I am just curious if other areas in the US are witnessing the extent to which a seeker will go to obtain their drugs. Not only is this taxing on all ER's resources, but this is also detrimental to the addict and their family. Each day I work in the ER I see many individuals who are simply there to get their "hydro's". I have seen them punch walls, cut themselves with sharp objects, hit each other, etc. to have an injury that requires narcotics. It's difficult to remain objective when you repeatedly see these patients. Luckily, Tennessee has a database that can be utilized by any licensed provider that provides all narcotic information for each patient. This helps determine which patient's are habitually obtaining narcotics. Hopefully these types of databases will be used by all provider's to help decrease the liklihood of receiving narcotics when not necessary. To what extent have you seen people go to support their habit?