As a volunteer your first job is to make sure you're safe. Okay so
that means that you're not in the way of getting any needle sticks not none of
them dropping if someone dropped something let them pick it up. Everyone
that comes here is an injection drug user this is user friendly that you're
like everyone here is an addict and then again you know, a respect for treatment.
You doing okay, here?
I feel like I'm like I'm about to do something important.
This shows I'm a doctor one day.
you paid $50 for four grams?
For two grams.
For two grams. So you say you do $100 a day. Four grams a day. Thats a lot.
It's like. Yeah you, you must be making them so rich they must be so
happy to see you. See here he comes, he's coming.
Yeah, look at that. Not real good.
I've been trying to take care of it as much as I can.
Are you using a clean needle every time you inject? okay so what do you want to
do about it otherwise you're gonna continue doing having these I interest
in getting off okay do you know where you can get help for
your heroin okay give me the green sheet it'll list all the methadone clinics
that you can go to okay okay let's take your hands away
how long you been using now six years years have you ever tried getting off
okay no more squeezing the most reason when you one who's passed away your
father openness became very good what no it usually is especially at first you're
on methadone who are you how many more T good and that's holding you no
withdrawals no in there for three years since the Obamacare is no quitter
good for him good for you yeah these two
different life huh it is the big thing about hepatitis C treatment is you have
to have stopped using which you've met that requirement
I usually when I even talk about my patients somewhere between six months to
a year the reason one is that the the treatments real expensive it's ninety
four thousand dollars so you go back to clinical Sierra Vista you tell us
waiting with it doesn't matter hey how long were you use of Halloween uses
since our sixteen intravenously IOH do a half a crown shot nine times they
stopped I was out 90 milligrams and then I got down I just left that sure okay
not that I know that I have been have anybody heat flashes I thought maybe
I've done to change your life is considering I haven't had like a period
than four months or so 17 with a heart rate of 110 it's pretty high that's
pretty bad that could hurt your kidneys your heart are you okay yeah are you
okay did I scare you yeah okay yeah I want to
make sure that you understand that this is really high okay that's why I'm doing
that and the main reason for it I did may have been because you used today how
long ago did you long time how long ago how many couple hours ago you use two
hours ago I had two cups of coffee today to you though coffee does you know and
you smoke
and your blood pressure is pretty high I want to saw it okay okay and that's when
you overheard you use recently is uncommon to be that high after using
couplers okay yep it's what you write it put you right into danger zone
marginally ready for a stroke my wife did okay okay let's bring this emergency
room okay I don't have things here that why don't you what to call an ambulance
huh why why if you go in they're gonna NAB you is that what's going on oh
that's not good man
you got what I'm putting the needle in there were lidocaine medicine my man
don't move the plastic I have one more left one more ready breathe okay we're
done what are you not gonna work today you want me to write your doctor's note
saying too fucked up to go to work
something with someone did not like you you're lucky you're alive
what do you use I could see that all of your face yeah so you use a meth yes but
instead of stereotyping me can you actually see me as a patient okay I'll
listen because she does drugs I'm gonna say that's why she has all her problem
okay I'll listen okay okay I might have to just get you into dermatology clinic
that's gonna be a long time months months bubbles will start with getting
into dermatology clinic the referral and say look we'll try to get the closest
appointment possible that still don't they don't do that they do but it has to
be what you have to be referred you have to be referring okay what's your phone
number do you have a cell number can't before you what's your social
security number seriously yeah don't you have a decal no but I qualify for it
okay let's get you all signed up for Medicare cause I'll need to beg you what
no and so here's Blackstone this is shields so if you traveling by bus bus
41 we'll take you right right in front of there
okay so and what I'll do what I'll do is he'll take you into there's a little bus
center and then you just stay on it to take all you get it over there by
Manchester Manchester there's a bus terminal I told her the doctor's wife
lose of basic analysis concerning the county's responsibility to injection
drug users and says they've made themselves irrelevant right concerning
their health and their lives and it's bad health it's bad policy and that they
get stuck when it comes to people that are not like we told you know if they
start to see more of this infecting their families
thank you for being so patient do you know what time first yeah well we're
worried about you do you know what time the buses stopped running it's not that
late right now it just seems late because it's getting darker I definitely
think taking the medication role you want me to cut these tags off urine yes
chronic do you mind grabbing me some scissors from over there do you want to
keep these er you don't eat them this is from the emergency room I believe hmm
mr. Gonzalez so you haven't had your you haven't had your blood-pressure medicine
in a long time okay I'm gonna get you started on one of them but you're gonna
need to be seen by doctors to check to make sure that you're doing okay with it
okay right now we just we're just trying to put like a bandaid on you
the physicist 69 when I went to Vietnam that's why I started smoking huh smoking
opium d5 just got a jump school what just got a jump school when the military
you jump from that from from the craziness of a politics politics I mean
this is all politics of money not cost me when you're really it's close in your
life yeah only a few months apart yeah this right here was an abscess over
here right there right here was an abscess and I did you know Whitney took
that real big put hot packs in it cut it started packing it Oh
let's get betadine three times to that area
sorry
thank you
you