Well to keep Yummy from looking bad I'LL give details of the runs she mentioned. First one; lady walks into our office says her son acting "weird" and that he like pills. Son ( 23 Y/O) in front seat agonal respiration's that stopped completely on the way into ER. Dr. tries to tube him and unable to, pulls blade out of his mouth along with couple of Fentanyl patches. We told Dr. about his pill habit so they push some Narcan and wake pt. up. While talking to pt. Dr. has pt. open wide and say AHH and puts the blade back into his mouth still no gag reflex. Patient admitted. Back out on pt. week or so later when his wife and kids find him dead on couch with patches in mouth. Second patient was same day as first pt. about 1 hour later. We are called out for unresponsive pt., by chance my partner is a deputy coroner and had worked an OD death at this address about 1 year prior. On arrival find 28 Y/O male supine on floor with BLS truck bagging him no spontaneous respiration's. " Friends" of pt. say he might have ate a morphine patch. Find a patch in his mouth and remove it, start a line and push Narcan pt. comes up fighting. Patient calmed down after seeing the ET tube hanging out! Taken to hospital no contact with a pt. since. Last pt. is 19 Y/O male drank bottle of Methadone per his girlfriend. Patient unresponsive but breathing, pulse in the 130's, BP crappy. Start 2 IV gave little bit of Narcan (after last pt. beat the crap out of us) with no response so gave little bit more and now 3 people not able to control the kid. Finally able to control him and taken to ER. In ER pt. goes from responsive and rude to not breathing. Poison control contacted and told ER that they could not give pt. enough fluid to keep lines wide open. They also said to give certain amount of Narcan which happened to be more than is kept in the hospital. Patient flown to other hospital and remained in critical condition. Have not heard anything about him since. I am not sure if Heroin has been a factor in any of these cases but with some of the friends I used to have that would know about that stuff it is coming back around again. Also for clarification our office is attached to the hospital ER.
