“So Mr. Smith, what brings you to the Emergency Department, a place where we handle medical emergencies, at 3AM.”

“My mom is up in the ICU and I just thought I’d come down to get myself checked out.”

“Anything in particular bothering you or is it just a general malaise?”

“Well, my back has been hurting me a lot lately.”

“Is it your usual back pain?”

“Yeah. I’m supposed to see my doctor about it on Tuesday.”

“Does he write you your prescriptions for pain medication?”

“Yeah, but he was out of town last month.”

“Okay, I’ll give you some Tylenol. You need to call him tomorrow to get a prescription for your regular pain meds.”

“I’m allergic to Tylenol, he usually gives me Vicodin.”

“You know that Vicodin has Tylenol in it, right?”

“I’m having chest pain too.”

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