And, like -t, I figured the guy was just a morphine addict. It doesn't feel like Ambien--they're not interchangeable trips.

Then why have his whole blah blah blah wired and tired, need to sleeeeeeeeeeeeeeep justification? It makes no sense.

Seriously, couldn't they afford a decent medical consultant? This was worse than House, which used to give me rage blackouts because the medicine in the show was so terrible.

I had a lot of "wait, WHAT?" moments, oh yes.

The entire storyline between Joan and her friend. Clearly the person writing the damn episode had no idea about how endocarditis patients present. OH MAN. Too many wrongness to list. Also, insert here me frothing at my mouth at someone without even an attending privilege in the hospital ordering an invasive procedure because of "her gut". And the fact that it was portrayed as heroic. Fuck that noise.

I was bothered by having someone who shouldn't be there in the room there for the consult.

That's probably what I meant. I don't really know the canon (and missed this last episode.)

Specifically, this Sherlock is. ACD Sherlock uses mostly cocaine, with occasional morphine.

(BBC Sherlock's addition has only been alluded to, and no specific substances mentioned.)

Well, the multiple nicotine patches...

Then why have his whole blah blah blah wired and tired, need to sleeeeeeeeeeeeeeep justification?

Because addicts dissemble? Isn't that really common? I don't have any relatives who are specifically (or only) addicted to morphine, but there are a million reasons they'll give before "it really feels good" and "it hurts when I stop". Really good reasons.

I was bothered by having someone who shouldn't be there in the room there for the consult.

I couldn't even begin to tell you how many specialists I've been to where there have been other people hovering in the background. True, they've always been introduced, and there's usually an actual official-sounding reason ("so-and-so is doing an internship," rather than "Joan is my friend") but if they had slapped a white lab coat on Joan chances are the patient wouldn't have known the difference.

There's a huge difference between having a medical resident or intern in the room and having a private citizen with no relationship to the patient and no medical reason for being there in the room.

It's the job of the intern to go around. All my non-sports medicine medical care in the last 8 years has been at a university hospital, so I'm used to having interns and residents having things explained to them, or taking notes, or generally being helpful medical people in the background.

That's not the same as "Hi! I'm the doctor's random friend! I'm not a doctor anymore!" in the room.

Because addicts dissemble? Isn't that really common? I don't have any relatives who are specifically (or only) addicted to morphine, but there are a million reasons they'll give before "it really feels good" and "it hurts when I stop". Really good reasons.

Still rings clunky in the context. Yeah, addicts dissemble. But you'd expect, then, that you'd have Holmes call him on it, based on what they've written him like thus far.

Holmes is to tell him he should have been stealing a more efficient drug?

My point about addiction is that the guy didn't pick the most medically sensible thing to treat insomnia, and go with that. He's a morphine addict, and he's using it to get himself to sleep.

And he's justifying his addiction with all sorts of medical necessity blah blah, but the fact is--that's what he's addicted to for sleeping by now. And if he'd wanted the Ambien feel, he'd have gotten addicted to that instead.

Holmes is to tell him he should have been stealing a more efficient drug?

Aw, Holmes would totally have told him that.

Yeah, Holmes, as Zenkitty says, would have called him on that. Or said that if he was telling the truth about his reasons, he'd have gone for Ambien instead. It was sloppy writing.

And he's justifying his addiction with all sorts of medical necessity blah blah, but the fact is--that's what he's addicted to for sleeping by now. And if he'd wanted the Ambien feel, he'd have gotten addicted to that instead.

But morphine's just not a good sedative drug for chronic use, for a number of reasons, including but not limited to the reduction of the sedation effect with chronic use. I could see Joe Random Guy deciding it's a good idea, but not Doctor Joe.