Opioid tolerant patient came in the other night claiming chest pain / CVA / PE depending on who spoke to him. Kept requesting pain medicine, and got it, but conveniently decided we all were incompetent and he was fine when we tried transferring him to a neurologist. He ended up AMA'ing out after suckering 16mg of morphine out of the ER doctor within an hour and his wife was a total ass the entire time. After he signed the paperwork through, and was still refusing to be transferred, he kept asking for more morphine.
Was something serious going on? Who knows, I'm boiling some details down here but I suggested a nice tall vial of stfu almost an hour before the doc started talking about it and by then it was a little too late.