ER doctors in this community are excellent. They see many many many people, day in day out. IV drug users live a fragile existence. In some ways I feel they put themselves at risk. Especially when their habit brings them to an ER  for pain medication. I've seen users with infections raging in their hands, arms, and legs, even their stomachs (where they inject...it is amazing where people will inject)  get their doses of antibiotics, and leave upset because the doctor didn't prescribe the user's opioid of choice. I've seen iv drug users get so ticked off that they'll rip the iv out of their arm that has the antibiotic and leave because the user wasn't given dilaudid for their pain. I've seen IV drug users come in to an ER and claim they are allergic to every pain medication  but dilaudid. That's the primary iv pain med that users want when they come to the ER. Some even threaten doctors and nurses with bodily harm bc they didn't get what they wanted.