed a line, Crackhead - specifically California Street. You have come onto my own street and you have desecrated that which I hold dear. You have stolen from me, and you have caused me to spend the last half hour writing this post instead of engineering shit, and it is concievable, if not likely, that my boss could find out about this and fire me. I am hella pissed at you dude.

Here are my options as I see them:

1. Write a note saying that I have coated both of my sparkplugs in rat poison and tape it to my bike at night. You can thank Tim for that one, it was his idea.

2. Don't write a note, but just coat both sparkplugs in rat poison. This is probably closer to a punishment that would fit your despicable crime. I'm sure this is super illegal and shit, but it's not like anyone is going to miss you, Crackhead. Don't fool yourself.

3. Wait in an alley near my bike armed with my new stainless steel mirror-finish Ace Professional brand 1/2" drive socket wrench, my 18mm sparkplug socket, and my searing rage. It's pretty heavy and well balanced. I am not a large man, but I am angry.

In conclusion, Crackhead, why don't you just do both of us a favor and buy yourself a crackpipe? It will both enhance your crack smoking experience and save me a lot of time and felony assault charges. Think about it.

Sincerely,
Matt

*** If you are not the Crackhead that took my sparkplugs, please disregard this posting ***




PostingID: 27499971

Advice from an ER doctor to drug seekers
Date: 2007-03-27, 9:56AM PDT


OK, I am not going to lecture you about the dangers of narcotic pain medicines. We both know how addictive they are: you because you know how it feels when you don't have your vicodin, me because I've seen many many many people just like you. However, there are a few things I can tell you that would make us both much happier. By following a few simple rules our little clinical transaction can go more smoothly and we'll both be happier because you get out of the ER quicker.

The first rule is be nice to the nurses. They are underpaid, overworked, and have a lot more influence over your stay in the ER than you think. When you are tempted to treat them like shit because they are not the ones who write the rx, remember: I might write for you to get a shot of 2mg of dilaudid, but your behavior toward the nurses determines what percent of that dilaudid is squirted onto the floor before you get your shot.

The second rule is pick a simple, non-dangerous, (non-verifiable) painful condition which doesn't require me to do a four thousand dollar work-up in order to get you out of the ER. If you tell me that you headache started suddenly and is the 'worst headache of your life' you will either end up with a spinal tap or signing out against medical advice without an rx for pain medicine. The parts of the story that you think make you sound pitiful and worthy of extra narcotics make me worry that you have a bleeding aneurysm. And while I am 99% sure its not, I'm not willing to lay my license and my families future on the line for your ass. I also don't want to miss the poor bastard who really has a bleed, so everyone with that history gets a needle in the back. Just stick to a history of your 'typical pain that is totally the same as I usually get' and we will both be much happier.

The third rule (related to #2) is never rate your pain a 10/10. 10/10 means the worst pain you could possibly imagine. I've seen people in a 10/10 pain and you sitting there playing tetris on your cell phone are not in 10/10 pain. 10/10 pain is an open fracture dangling in the wind, a 50% body surface deep partial thickness burn, or the pain of a real cerebral aneurysm. Even when I passed a kidney stone, the worst pain I had was probably a 7. And that was when I was projectile vomiting and crying for my mother. So stick with a nice 7 or even an 8. That means to me you are hurting by you might not be lying. (See below.)

The fourth rule is never ever ever lie to me about who you are or your history. If you come to the ER and give us a fake name so we can't get your old records I will assume you are a worse douchetard than you really are. More importantly though it will really really piss me the fuck off. Pissing off the guy who writes the rx you want does not work to your advantage.

The fifth rule is don't assume I am an idiot. I went to medical school. That is certainly no guarantee that I am a rocket scientist I know (hell, I went to school with a few people who were a couple of french fries short of a happy meal.) However, I also got an ER residency spot which means I was in the top quarter or so of my class. This means it is a fair guess I am a reasonably smart guy. So if I read your triage note and 1) you list allergies to every non-narcotic pain medicine ever made, 2) you have a history of migraines, fibromyalgia, and lumbar disk disease, and 3) your doctor is on vacation, only has clinic on alternate Tuesdays, or is dead, I am smart enough to read that as: you are scamming for some vicodin. That in and of itself won't necessarily mean you don't get any pain medicine. Hell, the fucktards who list and allergy to tylenol but who can take vicodin (which contains tylenol) are at least good for a few laughs at the nurses station. However, if you give that history everyone in the ER from me to the guy who mops the floor will know you are a lying douchetard who is scamming for vicodin. (See rule # 4 about lying.)

The sixth and final rule is wait your fucking turn. If the nurse triages you to the waiting room but brings patients who arrived after you back to be treated first, that is because this is an EMERGENCY room and they are sicker than you are. You getting a fix of vicodin is not more important than the 6 year old with a severe asthma attack. Telling the nurse at triage that now your migraine is giving you chest pain since you have been sitting a half hour in the waiting area to try to force her into taking you back sooner is a recipe for making all of us hate you. Even if you end up coming back immediately, I will make it my mission that night to torment you. You will not get the pain medicine you want under any circumstances. And I firmly believe that if you manipulate your way to the back and make a 19 year old young woman with an ectopic pregnancy that might kill her in a few hours wait even a moment longer to be seen, I should be able to piss in a glass and make you drink it before you leave the ER.

So if you keep these few simple rules in mind, our interaction will go much more smoothly. I don't really give a shit if I give 20 vicodins to a drug-seeker. Before I was burnt out in the ER I was a hippy and I would honestly rather give that to ten of you guys than make one person in real pain (unrelated to withdrawal) suffer. However, if you insist on waving a flourescent orange flag that says 'I am a drug seeker' and pissing me and the nurses off with your behavior, I am less likely to give you that rx. You don't want that. I don't want that. So lets keep this simple, easy, and we'll all be much happier.

Sincerely,
Your friendly neighborhood ER doctor