I'm a mug - I enjoy my patients - I mainly enjoy the challenging one's.
The taxi waiting outside could be because he's due in court/at work and can't afford to be late - and feels like shit as the previous days dose is wearing off.
Supervised methadone does keep methadone off the streets - but daily supervision at the same pharmacy every day doesn't fit in well with holding down a job - particularly if your employer doesn't know of your habit.
Yes the addict ought to be spoken to - so as to work out how to better address his needs - seeing a life change from the chaotic to stability is one of the professionally most rewarding aspects of this job. It's long term involvement with patients who actually have a chance of getting better. (Most patients with chronic conditions usually just get older and worse - diabetes - COPD dont get better)
IMO a glass of water should have been given with the methadone as a matter of course anyway.
Jeff
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