I’ve never met a patient with a substance problem that says they’re happy to have it.

I’m not referring to the casual misadventure with recreational drugs or alcohol, but the patients we can recognise from a distance, or the acute-on-chronic presentation that needs our interventions.

If you were to spare a few minutes and read this wonderful post by Phil Berry, perhaps your next fatigued encounter won’t be quite as difficult;

https://illusionsofautonomy.wordpress.com/2016/01/30/instant-e