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*** I daresay there was, as she wasn't yet having hallucinations at that time.

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*** I daresay there was, as she wasn't yet having hallucinations at that time.time.
* I think it was a scam cause she's an old woman and thus, more vulnerable/susceptible to go with it.
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** Was there even a phone call at all?

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** Was there even a phone call at all?all?
*** I daresay there was, as she wasn't yet having hallucinations at that time.
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* So was the call to Sara from the TV channel real deal or was it a prank?

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* So was the call to Sara from the TV channel real deal or was it a prank?prank?
**Was there even a phone call at all?

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!!That's not how to treat patients!



!!Going all the way to Florida for drugs?




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!!That's not how drugs work




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!!Mandated Reporting




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***The first known instance of "Duty to Warn" or doctors being mandated to report was back in 1976 and ''Requiem of a Dream'' debuted in 1978, suggesting it's set after 1975 but before 1978, in which case, the doctor did have grounds to have them arrested, though, it might've been more for theft than anything else.
!!Drugs for sex




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!!Using another vein




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!!Going cold turkey


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***Quitting cold turkey prolly would have made worse, as you have be ''weaned off'' heroin.
!!Was the call real or naw?
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* So was the call to Sara from the TV channel real or was it a prank?

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* So was the call to Sara from the TV channel real deal or was it a prank?
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** Unfortunately that's truth of how it usually goes. Drugs, heroin especially, is not something you just 'quit' especially cold turkey. It's a lifelong struggle they didn't have the support or motive to do it. Maybe they will try to quit now that they have hit rock bottom or double down and stay that way the rest of their short lives.

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** Unfortunately that's truth of how it usually goes. Drugs, heroin especially, is not something you just 'quit' especially cold turkey. It's a lifelong struggle they didn't have the support or motive to do it. Maybe they will try to quit now that they have hit rock bottom or double down and stay that way the rest of their short lives.lives.
* So was the call to Sara from the TV channel real or was it a prank?
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** Depending on the person, sometimes it's difficult finding a vein. Even the medical field, it's often difficult trying to locate a good vein to tape into for collecting blood and/or injecting medicine and/or IV contrast for CT scans on people (some are easy to find, others not so much). But as mentioned above, Harry wanted to shoot up very fast and being on withdrawals clouded his judgement on looking for another vein to use.

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** Depending on the person, sometimes it's difficult finding a vein. Even the medical field, it's often difficult trying to locate a good vein to tape tap into for collecting blood and/or injecting medicine and/or IV contrast for CT scans on people (some are easy to find, others not so much). But as mentioned above, Harry wanted to shoot up very fast and being on withdrawals clouded his judgement on looking for another vein to use.
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** Depending on the person, sometimes it's difficult finding a vein. Even the medical field, it's often difficult trying to locate a good vein to tape into for collecting blood and/or injecting medicine and/or IV contrast for CT scans on people (some are easy to find, others not so much). But as mentioned above, Harry wanted to shoot up very fast and being on withdrawals clouded his judgement on looking for another vein to use.
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* Perhaps a stupid question, but why didn't the characters ever even consider going cold turkey over the extreme fates they instead sealed for themselves? Addiction can be extremely powerful, yes, but Marion in particular seems to go completely off the deep end very quickly. If she simply bunkered down for a couple of weeks she could kick the habit, at least for as long as the dope drought lasted. Instead she goes to one of the most evil guys in the whole city and immediately sinks into completely degrading herself for drugs, seemingly for the rest of her life.

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* Perhaps a stupid question, but why didn't the characters ever even consider going cold turkey over the extreme fates they instead sealed for themselves? Addiction can be extremely powerful, yes, but Marion in particular seems to go completely off the deep end very quickly. If she simply bunkered down for a couple of weeks she could kick the habit, at least for as long as the dope drought lasted. Instead she goes to one of the most evil guys in the whole city and immediately sinks into completely degrading herself for drugs, seemingly for the rest of her life.life.
** Unfortunately that's truth of how it usually goes. Drugs, heroin especially, is not something you just 'quit' especially cold turkey. It's a lifelong struggle they didn't have the support or motive to do it. Maybe they will try to quit now that they have hit rock bottom or double down and stay that way the rest of their short lives.
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** As mentioned above, taking heroin in the past will have reduced the pain in the arm, which is probably one reason it took so long for him to notice the infection. Injecting it directly into the wound probably makes twisted sense in his head, as he's aware the drug is a painkiller.

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** As mentioned above, taking heroin in the past will have reduced the pain in the arm, which is probably one reason it took so long for him to notice the infection. Injecting it directly into the wound probably makes twisted sense in his head, as he's aware the drug is a painkiller.painkiller.

* Perhaps a stupid question, but why didn't the characters ever even consider going cold turkey over the extreme fates they instead sealed for themselves? Addiction can be extremely powerful, yes, but Marion in particular seems to go completely off the deep end very quickly. If she simply bunkered down for a couple of weeks she could kick the habit, at least for as long as the dope drought lasted. Instead she goes to one of the most evil guys in the whole city and immediately sinks into completely degrading herself for drugs, seemingly for the rest of her life.

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Added some additional "answers" to the Headscratcher sections.



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*** It's also notable lampshading that Tyrone casually gets California and Florida confused as their destination when they're talking about where they're going in the car. Their plan is quite clearly complete nonsense created out of blind desperation. It fits with the theme of what they've been doing the whole movie - chasing unrealistic pipe dreams with no exit strategy or Plan B.
*** As an extra note, Tyrone mentions that whatever gang war was going on, pretty much every street level dealer he knew was being killed. Clearly there isn't a drought in the whole city since Big Tim seems to have free access to heroin, but he seems pretty wealthy. By contrast, the violence level was high enough that your average addict on the street couldn't easily get their hands on any dope safely.




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** It also seems in some scenes that cocaine is being taken - sometimes this is spliced in with the scenes in which people are shooting up. As cocaine has the opposite effect (dilating the pupils) this can also add some confusion here given how fast the camera shots are.




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** He seems to be quite the sadistic sociopath. Not only is he seemingly wealthy enough to not actually need money from pimping girls out, he could indeed afford to simply buy sex or use his success to attract desirable women. Instead, he seems to be a predator who gets off on degrading women and forcing them into sexual servitude. This is notable with how he constantly [[EvilLaugh chuckles with glee]] when Marion shows how desperate and isolated she is.



** I thought the same thing, but on a second watch: he's shooting up in a car. He's too addicted to just wait and go somewhere more private, he's got a limited range of movement due to being in the passenger seat and fully clothed, and he's right handed. He can't use his wounded arm to operate the syringe, so that's where the needle has to go in. It could also just be plain ignorance/addled judgment; at that point he's in a lot of pain and he's after the analgesic effect as much as the euphoria, he may be applying it directly to the wound in the hope of getting faster relief. Alternatively, he might think/know that the needle is filthy and he doesn't want to risk spreading the infection to a new site.

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** I thought the same thing, but on a second watch: he's shooting up in a car. He's too addicted to just wait and go somewhere more private, he's got a limited range of movement due to being in the passenger seat and fully clothed, and he's right handed. He can't use his wounded arm to operate the syringe, so that's where the needle has to go in. It could also just be plain ignorance/addled judgment; at that point he's in a lot of pain and he's after the analgesic effect as much as the euphoria, he may be applying it directly to the wound in the hope of getting faster relief. Alternatively, he might think/know that the needle is filthy and he doesn't want to risk spreading the infection to a new site.site.
** As mentioned above, taking heroin in the past will have reduced the pain in the arm, which is probably one reason it took so long for him to notice the infection. Injecting it directly into the wound probably makes twisted sense in his head, as he's aware the drug is a painkiller.
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*** The book has a minor GoodDocBadDoc subplot after Sara is hospitalized--the first doctor who treats her gives her a very cursory examination and diagnoses her with schizophrenia with orders to commit her to a psychiatric ward. A second doctor spends more time, discovers what pills she was on, and tries to argue against her being committed, pointing out that she's still being affected by the diet pills, valium, and malnutrition and her condition is likely to get at least somewhat better with regular medical care. He's overruled by his boss. In general, the last part of Sara's arc in the book is a sharp criticism of the state of psychiatric care in the 70s--the hospital she's put into is an outright BedlamHouse.

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Off-topic. This entry isn't about plot holes.


* Why did the writers choose to make the characters so unsympathetic (outside of simply being drug users)? Harry abuses his loving grandmother in order for his drug fix and later makes the really smart move of shooting up when his arm is beginning to go gangrenous, Marion squanders the opportunities and money given to her by her privileged (albeit unloving -- although we don't know for sure) parents and has fantastical dreams of making it big when even people with recognized talent are routinely ignored, and Sara delusionally ignores the advice of her son to stop taking her weight-loss pills.
** The whole point of the film was the fact that each of the characters had some sort of addiction which caused them to be delusional and ultimately destroy themselves. Even looking past the whole addiction, we see other things tearing apart the protagonists: Harry and Tyron strive to get money an "easier" way by selling drugs instead of getting real jobs. Marion obviously is ''supposed'' to have overly fantastic dreams of being a designer (which is a difficult job) that she probably wouldn't be able to achieve. She's also kind of a slacker, as it's shown that Harry is the one who pushes her to try and start a shop instead of waiting for it to fall into her lap. And Sara, I can't believe you missed it since it was pretty obvious, but she loves television. Obsesses over it, ''wants to be on it'' so bad. The red dress and the weight loss pills compound her addictions of trying to look good enough to be on it. The whole story is sort of a representation, too, of the seeking of escapism as all of the characters are trying to find ways to avoid life instead of facing it, which causes their ultimate demise.
*** Plus, I don't think Sara is all that unsympathetic? I mean she ignores what Harry says but she seems a little senile before she starts taking drugs and it's implied they've had kind of a rocky relationship, but for the most part she seems like a reasonably nice person if a bit deluded and oblivious, which makes what happens to her even sadder.
** I mean... they're drug addicts. It's a sad irony that while drug addiction is a condition that is certainly worthy of sympathy, it also tends to drive those who are afflicted with it to act in increasingly awful ways that don't exactly encourage sympathy for them. This is the point of the movie.

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* Why did the writers choose to make the characters so unsympathetic (outside of simply being drug users)? Harry abuses his loving grandmother in order for his drug fix and later makes the really smart move of shooting up when his arm is beginning to go gangrenous, Marion squanders the opportunities and money given to her by her privileged (albeit unloving -- although we don't know for sure) parents and has fantastical dreams of making it big when even people with recognized talent are routinely ignored, and Sara delusionally ignores the advice of her son to stop taking her weight-loss pills.
** The whole point of the film was the fact that each of the characters had some sort of addiction which caused them to be delusional and ultimately destroy themselves. Even looking past the whole addiction, we see other things tearing apart the protagonists: Harry and Tyron strive to get money an "easier" way by selling drugs instead of getting real jobs. Marion obviously is ''supposed'' to have overly fantastic dreams of being a designer (which is a difficult job) that she probably wouldn't be able to achieve. She's also kind of a slacker, as it's shown that Harry is the one who pushes her to try and start a shop instead of waiting for it to fall into her lap. And Sara, I can't believe you missed it since it was pretty obvious, but she loves television. Obsesses over it, ''wants to be on it'' so bad. The red dress and the weight loss pills compound her addictions of trying to look good enough to be on it. The whole story is sort of a representation, too, of the seeking of escapism as all of the characters are trying to find ways to avoid life instead of facing it, which causes their ultimate demise.
*** Plus, I don't think Sara is all that unsympathetic? I mean she ignores what Harry says but she seems a little senile before she starts taking drugs and it's implied they've had kind of a rocky relationship, but for the most part she seems like a reasonably nice person if a bit deluded and oblivious, which makes what happens to her even sadder.
** I mean... they're drug addicts. It's a sad irony that while drug addiction is a condition that is certainly worthy of sympathy, it also tends to drive those who are afflicted with it to act in increasingly awful ways that don't exactly encourage sympathy for them. This is the point of the movie.
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** I mean... they're drug addicts. It's a sad irony that while drug addiction is a condition that is certainly worthy of sympathy, it also tends to drive those who are afflicted with it to act in increasingly awful ways that don't exactly encourage sympathy for them. This is the point of the movie.
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*** Plus, I don't think Sara is all that unsympathetic? I mean she ignores what Harry says but she seems a little senile before she starts taking drugs and it's implied they've had kind of a rocky relationship, but for the most part she seems like a reasonably nice person if a bit deluded and oblivious, which makes what happens to her even sadder.
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*** Agreed. ECT has developed a lot from its origins a good 80-something(?) years ago. And anaesthetic was not used, although even in the 70s, there were variations and different ways to use it that the entire psychiatric profession was arguing about. In state institutions, the state of care was downright horrifying and ECT was used as a cure for everything from simple depression to undifferentiated schizophrenia. It was either than or Insulin comas.... which were ''way'' worse. Yeah, psychiatry in America was pretty horrifying back in the day, although the quality of care varied wildly from institution to institution - some private ones were downright wonderful by all accounts. Actually, put in the proper time context and assuming that Sara and Harry are in state hospitals and institutions - which were desperately running on low funds - everything was a pretty bad but realistic portrayal.

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*** Agreed. ECT has developed a lot from its origins a good 80-something(?) years ago. And anaesthetic was not used, although even in the 70s, there were variations and different ways to use it that the entire psychiatric profession was arguing about. In state institutions, the state of care was downright horrifying and ECT was used as a cure for everything from simple depression to undifferentiated schizophrenia. It was either than that or Insulin comas.... which were ''way'' worse. Yeah, psychiatry in America was pretty horrifying back in the day, although the quality of care varied wildly from institution to institution - -- some private ones were downright wonderful by all accounts. Actually, put in the proper time context and assuming that Sara and Harry are in state hospitals and institutions - which were desperately running on low funds - -- everything was a pretty bad but realistic portrayal.



* Why did the writers choose to make the characters so unsympathetic (outside of simply being drug users)? Harry abuses his loving grandmother in order for his drug fix and later makes the really smart move of shooting up when his arm is beginning to go gangrenous, Marion squanders the opportunities and money given to her by her privileged (albeit unloving - although we don't know for sure) parents and has fantastical dreams of making it big when even people with recognized talent are routinely ignored, and Sara delusionally ignores the advice of her son to stop taking her weight-loss pills.
** The whole point of the film was the fact that each of the characters had some sort of addiction which caused them to be delusional and ultimately destroy themselves. Even looking past the whole addiction, we see other things tearing apart the protagonists: Harry and Tyron strive to get money an "easier" way by selling drugs instead of getting real jobs. Marion obviously is ''supposed'' to have overly fantastic dreams of being a designer (which is a difficult job) that she probably wouldn't be able to achieve. She's also kind of a slacker as shown that Harry is the one who pushes her to try and start a shop instead of waiting for it to fall into her lap. And Sara, I can't believe you missed it since it was pretty obvious, but she loves television. Obsesses over it, ''wants to be on it'' so bad. The red dress and the weight loss pills compound her addictions of trying to look good enough to be on it. The whole story is sort of a representation, too, of the seeking of escapism as all of the characters are trying to find ways to avoid life instead of facing it which causes their ultimate demise.

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* Why did the writers choose to make the characters so unsympathetic (outside of simply being drug users)? Harry abuses his loving grandmother in order for his drug fix and later makes the really smart move of shooting up when his arm is beginning to go gangrenous, Marion squanders the opportunities and money given to her by her privileged (albeit unloving - -- although we don't know for sure) parents and has fantastical dreams of making it big when even people with recognized talent are routinely ignored, and Sara delusionally ignores the advice of her son to stop taking her weight-loss pills.
** The whole point of the film was the fact that each of the characters had some sort of addiction which caused them to be delusional and ultimately destroy themselves. Even looking past the whole addiction, we see other things tearing apart the protagonists: Harry and Tyron strive to get money an "easier" way by selling drugs instead of getting real jobs. Marion obviously is ''supposed'' to have overly fantastic dreams of being a designer (which is a difficult job) that she probably wouldn't be able to achieve. She's also kind of a slacker slacker, as it's shown that Harry is the one who pushes her to try and start a shop instead of waiting for it to fall into her lap. And Sara, I can't believe you missed it since it was pretty obvious, but she loves television. Obsesses over it, ''wants to be on it'' so bad. The red dress and the weight loss pills compound her addictions of trying to look good enough to be on it. The whole story is sort of a representation, too, of the seeking of escapism as all of the characters are trying to find ways to avoid life instead of facing it it, which causes their ultimate demise.



* Well, at least Harry has the consolation that he's about to become very rich from suing the doctor and prison. Lord, ''DOCTORS AREN'T ALLOWED TO HAVE PATIENTS ARRESTED'' (unless they're threatening them.)

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* Well, at least Harry has the consolation that he's about to become very rich from suing the doctor and prison. Lord, ''DOCTORS AREN'T ALLOWED TO HAVE PATIENTS ARRESTED'' (unless they're threatening them.)them).



** 1970s, people. Nowadays, doctors are only allowed to call the police on a patient if they are a distinct danger to themselves or others. This is when there is clear evidence of suicidal or homicidal intentions, or the patient attacks someone. Back then, drug addiction was considered a sort of mental illness that was looked down upon with fear and misunderstanding. It would have been easy for a doctor to call in the cops on a sick junkie back then. Nowadays, Harry could have sued his ass off and been living in heaven. He could also have sued him for malpractice, considering the bastard didn't do anything about an obvious gangrenous and necrotizing lesion - although back in the 1970s, the medical profession kinda sucked. Screw the Hippocratic oath.

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** 1970s, people. Nowadays, doctors are only allowed to call the police on a patient if they are a distinct danger to themselves or others. This is when there is clear evidence of suicidal or homicidal intentions, or the patient attacks someone. Back then, drug addiction was considered a sort of mental illness that was looked down upon with fear and misunderstanding. It would have been easy for a doctor to call in the cops on a sick junkie back then. Nowadays, Harry could have sued his ass off and been living in heaven. He could also have sued him for malpractice, considering the bastard didn't do anything about an obvious gangrenous and necrotizing lesion - -- although back in the 1970s, the medical profession kinda sucked. Screw the Hippocratic oath.
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** Yeah, it's pretty stupid. Understandable, but stupid. Also, considering the gangrenous and necrotic state of his lesion, I'm surprised he managed to shoot up through the deteriorating and thrombotic veins. Seriously, what a waste, all it is going to do is get trapped in the swelling and inflammation, rather than getting to the spine.

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** Yeah, it's pretty stupid. Understandable, but stupid. Also, considering the gangrenous and necrotic state of his lesion, I'm surprised he managed to shoot up through the deteriorating and thrombotic veins. Seriously, what a waste, all it is going to do is get trapped in the swelling and inflammation, rather than getting to the spine.spine.
** I thought the same thing, but on a second watch: he's shooting up in a car. He's too addicted to just wait and go somewhere more private, he's got a limited range of movement due to being in the passenger seat and fully clothed, and he's right handed. He can't use his wounded arm to operate the syringe, so that's where the needle has to go in. It could also just be plain ignorance/addled judgment; at that point he's in a lot of pain and he's after the analgesic effect as much as the euphoria, he may be applying it directly to the wound in the hope of getting faster relief. Alternatively, he might think/know that the needle is filthy and he doesn't want to risk spreading the infection to a new site.
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** 1970s, people. Nowadays, doctors are only allowed to call the police on a patient if they are a distinct danger to themselves or others. This is when there is clear evidence of suicidal or homicidal intentions, or the patient attacks someone. Back then, drug addiction was considered a sort of mental illness that was looked down upon with fear and misunderstanding. It would have been easy for a doctor to call in the cops on a sick junkie back then. Nowadays, Harry could have sued his ass off and been living in heaven. He could also have sued him for malpractice, considering the bastard didn't do anything about an obvious gangrenous and necrotizing lesion - although back in the 1970s, the medical profession kinda sucked. Screw the hypocratic oath.

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** 1970s, people. Nowadays, doctors are only allowed to call the police on a patient if they are a distinct danger to themselves or others. This is when there is clear evidence of suicidal or homicidal intentions, or the patient attacks someone. Back then, drug addiction was considered a sort of mental illness that was looked down upon with fear and misunderstanding. It would have been easy for a doctor to call in the cops on a sick junkie back then. Nowadays, Harry could have sued his ass off and been living in heaven. He could also have sued him for malpractice, considering the bastard didn't do anything about an obvious gangrenous and necrotizing lesion - although back in the 1970s, the medical profession kinda sucked. Screw the hypocratic Hippocratic oath.

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** 1970s, people. Nowadays, doctors are only allowed to call the police on a patient if they are a distinct danger to themselves or others. This is when there is clear evidence of suicidal or homicidal intentions, or the patient attacks someone. Back then, drug addiction was considered a sort of mental illness that was looked down upon with fear and misunderstanding. It would have been easy for a doctor to call in the cops on a sick junkie back then. Nowadays, Harry could have sued his ass off and been living in heaven. He could also have sued him for malpractice, considering the bastard didn't do anything about an obvious gangrenous and necrotizing lesion - although back in the 1970s, the medical profession kinda sucked. Screw the hypocratic oath.



** It takes too much time to search for one. He wanted the shot very fast.

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** It takes too much time to search for one. He wanted the shot very fast.fast.
** Yeah, it's pretty stupid. Understandable, but stupid. Also, considering the gangrenous and necrotic state of his lesion, I'm surprised he managed to shoot up through the deteriorating and thrombotic veins. Seriously, what a waste, all it is going to do is get trapped in the swelling and inflammation, rather than getting to the spine.
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*** Agreed. ECT has developed a lot from its origins a good 80-something(?) years ago. And anaesthetic was not used, although even in the 70s, there were variations and different ways to use it that the entire psychiatric profession was arguing about. In state institutions, the state of care was downright horrifying and ECT was used as a cure for everything from simple depression to undifferentiated schizophrenia. It was either than or Insulin comas.... which were ''way'' worse. Yeah, psychiatry in America was pretty horrifying back in the day, although the quality of care varied wildly from institution to institution - some private ones were downright wonderful by all accounts. Actually, put in the proper time context and assuming that Sara and Harry are in state hospitals and institutions - which were desperately running on low funds - everything was a pretty bad but realistic portrayal.


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*** I agree with the above comment. Most likely there were quite a lot of sources around if you had a clear head and went hunting for them, but Harry and Tyrone were desperate and withdrawing, with little knowledge of the drug underground. They were so desperate that they made a run for it and followed a rumor to Florida just to escape.
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* Couldn't Harry just use another vein? He had lots of them. Or a different spot on that same vein?

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* Couldn't Harry just use another vein? He had lots of them. Or a different spot on that same vein?vein?
** It takes too much time to search for one. He wanted the shot very fast.
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* Couldn't Harry just use another vein? He had lots of them.

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* Couldn't Harry just use another vein? He had lots of them. Or a different spot on that same vein?
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** Big Tim is a pimp, not a drug dealer. He recruits addicts and uses their addiction as leverage to turn them into hookers.

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** Big Tim is a pimp, not a drug dealer. He recruits addicts and uses their addiction as leverage to turn them into hookers.hookers.

* Couldn't Harry just use another vein? He had lots of them.
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*** Not to mention, the fact that Harry and Tyrone are simply not the savviest dealers on their block or any other, so they might not even know how to properly network and find better sources outside of the few they had been utilizing, and were by winter so desperate they willingly chased after a big pie in the sky possibility in the sunny climes of Florida. In the novel, there is a passage which explores the both of them realizing just how insane and far-fetched this entire plan actually is, but neither one being able to admit it to themselves or the other and turn back means they see it through to the brutal end.
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*** Nope. The doctor saw Harry's arm, looked at him funny (while grabbing the bottles of liquid medicine), and took off, presumably to call the cops. OP is right; the doctor shouldn't have turned Harry in.

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