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S1 E11

The Pitt · Season 1, Episode 11

Robinavitch, Ivan Pugliesi and others in “5:00 P.M.”

How you feeling, Mr. Pugliesi?

IPIvan Pugliesi

Oh, so much better. Thank you. You guys think that I could have a little bit more of that medicine, just for the few days that I'm out here? I just want to be able to walk my daughter down the aisle without shitting myself.

The medication we gave you wasn't morphine. It was something called buprenorphine, or BUPE.

IPIvan Pugliesi

Yeah, no, she said that. I mean, whatever you call it, Doc, it worked great.

It's a medicine specifically targeted to treat opioid withdrawal. That's why it worked.

IPIvan Pugliesi

Wait, I-I don't I don't understand.

All indicators are that you have been using opioids. That would include pain medication like hydrocodone, oxycodone.

IPIvan Pugliesi

I told them I don't do drugs. Wow. You lied to me.

I didn't lie. I said I was giving you a morphine-like drug that got rid of your cravings.

IPIvan Pugliesi

Well, you know what? This is bullshit. I mean, you know, I could sue all of you. You hear me? I'm not some junkie on the street. Look, look, I-I got a family. I got a job. I make good money. I, you know, I return my shopping carts. I pay my taxes. That sound like a drug addict to you?

Yes, because anybody can be an addict. You are proof of that. These pills that you were taking, they're not helping you with your pain. They are keeping you stuck in it. A lot of really good people struggle with addiction. It is a brain disease. But social environment and personal choice are also factors.

IPIvan Pugliesi

I don't have a problem.

The good news is that the brain is highly dynamic, as is the environment. But you need to stop now before the damage is irreparable.

IPIvan Pugliesi

No, screw this hospital, okay? And screw you.

Hey. Doctor Mohan -- Doctor Mohan will advise you on our proposed action plan. You can either choose to follow it or not. That is entirely up to you. I wish you luck, Mr. Pugliesi.

We're giving you a seven-day supply of a drug called Suboxone. We can set you up with a medic...

IPIvan Pugliesi

Fuck off. I'm not interested.

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