Sadly, patients like that are the exceptions, not the norm. On another day, we receive a patch for an MVC. The patient arrives, and when asked the same questions about drug use, is much less forthcoming. After several false starts, the story comes out: this gentleman bought come crack that afternoon, only to discover that it was "bad" crack and returned to the dealer to demand his money back. Negotiation proved unsuccessful, so the patient attacked the dealer, only to be punched repeatedly in the head and chased back to his car, which, while speeding away, the patient crashed into a (thankfully empty) school building.