Mind you, when i have a pt who fucked themselves bc of long term drug abuse, I treat them like any other pt. To see someone wi5h multi organ failure and kick them while they are down isn't my thing. Im there to work 12-13hrs and deliver my patients the best care they can possibly receive. They know what they did, its not my job to remind them that this their fault. At the end of the day, it could have been avoided by just saying no.